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Abstract #155629
Audio (mp3) recordingKathleen F. Carlson, MS, PhD1, Susan G. Gerberich, PhD2, Bruce H. Alexander, PhD3, Ann S. Masten, PhD4, Timothy R. Church, PhD3, John M. Shutske, PhD5, Andrew D. Ryan, MS3, and Colleen M. Renier, BS6. (1) Center for Chronic Disease Outcomes Research, VA Medical Center, 152/2E, One Veterans Drive, Minneapolis, MN 55417, 612-467-1421, ferg0114@umn.edu, (2) MCOHS/RIRRC/CVPC, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Mayo Mail Code 807, 420 Delaware St. SE, Minneapolis, MN 55455, (3) Regional Injury Prevention Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Mayo Mail Code 807, 420 Delaware St. SE, Minneapolis, MN 55455, (4) Institute of Child Development, University of Minnesota, 205 Child Development, 51 East River Road, Minneapolis, MN 55455, (5) Biosystems and Agricultural Engineering Department, University of Minnesota, 1390 Eckles Ave, St. Paul, MN 55108-6005, (6) Division of Education & Research, St. Mary's/Duluth Clinic Health System, 5AV2ME, 400 E. 3rd. St., Duluth, MN 55805
Background: The purpose of this study was to identify associations between children's behaviors and their exposures to high-risk agricultural work environments.
Methods: The Regional Rural Injury Study – II occurred in 1999 (phase 1) and 2001 (phase 2) and involved cohorts totaling 32,602 farm and ranch family household members. Using six-month recall periods, computer-assisted telephone interviews were used to collect detailed behavior and exposure data for 1,941 children at risk for agricultural injury. 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 and 95% confidence intervals were calculated through logistic regression, controlling for potential confounders by means of directed acyclic graphs.
Results: Children with high (versus medium/low) scores for aggression were more likely to ride on tractors (OR=1.8, CI=1.1–2.9) and operate large equipment (OR=1.7, CI=0.9–3.2), while those with high levels for depressive symptoms were more likely to work with dairy cattle (OR=2.5, CI=1.3–4.7). Those with low (versus medium/high) levels of careful/cautious behavior were more likely to be frequent bystanders in fields or barnyards (OR=2.1, CI=1.2–3.8). Children with low self-regulation were less likely to operate tractors (OR=0.6, CI=0.4–1.0), while those with low responsible conduct were less likely to work with beef cattle (OR=0.7, CI=0.4–1.0) and horses (OR=0.5, CI=0.3–0.8).
Conclusions: Children's high-risk agricultural exposures are driven, in part, by their behaviors. Understanding these relationships will help inform educational interventions to prevent children's agricultural injury.
Learning Objectives:
- Identify behavioral traits associated with children’s exposure to high-risk work
- Identify behavioral traits associated with children’s likelihood of bystanding in high-risk environments
- Discuss implications for further research into behavior-related risk factors and potential prevention measures for children’s agricultural injury
Keywords: Agricultural Work Safety, Injury Prevention
Presenting author's disclosure statement:
Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.
The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA