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Farming 1
Short- and long-term work-related consequences associated with childhood injuries on agricultural operations: Regional Rural Injury Study III
  1. Bruce Alexander1,
  2. Susan Gerberich1,
  3. Andrew Ryan1,
  4. Colleen Renier2,
  5. Timothy Church1,
  6. Ann Masten1,
  7. Patricia McGovern1,
  8. Steven Mongin1
  1. 1University of Minnesota, Minneapolis, USA
  2. 2St. Mary's Duluth Clinic Health System, Duluth, USA


Objectives To evaluate the short- and long-term physical, psychosocial, and economic consequences of injuries to youth on agricultural operations.

Methods Baseline and follow-up telephone interviews were completed with 1474 eligible agricultural operation households in five Midwestern U.S. states. Two 6-month injury ascertainment periods followed baseline with annual follow-up for 2 years. Case and control households were compared for changes between baseline and follow-up on household metrics and child work characteristics 4 weeks prior to each interview. Cumulative logit models analysed differences in ordinal scales between case and control households, at each follow-up period, controlling for baseline.

Results In the two injury collection periods there were: 1) 100 case (122 Injuries), 366 control; and 2) 115 case (138 injuries), 414 control households. Among these, 35% of children and 7% of other household members lost agricultural work time; 5% and 7%, respectively, lost non-agricultural work time. 1-year post-injury case households had increased risk of lost time from operation-related work due to children's health issues (OR 2.1, 95% C.I. 1.1 to 4.1). Injured children versus their non-injured siblings in case households and children in control households had lower work effort ratings at 1-year post injury (OR and 95% CI 1.7, 1.0 to 2.7 and 1.4, 1.0 to 2.0 respectively). Injured children completed work/chores less frequently (OR 1.5, 95% C.I. 1.0 to 2.2) than children in control households. These associations did not persist in the second year of follow-up.

Conclusions Injuries to children on agricultural operations may affect work time and quality of work at the child and household level.

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