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Table 1 Interview guide used on the study of API in Ethiopia

From: Self-reported acute pesticide intoxications in Ethiopia

Section

Items in the interview guide

Socio-demographic information

Identification: House Number: _______; Village: ___________

Gender:     1. Male     2. Female

Age in years: __________

Are you head of the household? (yes/no)

How many people live in the family? 1. Male: _____ 2. Female: ____3. Total: ______

What is the level of your education in school years? ________________

Current job

What is your current job?

   1. Farmer-own land

   2. Flower farm worker (greenhouse, pack-house, sprayer, other)

   3. Other (Office worker, small private business, housewife)

Work experience

How long have you been working in this job?

Pesticide use

Do you use pesticide at home for pest control? (yes/no)

Do you use pesticides on your own farm? (if a farmer) (yes/no)

Do they use/spray pesticides in the flower farm? (if you are working in the flower farm) (yes/no)

Pesticide-related health problems experienced

Have you ever felt health problems within 48 h of exposure to pesticides in the last 12 months?

1. Never   2. Once   3. Several times   4. Not exposed to pesticides

If you ever had health problem within 48 h of exposure to pesticides, which health symptoms did you experienced? (Tick off all the symptom (s) mentioned by the respondents from the below list)

   1. Headache

   12. Abdominal cramp

   2. Dizziness

   13. Chest tightness

   3. Excessive sweeting

   14. Dyspnea

   4. Salivation

   15. Morning cough

   5. Confusion

   16. Day/night time cough

   6. Weakness

   17. Shortness of breath

   7. Anxiety

   18. Wheezing

   8. Loss of consciousness

   19. Miosis

   9. Bradycardia

   20. Eye tear

   10. Vomiting

   21. Rash on hand

   11. Diarrhea

   22. Skin rash

Exposure to pesticides

If you ever had health problem within 48 h of exposure to pesticides, the exposure to pesticides occurred through:

   1. Pesticide application for household pest control

   2. Pesticide application at own farm or working at sprayed farm

   3. While pesticide application or working at sprayed flower farm

Smoking

Do you currently smoke cigarette (tobacco) daily? (yes/no)