Are pesticides present in the residence? |
Surveillance |
Measurement: pesticides in air, water, soil, house dust, surfaces |
Distribution of residential concentrations, predictive factors No direct link to exposure or health effects |
What is the distribution of human exposures? |
Exposure characterization |
Media measurements, biomonitoring, and exposure factor characterization one or more times |
Distribution of individual potential doses, estimation of high-end exposures, relatively small numbers because of resource limitations |
Does an intervention reduce pesticide concentration in a residence? |
Intervention |
Paired samples before/after intervention |
Reduction of environmental concentrations that likely influence exposure |
What is the relationship between pesticide exposure and a health effect? |
Epidemiology |
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Outcome: associations between pesticide exposure metric and health effect |
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Cross-sectional |
Concurrent potential exposure and outcome measurement |
Limitation: potential problems with temporal sequence of exposure/effect |
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Retrospective |
Reconstructive analyses |
Limitation: assumptions about past probability of contact and concentrations in the environment or body |
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Prospective |
Exposure measurement before disease; longitudinal measurements |
Time varying exposures; cost, critical time period of exposure |