The objective of this study was to determine and compare the prevalence, nature and predictors of agricultural motorcycle injuries (2, 3 & 4 wheels) in a high-risk cohort of Western Australian adolescents. A cross-sectional survey of 326 students (Years 11 and 12) was drawn from the six designated agricultural colleges, in Western Australia. The survey instrument was assessed as reliable and measured riding exposure, vehicle type and maintenance, use of protective equipment, training and injury experience. For those subjects with access to an agricultural motorcycle (n = 240), a total of 53% (n = 127) had incurred an injury. Of these, 73% (n = 92) resulted from two wheelers and 24% (n = 31) from ATVs, with 3% (n = 4) not specified. No significant differences in the nature of injury or body parts injured was observed. Approximately one-third of those injured required medical treatment. Predictors of injury were maximum travelling speed exceeding 101 km/hour (OR 4.53) and only sometimes wearing a helmet (OR 4.10). Agricultural motorcycle injuries are a significant issue in rural areas, with potential intervention points relating to improving rider training and reducing specific risk-taking behaviours. Further work to investigate the efficacy of rider training interventions for agricultural motorcycles are warranted. (Author/publisher)
Samenvatting