Context: Little is known about substance use, work characteristics, and injuries of youth from migrant farmworker families. Some evidence suggests that migrant youth may be at greater risk for substance use and work-related injuries than nonmigrant youth. Purpose: The aim of this study is to compare substance use, employment, and injury data from migrant and nonmigrant youth residing in rural South Texas. Methods: Anonymous cross-sectional survey data were collected from 7,302 middle and 3,565 high school students during a regular class. Classification as a migrant student occurred if the student responded positively to: "Does your family move around the state or nation to pick fruits or vegetables for work?" Results: About 5% of South Texas middle and high school students reported belonging to a migrant family. Compared to nonmigrant students, migrant youth were more likely to report frequent substance use. Youth belonging to migrant families were less likely to work for pay on weekends but more likely to work for pay on weekday mornings before school. These youth were also more likely to have ever been injured while working than nonmigrant students. Conclusions: These results demonstrate a need for additional interventions in this most vulnerable rural population. Specifically, targeted educational programs to enhance the occupational safety and health of migrant youth, further research into effective substance abuse treatment and prevention programs in rural areas, and enhancement of child labor laws are recommended.

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urban population law education program high school agricultural worker human Odds Ratio work rural population Confidence Intervals controlled study Substance-Related Disorders health status substance abuse Cross-Sectional Studies United States migrant worker Humans occupational accident Adolescent male female Socioeconomic Factors occupational safety Agricultural Workers' Diseases Article Adolescent Behavior Questionnaires health education Students Transients and Migrants health hazard employment Accidents, Occupational Texas