"I Do Not Have the Time of Being sick": Para-Occupational Exposure and Women's Health Risk Perception in an Agricultural Community.

INTRODUCTION: Few studies have explored the relationship between para-occupational exposure and risk perception in farmers' families. Women are indirectly involved in agricultural activities, even though their roles most of the time are hidden. Women's para-occupational exposure and risk perceptions are important to describe, since women have a key gender role in the family's health care and possibly in the impact of acting regarding pesticide safety education. Furthermore, in farmer families, the impact of para-occupational pesticide exposure on women's health has been neglected. AIM: Analyze pesticide para-occupational exposure scenario, knowledge, and health risk perception among women living in a farmer community. METHODS: A mixed methodology was used. Two groups of women were identified to screen the exposure scenario: Women living in a farming family and women not living in a farming family. Data on para-occupational pesticide exposure and intradomicile practices were collected by questionnaire and semi-structured interviews to identify health risk perception and risk practices. RESULTS: We observed a complex pesticide exposure scenario. All women were potentially exposed to pesticides through several pathways. One-third of the participants lived near a farming family or in proximity to neighbors that used pesticides at home, and one of every three women referred to spending time in a farmer's home. Among the group of women in a farming family (n = 18) stored pesticides inside the home was common; having the "safety practice" of storing pesticides in high places to avoid children being exposed. Women not living in farmimg families (n = 11) felt overexposed due to living in an agricultural community and agricultural drift exposure. Women from this group also mentioned feeling fear of developing cancerous diseases as well as fertility problems. CONCLUSIONS: Knowledge and risk perception of pesticide exposure are similar between groups; however, women living in farming families were less willing to attend preventive health check-ups or educational programs than women not living in a farming family.