Children's behavioral traits and risk of injury: Analyses from a case-control study of agricultural households

Kathleen F. Carlson, Susan G Gerberich, Bruce H Alexander, Ann S Masten, Timothy R Church, John M. Shutske, Andrew Ryan, Colleen M. Renier

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Problem: Children on family agricultural operations have high risk of injury. The association between children's 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 < 20 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's 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.

Original languageEnglish (US)
Pages (from-to)97-103
Number of pages7
JournalJournal of Safety Research
Issue number2
StatePublished - 2009

Bibliographical note

Funding Information:
Support for this effort was provided by the National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention, Department of Health and Human Services (R01 CCR514375; R01 OH04270); the Occupational Injury Prevention Research Training Program and the National Occupational Research Agenda Program, Midwest Center for Occupational Health and Safety, University of Minnesota (NIOSH T42/CCT510-422); and the Regional Injury Prevention Research Center and Center for Violence Prevention and Control, Division of Environmental Health Sciences, School of Public Health, University of Minnesota. The contents of this effort are solely the responsibility of the authors and do not necessarily represent the official view of the CDC or other associated entities.

Copyright 2009 Elsevier B.V., All rights reserved.


  • Agricultural injury
  • Behavior
  • Farm safety
  • Injury
  • Youth


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