{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:29:02Z","timestamp":1767918542868,"version":"3.49.0"},"reference-count":44,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,10,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND AND OBJECTIVES:<\/jats:title>\n                  <jats:p>In 2010, the Massachusetts Legislature passed a comprehensive law that restricted off-road vehicle (ORV) use by children &amp;lt;14 years old and regulated ORV use by children up to the age of 18 years. We aimed to examine the impact of the 2010 Massachusetts law on the rates of ORV-related injuries.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>A retrospective analysis was performed of Massachusetts emergency department (ED) and inpatient discharges between 2002 and 2013 as found in the Center for Health Information and Analysis database by using external causes of injury codes specific to ORV-related injuries. Yearly population-based rates were compared before and after the implementation of the law (2002\u20132010 vs 2011\u20132013) by using Poisson regression analysis and segmented regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>There were 3638 ED discharges and 481 inpatient discharges for ORV-related injuries in children across the 12-year study period. After the implementation of the law, the rate of ED discharges declined by 33% in 0- to 9-year-olds, 50% in 10- to 13-year-olds, and 39% in 14 to 17-year-olds (P &amp;lt; .0001). There was no significant decline in ED discharges for 25- to 34-year-olds. Inpatient hospital discharges were also reduced by 41% in 0- to 17-year-olds after implementation (P &amp;lt; .001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>As compared with adults (ages 25\u201334 years), the population-based ORV-related injury rate of residents &amp;lt;18 years old significantly declined after the passage of legislation that imposed age restrictions and other safeguards for youth riders.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2017-1164","type":"journal-article","created":{"date-parts":[[2017,9,11]],"date-time":"2017-09-11T09:10:13Z","timestamp":1505121013000},"source":"Crossref","is-referenced-by-count":27,"title":["Age Legislation and Off-Road Vehicle Injuries in Children"],"prefix":"10.1542","volume":"140","author":[{"given":"Michael R.","family":"Flaherty","sequence":"first","affiliation":[{"name":"Department of Pediatric Critical Care Medicine,"},{"name":"Harvard Medical School, Harvard University, Boston, Massachusetts; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toby","family":"Raybould","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma, Emergency Services, and Surgical Critical Care, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassandra M.","family":"Kelleher","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Harvard University, Boston, Massachusetts; and"},{"name":"Department of Pediatric Surgery, Massachusetts General Hospital, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raghu","family":"Seethala","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Harvard University, Boston, Massachusetts; and"},{"name":"Department of Emergency Medicine, Brigham and Women\u2019s Hospital, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jarone","family":"Lee","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Harvard University, Boston, Massachusetts; and"},{"name":"Department of Surgery, Division of Trauma, Emergency Services, and Surgical Critical Care, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haytham M.A.","family":"Kaafarani","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Harvard University, Boston, Massachusetts; and"},{"name":"Department of Surgery, Division of Trauma, Emergency Services, and Surgical Critical Care, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter T.","family":"Masiakos","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Harvard University, Boston, Massachusetts; and"},{"name":"Department of Pediatric Surgery, Massachusetts General Hospital, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2017,10,1]]},"reference":[{"key":"2021120916063602100_B1","first-page":"68964","article-title":"Notice of proposed rulemaking. 16 CFR part 1422. Safety standard for recreational off-highway vehicles (ROVs).","volume":"79","author":"U.S. Consumer Product Safety Commission","year":"2014","journal-title":"Fed Regist"},{"issue":"2","key":"2021120916063602100_B2","doi-asserted-by":"crossref","first-page":"10","DOI":"10.3390\/safety2020010","article-title":"Characteristics of side-by-side vehicle crashes and related injuries as determined using newspaper reports from nine U.S. States.","volume":"2","author":"Jennissen","year":"2016","journal-title":"Safety"},{"issue":"6","key":"2021120916063602100_B3","first-page":"1344","article-title":"Still unsafe, still in use: ongoing epidemic of all-terrain vehicle injury hospitalizations among children.","volume":"69","author":"Bowman","year":"2010","journal-title":"J Trauma"},{"issue":"6","key":"2021120916063602100_B4","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1542\/peds.2014-1993","article-title":"Age-based risk factors for pediatric ATV-related fatalities.","volume":"134","author":"Denning","year":"2014","journal-title":"Pediatrics"},{"issue":"2","key":"2021120916063602100_B5","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1542\/peds.2013-0751","article-title":"All-terrain vehicle-related nonfatal injuries among young riders in the United States, 2001-2010.","volume":"132","author":"Shults","year":"2013","journal-title":"Pediatrics"},{"issue":"1","key":"2021120916063602100_B6","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1097\/TA.0000000000000266","article-title":"A prospective, multi-institutional study of pediatric all-terrain vehicle crashes.","volume":"77","author":"Mazotas","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"issue":"2","key":"2021120916063602100_B7","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1097\/PEC.0b013e31820942f8","article-title":"Pediatric all-terrain vehicle injuries: does legislation make a dent?","volume":"27","author":"McBride","year":"2011","journal-title":"Pediatr Emerg Care"},{"issue":"9","key":"2021120916063602100_B8","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1016\/S0022-3468(03)00383-X","article-title":"All-terrain vehicle rules and regulations: impact on pediatric mortality.","volume":"38","author":"Upperman","year":"2003","journal-title":"J Pediatr Surg"},{"key":"2021120916063602100_B9","unstructured":"U.S. Consumer Product Safety Commission\n          . CPSC approves consent decrees for all-terrain vehicles. 1988. Available at: www.cpsc.gov\/en\/Newsroom\/News-Releases\/1988\/CPSC-Approves-Consent-Decrees-for-All-Terrain-Vehicles\/. Accessed October 11, 2016"},{"issue":"2","key":"2021120916063602100_B10","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1542\/peds.79.2.306","article-title":"American Academy of Pediatrics Committee on Accident and Poison Prevention: all-terrain vehicles: two-, three-, and four-wheeled unlicensed motorized vehicles.","volume":"79","year":"1987","journal-title":"Pediatrics"},{"issue":"6","key":"2021120916063602100_B11","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.1542\/peds.105.6.1352","article-title":"All-terrain vehicle injury prevention: two-, three-, and four-wheeled unlicensed motor vehicles.","volume":"105","year":"2000","journal-title":"Pediatrics"},{"issue":"5","key":"2021120916063602100_B12","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1136\/ip.2003.004176","article-title":"All-terrain vehicle injury in children: strategies for prevention.","volume":"10","author":"Aitken","year":"2004","journal-title":"Inj Prev"},{"key":"2021120916063602100_B13","unstructured":"National Conference of State Legislators\n          . 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Accessed October 9, 2016"},{"issue":"4","key":"2021120916063602100_B14","doi-asserted-by":"crossref","DOI":"10.1542\/peds.113.4.e330","article-title":"All-terrain vehicle legislation for children: a comparison of a state with and a state without a helmet law.","volume":"113","author":"Keenan","year":"2004","journal-title":"Pediatrics"},{"key":"2021120916063602100_B15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2016.12.035","article-title":"All-terrain vehicle injury in children and youth: examining current knowledge and future needs [published online ahead of print February 28, 2017].","author":"Doud","journal-title":"J Emerg Med"},{"issue":"6","key":"2021120916063602100_B16","first-page":"503","article-title":"North Carolina all-terrain vehicle (ATV) safety legislation: an assessment of the short-term impact on ATV-related morbidity and mortality.","volume":"70","author":"Beidler","year":"2009","journal-title":"N C Med J"},{"issue":"11","key":"2021120916063602100_B17","doi-asserted-by":"crossref","first-page":"1792","DOI":"10.2105\/AJPH.91.11.1792","article-title":"A comparison of state-specific all-terrain vehicle-related death rates, 1990-1999.","volume":"91","author":"Helmkamp","year":"2001","journal-title":"Am J Public Health"},{"issue":"4","key":"2021120916063602100_B18","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1177\/003335491212700404","article-title":"State-specific ATV-related fatality rates: an update in the new millennium.","volume":"127","author":"Helmkamp","year":"2012","journal-title":"Public Health Rep"},{"key":"2021120916063602100_B19","volume-title":"2015 Annual Report of a TV-Related Deaths and Injuries","author":"Topping","year":"2017"},{"issue":"2","key":"2021120916063602100_B20","first-page":"37","article-title":"Statement on all-terrain vehicle injuries.","volume":"94","author":"American College of Surgeons","year":"2009","journal-title":"Bull Am Coll Surg"},{"issue":"8","key":"2021120916063602100_B21","doi-asserted-by":"crossref","first-page":"1638","DOI":"10.1016\/j.jpedsurg.2009.03.026","article-title":"American Pediatric Surgical Association Trauma Committee position statement on the use of all-terrain vehicles by children and youth.","volume":"44","author":"Burd","year":"2009","journal-title":"J Pediatr Surg"},{"key":"2021120916063602100_B22","unstructured":"American College of Orthopedic Surgeons\n          . Position statement on all-terrain vehicles. 2015. Available at: https:\/\/www.aaos.org\/uploadedFiles\/PreProduction\/About\/Opinion_Statements\/position\/1101 - All Terrain Vehicles.pdf. Accessed December 15, 2016"},{"issue":"1","key":"2021120916063602100_B23","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1093\/heapol\/czr004","article-title":"How to do (or not to do) ... 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Massachusetts has nation\u2019s toughest ATV law. Available at: www.startribune.com\/massachusetts-has-nation-s-toughest-atv-law\/282723541\/. Accessed December 15, 2015"},{"issue":"4","key":"2021120916063602100_B39","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1136\/injuryprev-2012-040548","article-title":"More fatal all-terrain vehicle crashes occur on the roadway than off: increased risk-taking characterises roadway fatalities.","volume":"19","author":"Denning","year":"2013","journal-title":"Inj Prev"},{"issue":"1","key":"2021120916063602100_B40","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1136\/ip.4.1.44","article-title":"All-terrain vehicle ownership, use, and self-reported safety behaviours in rural children.","volume":"4","author":"Warda","year":"1998","journal-title":"Inj Prev"},{"issue":"2","key":"2021120916063602100_B41","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.jemermed.2007.05.013","article-title":"Risk factors and musculoskeletal injuries associated with all-terrain vehicle accidents.","volume":"36","author":"Balthrop","year":"2009","journal-title":"J Emerg Med"},{"issue":"4","key":"2021120916063602100_B42","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1016\/j.injury.2014.11.007","article-title":"Larger ATV engine size correlates with an increased rate of traumatic brain injury.","volume":"46","author":"Butts","year":"2015","journal-title":"Injury"},{"key":"2021120916063602100_B43","unstructured":"Levenson\u2008M\n          . 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