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. 2019 Jan 25;8(1):e10914. doi: 10.2196/10914

Table 1.

Information collected during the baseline study visit using structured questionnaires.

Questionnaire section Data collected
Sociodemographic characteristics Age (years), sex, country of birth, years living in Costa Rica, years living in the Zarcero County, education level (last grade completed), handedness (right or left), smoking (number of cigarettes per day), alcohol consumption (number of glasses), family income (Costa Rican colones per household), computer literacy
Housing characteristics Years living in the current house, number of bedrooms, number of people living in the house, type of water source, pet ownership (number and type), and farm animals living in or next to the house (number and type)
Work history Age when started working in agriculture (years), age at first contact with pesticides (years), past jobs, and current jobs in agriculture
Pesticide use Pesticide use (Table 2) during the last 12 months and last week, mode of application, frequency of pesticide applications (number of times), use of personal protective equipment (type and frequency), and personal hygiene habits (frequency)
Residential pesticide use Indoor or outdoor pesticide use in the home (type)
Medical history Respiratory and allergic symptoms, acute pesticide intoxications during the last 12 months (number of times), and other illnesses (type)