Document Detail


The association between state housing policy and lead poisoning in children.
MedLine Citation:
PMID:  10553390     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study examined the effect of an active program of household lead paint hazard abatement, applied over 22 years, on childhood lead poisoning in Massachusetts. METHODS: A small areas analysis was used to compare screening blood lead levels of children in Worcester County, Mass (n = 27,590), with those in Providence County, RI (n = 19,071). Data were collapsed according to census tract. RESULTS: The percentage of children with lead poisoning (blood lead level > or = 20 micrograms/dL [Pe20]) was, on average, 3 times higher in Providence County census tracts (3.2% vs 0.9% in Worcester County census tracts, P < .0001), despite similar percentages of pre-1950s housing in both counties. The ratio of Pe20 in Providence vs Worcester County census tracts was 2.2 (95% confidence interval = 1.8, 2.7), after adjustment for differences in housing, sociodemographic, and screening characteristics. This estimate was robust to alternative regression methods and sensitivity analyses. CONCLUSIONS: Massachusetts policy, which requires lead paint abatement of children's homes and places liability for lead paint poisoning on property owners, may have substantially reduced childhood lead poisoning in that state.
Authors:
J D Sargent; M Dalton; E Demidenko; P Simon; R Z Klein
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of public health     Volume:  89     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  1999 Nov 
Date Detail:
Created Date:  1999-11-19     Completed Date:  1999-11-19     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1690-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Dartmouth Medical School, Hanover, NH 03756, USA. james.d.sargent@hitchcock.org
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Female
Humans
Lead / blood*
Lead Poisoning / blood,  prevention & control*
Least-Squares Analysis
Male
Massachusetts
Odds Ratio
Public Housing / standards*
Public Policy*
Sensitivity and Specificity
Chemical
Reg. No./Substance:
7439-92-1/Lead
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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