Table S1. Demographic data and risk factors for allergic diseases in children grouped according to living environment (rural village, rural town and urban area) Rural village Rural town Urban area p-value Number (%) 478 567 783 Age (Year) 11.170.88 11.160.89 10.940.85 < 0.001 Sex (Male, %) 242(50.6%) 276(48.7%) 377(48.1%) < 0.05 BMI* 18.973.21 18.763.29 19.383.30 0.003 Parental history of allergic 85/466(18.2%) 111/545(20.4%) 202/614(32.9)% < 0.001 Eosinophil (%) 3.852.92 3.732.73 3.402.51 0.015 Total IgE (IU/mL) 281.69472.08 311.96536.88 150.94286.02 < 0.001 Number of allergen sensitization 159/448 (35.5%) 171/441 (38.8%) 286/618 (46.3%) < 0.001 diseases Economic state < 0.001 Low 192(46.7%) 131(26.7%) 76(12.3%) Middle 208(50.6%) 315(64.3%) 475(76.7%) High 11(2.7%) 44(9.0%) 68(11.0%) Current dog owner 203/394(51.5%) 142/437(32.5%) 113/596(19.0%) < 0.001 Current cat owner 39/368(10.6%) 25/409(6.1%) 26(4.5%) 0.001 Older siblings 311/471(66%) 324/554(58.5%) 353/753(46.9%) < 0.001 Younger siblings 234/469(49.9%) 247/554(44.6%) 296/761(38.9%) 0.001 Birth by Cesarian section 131/446(29.4%) 159/509(31.2%) 248/663(37.4%) 0.010 Breast feeding 295/448(65.8%) 295/517(57.1%) 366/664(55.1%) 0.001 ETS exposure 246/447(55%) 230/505(45.5%) 250/650(38.5%) < 0.001 Antibiotic use during infancy 56/436(12.8%) 113/508(22.2%) 206/667(30.9%) < 0.001 Helminth infection 31/346(9.0%) 30/421(7.1%) 27/568(4.8%) 0.011 Routine vaccination 376/445(84.5%) 439/516(85.1%) 616/667(92.4%) 0.016 Agricultural or livestock farming 207/445(46.5%) 79/507(15.6%) 22/634(3.5%) < 0.001 51/444(11.7%) 17/514(3.3%) 8/661(1.2%) < 0.001 12/429(2.9%) 7/503(1.4%) 11/640(1.7%) 0.233 Pregnancy 56/303(18.5%) 25/364(6.9%) 23/514(4.5%) < 0.001 Aged < 1 yr 75/467(16.1%) 20/545(3.7%) 2/656(0.3%) < 0.001 Current 74/467(15.8%) 20/545(2.8%) 3/656(0.5%) < 0.001 parents Agricultural or livestock farming mother (during pregnancy) Consumption of whole milk Farm animal contact Values represent the means SD or n (%) Statistical analysis was performed using the chi-square test BMI, body mass index; ETS, environmental tobacco smoking Table S2. Multivariate logistic regression analysis of risk factors (adjusted* odds ratio, 95% CI) for allergic diseases and atopy Asthma Asthma Current Allergic Current Atopic Current symptom diagnosis, asthma‡ rhinitis allergic dermatitis atopic ever (VQ) † ever diagnosis rhinitis diagnosis dermatitis ever Agricultural or Atopy ever 1.031 0.834 0.572 0.642 0.582 0.783 0.878 0.910 (0.604- (0.490- (0.190- (0.439- (0.368- (0.555- (0.542- (0.672- 1.759) 1.420) 1.728) 0.940) 0.920) 1.105) 1.424) 1.233) 0.896 0.394 0.553 0.388 0.217 0.279 0.828 (0.205- (0.051- (0.178- (0.085- (0.050- (0.037- (0.332- 3.921) 3.066) 1.714) 1.768) 0.941) 2.127) 2.063) 1.363 0.836 0.582 0.855 0.802 1.182 1.767 1.280 (0.826- (0.506- (0.186- (0.614- (0.543- (0.867- (1.151- (0.962- 2.251) 1.380) 1.824) 1.190) 1.184) 1.611) 2.713) 1.703) 0.879 0.835 1.187 0.565 0.712 0.571 0.542 1.028 (0.410- (0.405- (0.337- (0.330- (0.397- (0.345- (0.256- (0.685- 1.884) 1.720) 4.174) 0.965) 1.277) 0.945) 1.150) 1.545) 1.227 0.768 0.740 0.567 0.567 0.971 0.784 0.925 (0.735- (0.447- (0.275- (0.389- (0.366- (0.698- (0.475- (0.682- 2.050) 1.319) 1.988) 0.824) 0.877) 1.351) 1.295) 1.253) 0.792 0.722 1.513 0.904 0.930 0.913 1.063 0.685 (0.523- (0.487- (0.670- (0.691- (0.680- (0.706- (0.734- (0.540- 1.201) 1.070) 3.416) 1.183) 1.273) 1.181) 1.539) 0.868) livestock farming parents Farm animal - contact during pregnancy Farm animal contact, current Stable ownership Pet ownership Breast milk feeding Birth by 1.160 0.845 0.951 1.121 1.074 0.918 0.941 1.092 (0.749- (0.552- (0.425- (0.846- (0.771- (0.698- (0.639- (0.850- 1.797) 1.294) 2.218) 1.485) 1.496) 1.206) 1.385) 1.402) 0.714 0.582 0.643 0.491 0.556 0.812 1.539 0.691 (0.469- (0.391- (0.295- (0.375- (0.407- (0.627- (1.042- (0.545- 1.087) 0.867) 1.403) 0.642) 0.761) 1.052) 2.273) 0.877) 1.221 1.928 1.824 1.535 1.727 1.597 1.585 1.231 (0.748- (1.262- (0.794- (1.139- (1.231- (1.193- (1.057- (0.931- 1.994) 2.945) 4.189) 2.069) 2.431) 2.136) 2.379) 1.631) 0.816 1.355 3.357 1.169 1.442 0.761 0.577 1.222 (0.284- (0.558- (0.869- (0.637- (0.745- (0.395- (0.203- (0.702- 2.340) 3.295) 12.964) 2.145) 2.793) 1.464) 1.639) 2.216) Cesarian section Older siblings Antibiotic use during infancy Helminth infection * Adjusted for age, sex, parental income, parental history of allergic diseases, BMI, and exposure to tobacco smoke. † Lifetime prevalence of wheezing symptoms defined by video questionnaire (VQ) ‡ Defined as having allergic symptoms within the last 12 months and doctor diagnosis of allergic disease