Lead-based paint health risk assessment in dependent children living in military housing

Lead-based paint health risk assessment in dependent children living in military housing
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DOI:
10.1016/s0033-3549(04)50185-1
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发表时间:
2002-09-01
影响因子:
3.3
通讯作者:
Giangiacomo, M
Giangiacomo, M
中科院分区:
医学4区
文献类型:
--
作者:
Stroop, DM;Dietrich, KN;Giangiacomo, M

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Objective.在儿童中,铅作为一种神经毒物会造成严重的永久性损伤。该研究的目的是评估在一个典型的美国军事设施的家庭住房单元中铅基油漆的潜在暴露,并确定居住在这些住房单元中的6岁或以下儿童的血铅(PbB)水平。提交人对马萨诸塞州德文斯堡的1,723个住房单元和居住者进行了风险评估。将军属队列的数据与第三次全国健康和营养检查调查(NHANES 111)第1阶段报告的美国全国人口估计值进行比较。共1992人(1,009名男性和983名女性)进行了PbB筛查,按年龄组分层,并分为种族/民族类别。四个(0.3%)灰尘样本和59个(11.6%)内部和298个(77.8%)外部油漆碎片样本含有危险水平的铅。NHANES III报告的1岁及1岁以上人群的几何平均PbB浓度为2.8 mug/dL,而军事设施队列为1.5 mug/dL(所有年龄组的p10 mug/dL在军事队列中为1.6%,而一般人群为4.5%。对于1-2.9岁的儿童,没有黑人或西班牙裔和0.6%的白人的PbB水平>10 mug/dL,而一般人群中,黑人为21.6%,西班牙裔为10.1%,白人为8.5%。在3-5.99岁年龄组中,0.15%的黑人、0%的西班牙裔和0.3%的白人的PbB水平大于或等于10 mug/dL,而在一般人群中,这一比例为20.0%的黑人、6.8%的西班牙裔和3.7%的白人。驻地军事住房居住者的铅暴露量远远低于居住在民用部门的人。
Objective. In children, lead can cause serious permanent damage as a neurotoxicant. The objectives of the study were to evaluate potential exposure to lead-based paint in family housing units at a typical U.S. military installation and determine blood lead (PbB) levels in children ages 6 years or younger residing in these housing units.Methods. The authors conducted a risk assessment of 1,723 housing units and occupants at Fort Devens in Massachusetts. Data from the military dependent cohort was compared to estimates for the U.S. national population as reported from Phase 1 of the Third National Health and Nutrition Examination Survey (NHANES 111).Results. A total of 1992 individuals (1,009 males and 983 females) were screened for PbB, stratified into age groups, and separated into racial/ethnic categories. Four (0.3%) dust samples and 59 (11.6%) internal and 298 (77.8%) external paint chip samples contained hazardous levels of lead. The geometric mean PbB concentration for people ages 1 year and older reported by NHANES III was 2.8 mug/dL, compared with 1.5 mug/dL for the military installation cohort (p10 mug/dL for all age groups was 1.6% in the military cohort, compared with 4.5% for the general population. For ages 1-2.9 years, no blacks or Hispanics and 0.6% of whites had PbB levels >10 mug/dL, compared with 21.6% of blacks, 10.1% of Hispanics, and 8.5% of whites for the general population. For ages 3-5.99 years, 0.15% of blacks, 0% of Hispanics, and 0.3% of whites had PbB levels greater than or equal to10 mug/dL, compared with 20.0% of blacks, 6.8% of Hispanics, and 3.7% of whites for the general population.Conclusion. Lead exposure for occupants of on-post military housing is much less than for those residing in the civilian sector.