Objective: This study examines potential behavior-related risk factors for children's agricultural injury in a cohort of 32,602 farming and ranching households. Methods: The Regional Rural Injury Study - II was a population- based nested case-control study occurring in 1999 (phase 1) and 2001 (phase 2). Computer-assisted telephone interviews were used to collect demographic, exposure, and injury data for six-month recall periods. A total of 391 injured children (cases) and 1,625 randomly selected controls were identified for the current study.We estimated children's odds of injury by behavioral items and scores adapted from the Parent Observation of Child Adaptation (POCA) checklist and the Child Behavior Checklist (CBCL). Odds ratios (OR) and 95% confidence intervals (CI) were calculated using logistic regression, controlling for potential confounders by means of directed acyclic graphs. Results: Only individual POCA and CBCL items were associated with risk. Children who often or almost always got into fights (versus sometimes/almost never) had increased odds of injury (OR ¼ 1.9, CI ¼ 1.0, 3.6), as did those who broke rules (OR ¼ 2.0, CI ¼ 0.9, 4.2) or worked hard (OR ¼ 1.6, CI ¼ 1.0, 2.5). Children who sometimes/almost never were cautious (OR ¼ 1.4, CI ¼ 1.0, 2.0) or sometimes/ almost never planned carefully (OR ¼ 1.3, CI ¼ 1.0, 1.7) also had increased odds of injury. Conclusions: These results suggest that children's behavioral characteristics play a role in determining their risk of agricultural injury. Additional research could elucidate the mechanisms and suggest interventions.
Age-factors; Age-groups; Agricultural-workers; Agriculture; Behavior; Behavior-patterns; Biological-systems; Children; Environmental-factors; Environmental-hazards; Epidemiology; Exposure-assessment; Exposure-levels; Exposure-methods; Families; Farmers; Injury-prevention; Occupational-exposure; Occupational-hazards; Psychological-factors; Psychological-reactions; Psychological-responses; Quantitative-analysis; Risk-analysis; Risk-factors; Safety-education; Safety-measures; Safety-practices; Standards; Statistical-analysis; Work-environment; Work-organization; Work-practices