ABSTRACT: Context: All terrain vehicles (ATVs) are a popular form of transportation and recreation for youth. ATVs are also convenient for farm-related activities. However, the impact of the farming environment on ATV-related injuries is not clear. Purpose: To determine differences in ATV-related behaviors, exposures, risk factors, and injuries between farm youth and their nonfarm peers. Methods: A cross-sectional study design was used. A survey was administered to 652 youths in agricultural education programs throughout the state of Arkansas. Results: A majority (60%) of students have operated ATVs within the past month. Cross tabulations found that farm youth who rode ATVs were more likely to be white and male, to own a 3-wheel ATV, and to ride more often with a single rider. Risk factors for sustaining an ATV-related injury were frequency of use and the number of persons on the ATV. Conclusions: Study findings suggest that ATV use among farm youth does differ from their nonfarm peers. ATV use among all youth is a safety concern in Arkansas because of the behaviors and exposures that the youth cited.