{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T13:13:05Z","timestamp":1758892385604},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,10,22]],"date-time":"2012-10-22T00:00:00Z","timestamp":1350864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Purpose:<\/jats:bold> In North America, the use of off\u2010road vehicles by young people is increasing, as are related injuries and fatalities. We examined the prevalence of off\u2010road ridership and off\u2010road helmet use in different subgroups of Canadian youth in order to better understand possible inequities associated with these health risk behaviors.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Data came from Cycle 6 (2009\u20102010) of the WHO Health Behavior in School\u2010Aged Children Study (HBSC). Participants (n = 26,078) were young people from grades 6\u201010 in 436 Canadian schools. Students were asked, for a 12\u2010mo recall period, how frequently they rode off\u2010road vehicles and how often they wore a helmet while riding. Engagement in off\u2010road ridership and helmet use were estimated by age group, gender, urban\u2010rural geographic location, socioeconomic status, and how long participants had lived in Canada.<\/jats:p><jats:p><jats:bold>Findings:<\/jats:bold> About half of the sample reported riding off\u2010road vehicles (12,750; 52%). Among riders, 5,691 (45%) always wore helmets. Riders were more often older students, male and born in Canada. Students in rural areas and small towns were much more likely to ride off\u2010road vehicles than their urban peers (RR, 95% CI: 1.28 [1.23\u20131.33]). Helmet use was less common among females, new immigrants, older students, and those in lower socioeconomic groups. There was little reported difference in helmet use by urban\u2010rural location.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> Risks associated with the use of off\u2010road vehicles and with nonhelmet use are not equitably distributed across Canadian youth. Factors characterizing off\u2010road ridership (notably urban\u2010rural location) are distinct from factors for helmet use. Preventive interventions should target population subgroups.<\/jats:p>","DOI":"10.1111\/j.1748-0361.2012.00441.x","type":"journal-article","created":{"date-parts":[[2012,10,22]],"date-time":"2012-10-22T18:17:49Z","timestamp":1350929869000},"page":"39-45","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Off\u2010Road Vehicle Ridership and Associated Helmet Use in Canadian Youth: An Equity Analysis"],"prefix":"10.1111","volume":"29","author":[{"given":"Colleen 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