Loading…

Protocol - Characteristics of Current Residence

Add to Toolkit

Protocol Name from Source:

Multiple protocols

Availability:

Publicly available

Description:

Questions asked about the type of home, age, time lived in the residence, garage, pets in the home, and water damage. The respondent should be an adult who normally resides in the residence.

Protocol:

Note: Multiple source protocols are being recommended for measuring current residence characteristics.

Type & Age of Home

1. What is the type of dwelling?

[To distinguish between the types of buildings, you may ask:

How many other families live in the building? and/or

How many other families live on this floor?]

[ ] 1 Detached house

[ ] 2 Duplex/Triplex

[ ] 3 Row house

[ ] 4 Low rise apartment (1-3 floors)

[ ] 5 High rise apartment (>3 floors)

[ ] 6 Mobile home/Trailer

[ ] 7 Other Specify: a.__________________________

2. Is this property actively used as a farm or ranch?

[ ] 1 YES

[ ] 2 NO

3. What is the approximate age of your building?

Age of building ________ or Year built ___________

Years at Address

4. When did you start living there?

MO and YR __________ or AGE__________

5. When did you move from there?

MO and YR __________ or AGE__________

6. IF R DOES NOT KNOW 4 OR 5, ASK For how many years (have/did) you live(d) there?

Years ">___">___">

Attached Garage

7. Is there an enclosed garage attached to this (house/apartment)?

[ ] 1 YES → CONTINUE

[ ] 2 NO → SKIP NEXT QUESTION

7a. Are automobiles, vans, trucks, or other motor vehicles parked in this attached garage?

[ ] 1 YES

[ ] 2 NO

8. Are any gas-powered devices stored in any room, basement, or attached garage in this (house/apartment)?

DO NOT INCLUDE CARS, VANS, OR TRUCKS. DO INCLUDE MOTORCYCLES, GAS-POWERED LAWNMOWERS, TRIMMERS OR BLOWERS, BOAT ENGINES, ETC.

[ ] 1 YES

[ ] 2 NO

[ ] 9 DON’T KNOW

Water Damage

9. During the past 12 months, has there been water or dampness in your home from broken pipes, leaks, heavy rain, or floods?

[ ] 1 YES

[ ] 2 NO

[ ] 8 DON’T KNOW

10. Does your home frequently have a mildew odor or musty smell?

[ ] 1 YES

[ ] 2 NO

[ ] 8 DON’T KNOW

Heating Source/Air Conditioning/HVAC

11. Is air conditioning (refrigeration) used to cool this (house/apartment)?

[ ] 1 YES → CONTINUE

[ ] 2 NO → SKIP REMAINING AIR CONDITIONING QUESTIONS

12. Which types of air conditioning units do you use?

CHECK ALLTHAT APPLY

[ ] 1 Central unit/units

[ ] 2 Window or wall unit/units

[ ] 3 Portable unit/units

13. During which month (do you usually/would you) start using air conditioning to cool this (house/apartment)? During which month (do you usually/would you) stop using air conditioning?

CIRCLE THE START AND STOP MONTHS.

[ ] Start Month: Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec

[ ] Stop Month: Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec

14. Which fuels are used for heating this (house/apartment)?

CHECK ALL THAT APPLY

[ ] 1 Gas: from underground pipes serving the neighborhood

[ ] 2 Gas: bottled, tank, or LP

[ ] 3 Electricity

[ ] 4 Fuel oil, kerosene, etc.

[ ] 5 Coal or coke

[ ] 6 Wood

[ ] 7 Solar energy

[ ] 8 Other fuel (Specify: ____________________)

[ ] 9 No fuel used

[ ] 99 DON’T KNOW

15. Does this (house/apartment) have a central heating system with ducts that blow air into most rooms?

[ ] 1 YES

[ ] 2 NO

16. During which month (do you usually/would you) start using heating devices? During which month (do you usually/would you) stop using heating devices?

CIRCLE THE START AND STOP MONTH

[ ] Start Month: Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec

[ ] Stop Month: Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec

Current Pets

17. In the last 12 months, did any dogs, cats or other small furry animals, such as a rabbit, guinea pig or hamster, live or spend time inside your home?

[ ] 1 YES

[ ] 2 NO (END OF SECTION)

[ ] 7 REFUSED (END OF SECTION)

[ ] 9 DON’T KNOW (END OF SECTION)

18. What kind of pet was it?

CHECK ALL THAT APPLY

[ ] 1 DOG

[ ] 2 CAT

[ ] 3 SMALL FURRY ANIMAL

[ ] 77 REFUSED

[ ] 99 DON’T KNOW

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews.*

* There are multiple modes to administer this question (e.g., paper-and-pencil and computer-assisted interviews).

Equipment Needs

Some of the source instruments were administered via a paper-and-pencil questionnaire. Others were administered via a computer-assisted interview. Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer or handheld computer to administer a computer-assisted questionnaire.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

None

Research Domain Information

Release Date:

May 31, 2016

Definition

Questions about the characteristics of the current residence.

Purpose

Generally, people spend a large proportion of their days inside and at home. These questions provide information about a person’s home environment. They include characteristics about the age of the home, length of time in the home (length of time exposed to home-related exposures), use of a garage (e.g., carbon monoxide or benzene exposure), heating source and HVAC system (particulate matter and ventilation), water damage (mold), and presence of pets (allergens or contaminated dust). Taken together, these questions provide valuable information about factors that may affect the health or physiologic responses or epigenetic markers of those who live in the residence.

Selection Rationale

Multiple protocol sources are combined to cover a range of residential characteristics. Each is a well-established source. Taken together, they include a broad base of residential characteristics that address multiple exposures that occur in the current home.

Language

English, Spanish

Standards

StandardNameIDSource
Common Data Elements (CDE)Person Current Residence Characteristics Text2954080CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Environ exp current residence proto62514-5LOINC

Process and Review

The [link[phenx.org/node/102|Expert Review Panel #2]] (ERP 2) reviewed the measures in the Demographics, Environmental Exposures, and Social Environments domains.

Guidance from ERP 2 includes:

• No significant changes to measure

Back-compatible: no changes to Data Dictionary

Previous version in Toolkit archive ([link[www.phenxtoolkit.org/index.php?pageLink=browse.archive.protocols&id=60000|link]])

Source

Centers for Disease Control and Prevention, National Center for Health Statistics. National Health and Nutrition Examination Survey (NHANES), 2005–2006 Family Questionnaire, Question numbers HOQ.270 (question 17), HOQ.280 (question 18).

Inner City Asthma Survey, Home Evaluation-Home Environment Survey Questionnaire, Version 5.0, 1998, Question number B1 (question 1).

National Institutes of Health, National Cancer Institute. Long Island Breast Cancer Study, Section C. Residential History, Question numbers C2–C4 (questions 4–6).

U.S. Department of Housing and Urban Development and the National Institute of Environmental Health Sciences. National Survey of Lead Hazards and Allergens in Housing (NSLAH), 2001, Resident Questionnaire, Question numbers Q14, Q15 (questions 9, 10).

U.S. Environmental Protection Agency. National Human Exposure Assessment Survey (NHEXAS), 1995, Question numbers B22 (question 2), B27a (question 7), B27d (question 7a), B28 (question 8), B29a–B29c, B31–B33 (questions 11–16).

U.S. Environmental Protection Agency. MESA Air Pollution Study, 2006, Baseline Questionnaire, Exam 4, Question number 3 (question 3).

General References

None

Protocol ID:

60101

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX060101_Dwelling_TypePX060101010000What is the type of dwelling? [To distinguish between the types of buildings, you may ask: How many other families live in the building? and/or How many other families live on this floor?]4N/A
PX060101_Dwelling_Type_Specify_OtherPX060101010100What is the type of dwelling? [To distinguish between the types of buildings, you may ask: How many other families live in the building? and/or How many other families live on this floor?]4N/A
PX060101_House_Farm_UsePX060101020000Is this property actively used as a farm or ranch?4N/A
PX060101_Building_AgePX060101030100What is the approximate age of your building? Age of building4N/A
PX060101_Building_Year_BuiltPX060101030200What is the approximate age of your building? Year built4N/A
PX060101_Building_Residence_MonthPX060101040100When did you start living there? MO and YR4N/A
PX060101_Building_Residence_YearPX060101040200When did you start living there? MO and YR4N/A
PX060101_Building_Residence_AgePX060101040300When did you start living there? AGE4N/A
PX060101_Residence_Move_MonthPX060101050100When did you move from there? MO and YR4N/A
PX060101_Residence_Move_YearPX060101050200When did you move from there? MO and YR4N/A
PX060101_Residence_Move_AgePX060101050300When did you move from there? AGE4N/A
PX060101_Years_At_AddressPX060101060000How many years (have/did) you live(d) there?4N/A
PX060101_House_Garage_AttachedPX060101070100Is there an enclosed garage attached to this (house/apartment)?4N/A
PX060101_Garage_Vehicle_ParkedPX060101070200Are automobiles, vans, trucks or other motor vehicles parked in this attached garage?4N/A
PX060101_House_Gas_Powered_Device_StoragePX060101080000Are any gas powered devices stored in any room, basement, or attached garage in this (house/apartment)?4N/A
PX060101_House_Water_DampnessPX060101090000During the past 12 months, has there been water or dampness in your home from broken pipes, leaks, heavy rain, or floods?4N/A
PX060101_House_Mildew_OdorPX060101100000Does your home frequently have a mildew odor or musty smell?4N/A
PX060101_House_Air_ConditioningPX060101110000Is air conditioning (refrigeration) used to cool this (house/apartment)?4N/A
PX060101_House_Air_Conditioning_TypePX060101120000Which types of air conditioning units do you use?4N/A
PX060101_Air_Conditioning_Start_MonthPX060101130100During which month (do you usually/would you) start using air conditioning to cool this (house/apartment)?4N/A
PX060101_Air_Conditioning_Stop_MonthPX060101130200During which month (do you usually/would you) stop using air conditioning?4N/A
PX060101_House_Heating_FuelPX060101140000Which fuels are used for heating this (house/apartment)?4N/A
PX060101_House_Heating_Fuel_Other_SpecifyPX060101140100Which fuels are used for heating this (house/apartment)?4N/A
PX060101_House_Central_Heating_SystemPX060101150000Does this (house/apartment) have a central heating system with ducts that blow air into most rooms?4N/A
PX060101_House_Heating_Start_MonthPX060101160100During which month (do you usually/would you) start using heating devices?4N/A
PX060101_House_Heating_Stop_MonthPX060101160200During which month (do you usually/would you) stop using heating devices?4N/A
PX060101_House_PetPX060101170000In the last 12 months, did any dogs, cats or other small furry animals, such as a rabbit, guinea pig or hamster, live or spend time inside your home?4N/A
PX060101_House_Pet_TypePX060101180000What kind of pet was it?4N/A