Children\u27s Behavioral Traits and Risk of Injury: Analyses from a Case-Control Study of Agricultural Households

Problem: Children on family agricultural operations have high risk of injury. The association between children\u27s behavioral traits and their risk of injury is not well understood. Method: Data from the Regional Rural Injury Study-II were used to assess behavioral risk factors for injury to children ages six to \u3c20 years. A total of 379 injury events (cases) and 1,562 randomly selected controls were identified. Adjusted odds ratios (OR) and 95% confidence intervals (CI), calculated using logistic regression, were used to estimate injury risk in reference to behavioral traits. Results: Injury risks were greater for children with high levels of depressive symptoms (OR=1.9, CI=1.0-3.7) and aggression (OR=1.6, CI=0.9-2.7), and low levels of careful/cautious behavior (OR=1.8, CI=1.1-2.9). Children with low levels of self-regulation had reduced risks (OR=0.4, CI=0.2-0.8). Discussion: Results suggest that children\u27s behaviors affect their risk of agricultural injury. Additional research could elucidate mechanisms and inform interventions. Impact on industry: The development of multifaceted, sustainable approaches for prevention is necessary for this unique population. These findings suggest a need for interventions that incorporate specific behavior-related risk factors in the context of family farms and ranches

Children\u27s Behavioral Traits and Risk of Injury: Analyses from a Case-Control Study of Agricultural Households

Problem: Children on family agricultural operations have high risk of injury. The association between children\u27s behavioral traits and their risk of injury is not well understood. Method: Data from the Regional Rural Injury Study-II were used to assess behavioral risk factors for injury to children ages six to \u3c20 years. A total of 379 injury events (cases) and 1,562 randomly selected controls were identified. Adjusted odds ratios (OR) and 95% confidence intervals (CI), calculated using logistic regression, were used to estimate injury risk in reference to behavioral traits. Results: Injury risks were greater for children with high levels of depressive symptoms (OR=1.9, CI=1.0-3.7) and aggression (OR=1.6, CI=0.9-2.7), and low levels of careful/cautious behavior (OR=1.8, CI=1.1-2.9). Children with low levels of self-regulation had reduced risks (OR=0.4, CI=0.2-0.8). Discussion: Results suggest that children\u27s behaviors affect their risk of agricultural injury. Additional research could elucidate mechanisms and inform interventions. Impact on industry: The development of multifaceted, sustainable approaches for prevention is necessary for this unique population. These findings suggest a need for interventions that incorporate specific behavior-related risk factors in the context of family farms and ranches

A longitudinal study of work-related injuries: comparisons of health and work-related consequences between injured and uninjured aging United States adults

Abstract Background Age may affect one’s susceptibility to the myriad physical hazards that may pose risks for work-related injuries. Aging workers are not only at risk for work-related injuries but, also, at even higher risk for more severe health and work-related consequences. However, limited longitudinal research efforts have focused on such injuries among the aging workforce. This study aimed to investigate the association between physical work-related factors and injuries among United States (U.S.) workers, and then compare the injured and uninjured workers with regard to consequences including, functional limitations, and reduced working hours post injury. A cohort of 7212 U.S. workers aged 50 years and above from the U.S. Health and Retirement Study were retrospectively followed from 2004 to 2014. Data on exposures were lagged by one survey wave prior to the outcome of work-related injuries and consequences, respectively. Crude and adjusted incident rate ratios, and hazard ratios were estimated using generalized estimating equations and Cox models. Results Risk of experiencing a work-related injury event was over two times greater among those whose job had work requirements for physical effort, lifting heavy loads, and stooping/kneeling/crouching, compared to those who did not. Over time, injured compared to uninjured workers had higher risks of functional limitations and working reduced hours. Conclusions The aging workforce is at a high risk of experiencing injuries. Further, injured adults were not only more likely to incur a disability prohibiting daily life-related activities, over time, but, also, were more likely to work reduced hours. It will be important to consider accommodations to minimize functional limitations that may impair resulting productivity

The association between parents\u27 past agricultural injuries and their children\u27s risk of injury: Analyses from the regional rural injury study-II

Objective: To examine associations between parents\u27 and children\u27s agricultural injuries in a cohort of farming and ranching households. Design: Analyses from a population-based, nested case-control study. Setting: The 1999 Regional Rural Injury Study-II, involving a cohort of 3765 agricultural households. Demographic, injury, and exposure data were collected for household members for 1 year. Participants: A total of 203 injured children (cases) and 755 randomly selected control children were identified for the study. Main Exposure: Children\u27s risk of injury was estimated in reference to individual and combined parental injury experience. Two periods were evaluated, separately and in combination. Main Outcome Measures: Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by using logistic regression; directed acyclic graphs guided selection of potential confounders. Results: When controlling for potential confounders, children whose fathers were injured before the study year had twice the risk of injury of those whose fathers were not injured (OR, 2.1; 95% CI, 1.5-3.0). Children had increased risk of injury if their mothers were injured before the study (OR, 2.5; 95% CI, 1.7-3.8) or during the study (OR, 2.0; 95% CI, 0.9-4.2). Children whose parents both reported agricultural injuries before the study had a 4-fold increase in injury risk over those with neither parent injured (OR, 4.2; 95% CI, 2.6-6.9). Conclusions: Positive associations between parents\u27 and children\u27s injuries were observed, with a potential additive effect if both parents were injured. These results indicate a need for further research into the social and/or physical environments driving these associations so that appropriate interventions for pediatric injury can be determined. ©2006 American Medical Association. All rights reserved

Work practices and childhood agricultural injury

Objective: To evaluate whether children\u27s agricultural work practices were associated with agricultural injury and to identify injury and work practice predictors. Design: Analyses were based on nested case-control data collected by the Regional Rural Injury Study-II (RRIS-II) surveillance study in 1999 and 2001 by computer-assisted telephone interviews. Subjects: Cases (n = 425) and controls (n = 1886) were persons younger than 20 years of age from Midwestern agricultural households. Those reporting agricultural injuries became cases; controls (no injury) were selected using incidence density sampling. Main outcome measures: Multivariate logistic regression was used to estimate the risks of injury associated with agricultural work, performing chores earlier than developmentally appropriate, hours worked per week, and number of chores performed. Results: Increased risks of injury were observed for children who performed chores 2-3 years younger than recommended, compared to being age-appropriate (odds ratio (OR) = 2.6, 95% confidence interval (CI) = 1.4-4.5); performed any agricultural work (3.9 (2.6-5.6)); performed seven to ten chores per month compared to one chore (2.2 (1.3-3.5)); and worked 11-30 or 31-40 h per week compared to 1-10 h (1.6 (1.2-2.1) and 2.2 (1.3-3.7), respectively). Decreased risks of injury were observed for non-working children compared to children performing what are commonly considered safe levels of agricultural work. Conclusions: This study demonstrated elevated risks of agricultural injury among children who perform developmentally inappropriate chores. Results suggest that the efficacy of age restrictions for preventing the occurrence of childhood agricultural injuries warrants further evaluation