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Helmet use among Alaskan children involved in off-road motorized vehicle crashes
BACKGROUND: Off-road motorized vehicle crashes are a common source of trauma among Alaska children. Injury morbidity is worse in Alaska Native children than non-Native children, but the reasons are unclear. OBJECTIVE: To evaluate the differences in helmet use between the Native and the non-Native ch...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Co-Action Publishing
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166543/ https://www.ncbi.nlm.nih.gov/pubmed/25317382 http://dx.doi.org/10.3402/ijch.v73.25191 |
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author | Snyder, Christopher W. Muensterer, Oliver J. Sacco, Frank Safford, Shawn D. |
author_facet | Snyder, Christopher W. Muensterer, Oliver J. Sacco, Frank Safford, Shawn D. |
author_sort | Snyder, Christopher W. |
collection | PubMed |
description | BACKGROUND: Off-road motorized vehicle crashes are a common source of trauma among Alaska children. Injury morbidity is worse in Alaska Native children than non-Native children, but the reasons are unclear. OBJECTIVE: To evaluate the differences in helmet use between the Native and the non-Native children, and to assess the impact of helmet use on injury patterns and outcomes. DESIGN: This retrospective cohort study identified patients aged 17 or younger admitted after all-terrain vehicle, snowmobile or motorbike injury between 2001 and 2011 from the Alaska Trauma Registry. Helmeted and non-helmeted patients were compared with respect to demographics, central nervous system (CNS) injury and the overall risk of death or permanent disability. Logistic regression was used to evaluate predictors of helmet use and the effects of ethnicity and helmet use on outcomes. RESULTS: Of the 921 injured children, 51% were Alaska Native and 49% were non-Native. Helmet use was lower among Native versus non-Native patients on unadjusted comparison (24% vs. 71%) and multivariable logistic regression (OR 0.17, 95% CI 0.11–0.27, p<0.0001). Prevalence of CNS injury was higher among Native children (39.7% vs. 30.4%, p=0.016). However, on logistic regression with adjustment for helmet use, Native ethnicity was not a significant predictor of CNS injury (OR 1.07, 95% CI 0.68–1.68, p=0.78), whereas helmet use was strongly protective against CNS injury (OR 0.28, 95% CI 0.18–0.44, p<0.0001) as well as death or permanent disability (OR 0.26, 95% CI 0.10–0.67, p=0.006). CONCLUSIONS: Helmet use is lower among Alaska Native children involved in off-road motorized vehicle crashes. These ethnic disparities in helmet use contribute to higher rates of CNS injury among Native children. Helmet use significantly improves overall outcome. Helmet promotion efforts should be expanded, especially in Native communities. |
format | Online Article Text |
id | pubmed-4166543 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Co-Action Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-41665432014-10-14 Helmet use among Alaskan children involved in off-road motorized vehicle crashes Snyder, Christopher W. Muensterer, Oliver J. Sacco, Frank Safford, Shawn D. Int J Circumpolar Health Original Research Article BACKGROUND: Off-road motorized vehicle crashes are a common source of trauma among Alaska children. Injury morbidity is worse in Alaska Native children than non-Native children, but the reasons are unclear. OBJECTIVE: To evaluate the differences in helmet use between the Native and the non-Native children, and to assess the impact of helmet use on injury patterns and outcomes. DESIGN: This retrospective cohort study identified patients aged 17 or younger admitted after all-terrain vehicle, snowmobile or motorbike injury between 2001 and 2011 from the Alaska Trauma Registry. Helmeted and non-helmeted patients were compared with respect to demographics, central nervous system (CNS) injury and the overall risk of death or permanent disability. Logistic regression was used to evaluate predictors of helmet use and the effects of ethnicity and helmet use on outcomes. RESULTS: Of the 921 injured children, 51% were Alaska Native and 49% were non-Native. Helmet use was lower among Native versus non-Native patients on unadjusted comparison (24% vs. 71%) and multivariable logistic regression (OR 0.17, 95% CI 0.11–0.27, p<0.0001). Prevalence of CNS injury was higher among Native children (39.7% vs. 30.4%, p=0.016). However, on logistic regression with adjustment for helmet use, Native ethnicity was not a significant predictor of CNS injury (OR 1.07, 95% CI 0.68–1.68, p=0.78), whereas helmet use was strongly protective against CNS injury (OR 0.28, 95% CI 0.18–0.44, p<0.0001) as well as death or permanent disability (OR 0.26, 95% CI 0.10–0.67, p=0.006). CONCLUSIONS: Helmet use is lower among Alaska Native children involved in off-road motorized vehicle crashes. These ethnic disparities in helmet use contribute to higher rates of CNS injury among Native children. Helmet use significantly improves overall outcome. Helmet promotion efforts should be expanded, especially in Native communities. Co-Action Publishing 2014-09-16 /pmc/articles/PMC4166543/ /pubmed/25317382 http://dx.doi.org/10.3402/ijch.v73.25191 Text en © 2014 Christopher W. Snyder et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Article Snyder, Christopher W. Muensterer, Oliver J. Sacco, Frank Safford, Shawn D. Helmet use among Alaskan children involved in off-road motorized vehicle crashes |
title | Helmet use among Alaskan children involved in off-road motorized vehicle crashes |
title_full | Helmet use among Alaskan children involved in off-road motorized vehicle crashes |
title_fullStr | Helmet use among Alaskan children involved in off-road motorized vehicle crashes |
title_full_unstemmed | Helmet use among Alaskan children involved in off-road motorized vehicle crashes |
title_short | Helmet use among Alaskan children involved in off-road motorized vehicle crashes |
title_sort | helmet use among alaskan children involved in off-road motorized vehicle crashes |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166543/ https://www.ncbi.nlm.nih.gov/pubmed/25317382 http://dx.doi.org/10.3402/ijch.v73.25191 |
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