CAPITULO 4 APLICACIÓN DE LAS METODOLOGÍAS
4.1 Entrevistas
IF YOU HAVEN’T WORKED ON A FARM SINCE THE BIRTH OF THE CHILD (or if you are not the biological mother, since you have lived with the child), PLEASE GO TO QUESTION 134.
For all of the farms that you have worked on since the birth of the child, please state the type of farm and
what years you worked on the farm:
(please start with the first farm since the birth of the child and end with the most recent)
Type of farm (e.g. sheep, dairy, apple orchard): Years worked on the farm:
Farm 1 ___________________________________ From:__________[Year] To:__________[Year] Farm 2 ___________________________________ From:__________[Year] To:__________[Year] Farm 3 ___________________________________ From:__________[Year] To:__________[Year] Farm 4 ___________________________________ From:__________[Year] To:__________[Year] Farm 5 ___________________________________ From:__________[Year]
After the birth of the child (or if you are not the biological mother, since you have lived with the child), have you
ever carried out any activities at work that involved contact with pestcides?
Yes, I have directly worked with pesticides
Yes, pesticides were used in my work environments but I didn’t handle them directly
Yes, I handled products that were treated with pesticides
No, pesticides have never been used in any of my work environments PLEASE GO TO QUESTION 134
The following questions ask about four different time periods: a) current; b) during pregnancy; c) during the
1st year of the child’s life; and d) in the past but after the child’s 1st year of life.
Please answer the questions for each of the four time periods.
If you are not the biological mother, please answer the questions for the time periods that are relevant to you.
a) Current (tick) b) During pregnancy (tick) c) During the 1st year of the child’s life (tick) d) In the past but after the child’s 1st year of life (tick) Field crops
1. Cereals (wheat, barley, oats, rye etc.)
2. Oilseeds (oilseed rape, linseed)
3. Potatoes
4. Sugar beet
5. Grassland and/or fodder crops
6. Other field crops ……….…..(please specify) Horticulture
7. Orchard crops (apples, pears, plums, kiwi, etc.)
8. Soft fruits (strawberries, currants etc.)
9. Hops 10. Mushrooms 11. Outdoor vegetables 12. Glasshouse vegetables Animal rearing 13. Animal treatment
14. Animal house area treatment
Non-food production
15. Gorse control
16. Wood preservative application
17. Glasshouse crops (ornamental)
18. Outdoor ornamental flowers and bulbs
19. Outdoor plant nursery
20. Golf courses, bowling greens, reserves, sport grounds
21. Amenity weed control: roads, pavements etc.
22. Forestry
25. Other ……….(please specify)
26. Other ……….(please specify)
27. Other ……….(please specify) None of the above
Please list the number from question 126 in column 1 (e.g. number 10 for mushrooms, number 22 for forestry etc.) N.o from Qu 126 Type and name of pesticide
What years were you exposed to the pesticide? Weeks per year exposed Hours per day exposed
What was the pesticide used for?
How was the pesticide applied?
(e.g. backpack sprayer, aerial spraying)
How are/were you exposed to the pesticide?
(tick all that apply)
E.g.
20.
Herbicide, Round-up From:2005 [Year] To:2007 [Year]20
0.5
To kill weeds around the golf courseBackpack sprayer I mixed the pesticide I applied the pesticide
I handled products that were treated with the pesticide
I cleaned tools or equipment that were used for pesticide treatment
I worked in an environment where it was applied
From:_________ [Year]
To:_________ [Year]
I mixed the pesticide I applied the pesticide
I handled products that were treated with the pesticide
I cleaned tools or equipment that were used for pesticide treatment
I worked in an environment where it was applied
From:_________ [Year]
To:_________ [Year]
I mixed the pesticide I applied the pesticide
I handled products that were treated with the pesticide
I cleaned tools or equipment that were used for pesticide treatment
From:_________ [Year]
To:_________ [Year]
I mixed the pesticide I applied the pesticide
I handled products that were treated with the pesticide
I cleaned tools or equipment that were used for pesticide treatment
I worked in an environment where it was applied N.o from Qu 126 Type and name of pesticide
What years were you exposed to the pesticide? Weeks per year exposed Hours per day exposed
What was the pesticide used for?
How was the pesticide applied?
(e.g. backpack sprayer, aerial spraying)
How are/were you exposed to the pesticide?
(tick all that apply)
From:_________ [Year]
To:_________ [Year]
I mixed the pesticide I applied the pesticide
I handled products that were treated with the pesticide
I cleaned tools or equipment that were used for pesticide treatment
I worked in an environment where it was applied
From:_________ [Year]
To:_________ [Year]
I mixed the pesticide I applied the pesticide
I handled products that were treated with the pesticide
I cleaned tools or equipment that were used for pesticide treatment
I worked in an environment where it was applied
To:_________ [Year]
I handled products that were treated with the pesticide
I cleaned tools or equipment that were used for pesticide treatment
I worked in an environment where it was applied
From:_________ [Year]
To:_________ [Year]
I mixed the pesticide I applied the pesticide
I handled products that were treated with the pesticide
I cleaned tools or equipment that were used for pesticide treatment
What types of protective equipment do/did you usually use when you had contact with pesticides?
Please tick all that apply for each column a to d
a) Current b) During pregnancy c) During the 1st year of the child’s life d) In the past but after the child’s 1st year of life
Didn’t use protective equipment Cartridge respirator, gas mask Dust mask
Full face shield Hat
Goggles
Chemically resistant gloves (like neoprene or nitrile gloves) Fabric/leather gloves Apron
Chemically resistant boots Cloth coveralls (complete suit) Disposable outer clothing (like Tyvek®)
Other……… …… (please specify)
After having had contact with pesticides, when did/do you usually change into clean work clothes?
Please tick one box for each column a to d
a) Current b) During pregnancy c) During the 1st year of the child’s life d) In the past but after the child’s 1st year of life
Right away At lunch
At the end of that work day At the end of the next work day Later in the week
Always used disposable outer clothing
After having had contact with pesticides, where do/did you usually clean your work clothes?
Please tick one box for each column a to d
a) Current b) During pregnancy c) During the 1st year of the child’s life d) In the past but after the child’s 1st
In the family washing machine In a separate washing machine at home
In a separate washing machine at work
Always used disposable outer clothing Other
……….
(please specify)
After having had contact with pesticides, where do/did you usually take off your boots/shoes?
Please tick one box for each column a to d
a) Current b) During pregnancy c) During the 1st year of the child’s life d) In the past but after the child’s 1st year of life
At work
In the family home Outside the family home Other
……….
Please tick one box for each column a to d a) Current b) During pregnancy c) During the 1st year of the child’s life d) In the past but after the child’s 1st year of life
No, never
Yes, but only rarely Yes, sometimes Yes, often
Did you ever wash the working clothes of other workers who had contact with pesticides?
Please tick one box for each column a to d
a) Current b) During pregnancy c) During the 1st year of the child’s life d) In the past but after the child’s 1st year of life
Yes No
If possible, we ask that the father or male guardian completes this section.
Part 20: Demographic details
This section was completed by:
The biological father of the child PLEASE GO TO QUESTION 136
Other male guardian
The biological mother of the child Other female guardian
Please compete Section 5 for the father or male guardian of the child
What is your date of birth: _____ / _____ / ________
dd mm yyyy
What is your highest level of education?
None
Primary school Secondary school
Technical or trade school diploma Undergraduate university degree Postgraduate university degree