Objective: This study examined associations between children's behaviors and their exposures to high-risk agricultural work environments. Methods: The Regional Rural Injury Study-II included a population-based nested case-control study involving 7,420 agricultural households. Computerassisted telephone interviews were used to collect data for six-month recall periods. A total of 1,941 children at-risk for agricultural injury were identified for analysis. Odds of high-risk work exposures were estimated in reference to behavioral items and scores for five scales, based on a priori constructs and exploratory factor analysis. Odds ratios (OR) and 95% confidence intervals (CI) were calculated through logistic regression, controlling for potential confounders by means of directed acyclic graphs. Results: Children with high scores for depressive symptoms were more likely to work with dairy cattle (OR ¼ 2.5, CI ¼ 1.3-4.7), while those with high aggression were more likely to ride on tractors (OR ¼ 1.8, CI ¼ 1.1-2.9) and operate large equipment (OR ¼ 1.7, CI ¼ 0.9-3.2). Children with low self-regulation (OR ¼ 0.6, CI ¼ 0.4-1.0) or responsible conduct (OR ¼ 0.7, CI ¼ 0.4-1.1) were less likely to operate tractors, and those with low responsible conduct were less likely to work with beef cattle (OR ¼ 0.7, CI ¼ 0.4-1.0) or horses (OR ¼ 0.5, CI ¼ 0.3-0.8). Conclusions: Results indicate that children's high-risk work exposures are driven, at least in part, by their behavioral traits. Understanding these relationships will better inform efforts to prevent children's agricultural injury.
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