doi:10. 1136/archdischild 2013 305715. Given the popularity of ATV riding among youth and the potential for serious injuries, 2–4 effective interventions to reduce ATV related injury among youth are needed. 31 Education based approaches to improving ATV safety behaviours among youth face multiple challenges. Furthermore, ATV crashes are common,11 ,14 ,17 ,30 and most do not result in serious injury. For example, two thirds of young riders in Illinois reported having crashed an ATV during the past 6 months, with 11% of those injured requiring medical care.

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