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. 2005 Jun 24;113(10):1419–1429. doi: 10.1289/ehp.7670

Appendix 1.

Questionnaire information collected.

Factors University of Illinois University of California, Berkeley Columbia University Mount Sinai Medical Center Cincinnati Children’s Hospital
Demographic information
 Demographics X X X X X
 Occupation X X X X X
 Household income X X X X
Health and development
 Reproductive history X X X X X
 Medical history X X X X X
 Medication use X X X X X
 Child sleep X X
 Breast-feeding/child diet X X X X X
 Developmental milestones X X X
 Respiratory symptoms, illness X X X X
Exposure assessment
 Housing characteristics X X X X X
 Pesticide exposure X X X X X
 Allergen exposure X X X
 House cleaning habits X X
 Injury hazards X
 Home remedies X X X X
 ETS X X X X X
 Household members X X X X X
 Household pets X X X X
 Fish consumption X X X X
Social factors
 Social support X X X
 Maternal depression X X X
 Psychological distress X
 Parenting stress X X
 Marital conflict X
 Life events X
 Quality of life X
 Neighborhood quality X X
 Sense of control X
 Neighborhood cohesion X
 Family resources X
 Material hardship X X X
 Acculturation X X
 Immigration history X X X
 Childcare X X X X X

ETS, environmental tobacco smoke.