Sources of potential lead exposure among pregnant women in New Mexico.
Sources of potential lead exposure among pregnant women in New Mexico.
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DOI：
10.1007/s10995-012-0963-5
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发表时间：
2013-01
影响因子：
2.3
通讯作者：
Lewis J
中科院分区：
文献类型：
--
作者：
Bakhireva LN;Rowland AS;Young BN;Cano S;Phelan ST;Artyushkova K;Rayburn WF;Lewis J
本研究的目的是确定居住在新墨西哥州阿尔伯克基的社会弱势移民社区的孕妇铅暴露的患病率和潜在来源。孕妇（n = 140）接受产前护理，通过社区诊所参加了结构化的采访和筛选，以衡量他们的血铅水平（BLLs）。通过CDC和新墨西哥州卫生部的问卷调查确定了铅暴露的潜在来源。采用多元线性回归和偏最小二乘判别分析对自我报告的危险因素进行了检查，作为BLL的预测因素。大多数患者讲西班牙语（88.6%），拉丁裔（95%），外国出生（87.1%），缺乏健康保险（86.4%），高中或以下教育（84.3%）。虽然风险因素在该人群中普遍存在，但只有3名女性（2.1%）的BLL ≥3 μg/dL。多变量分析结果表明，怀孕期间的异食癖症状，怀孕前BLL升高的历史，使用非商业陶瓷，住在老房子是BLL升高的重要预测因素。虽然与移民社区有关的其他风险因素的普遍性（即，使用来自墨西哥的传统/民间疗法和化妆品、调味品和食品）的比例较高，但它们不能预测BLL升高。为移民西班牙裔社区提供产前护理的诊所应仔细评估患者的异食癖症状、非商业陶器的使用以及BLL升高的历史。此外，还需要作出更多努力，侧重于制定筛选问卷，以更好地反映这一人群中令人关切的暴露情况。
The objectives of this study were to ascertain the prevalence and potential sources of lead exposure among pregnant women residing in a socially-disadvantaged immigrant community in Albuquerque, New Mexico. Pregnant women (n = 140) receiving prenatal care through a community clinic participated in a structured interview and screening to measure their blood lead levels (BLLs). Potential sources of lead exposure were ascertained by the CDC and New Mexico Department of Health questionnaires. Self-reported risk factors were examined as predictors of BLLs using multiple linear regression and partial least squares discriminant analysis. Most patients were Spanish-speaking (88.6%), Latina (95%), foreign-born (87.1%), lacked health insurance (86.4%), and had a high school education or lower (84.3%). While risk factors were prevalent in this population, only three women (2.1%) had BLLs ≥3 μg/dL. Results of multivariate analyses demonstrated that pica symptoms in pregnancy, history of elevated BLLs before pregnancy, use of non-commercial pottery, and living in older houses were important predictors of elevated BLLs. Although the prevalence of other risk factors relevant to immigrant communities (i.e., use of traditional/folk remedies and cosmetics, seasonings and food products from Mexico) was high, they were not predictive of elevated BLLs. Clinics providing prenatal care to immigrant Hispanic communities should carefully assess patients’ pica symptoms, use of non-commercial pottery, and a history of elevated BLLs. Moreover, additional efforts need to focus on the development of screening questionnaires which better reflect exposures of concern in this population.
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DOI：
10.1093/jurban/79.2.225
发表时间：
2002-06-01
影响因子：
6.6
作者：
Klitzman, S;Sharma, A;Leighton, J
通讯作者：
Leighton, J
DOI：
10.1080/00039899909602253
发表时间：
1999-05-01
期刊：
ARCHIVES OF ENVIRONMENTAL HEALTH
影响因子：
--
作者：
Rothenberg, SJ;Manalo, M;Johnson, C
通讯作者：
Johnson, C
DOI：
10.1038/sj.jea.7500282
发表时间：
2003-09-01
期刊：
JOURNAL OF EXPOSURE ANALYSIS AND ENVIRONMENTAL EPIDEMIOLOGY
影响因子：
--
作者：
Hernández-Serrato, MI;Mendoza-Alvarado, L;Gustavo, OF
通讯作者：
Gustavo, OF
DOI：
10.1016/s0022-2143(97)90058-5
发表时间：
1997-07-01
期刊：
JOURNAL OF LABORATORY AND CLINICAL MEDICINE
影响因子：
--
作者：
Gulson, BL;Jameson, CW;Vimpani, G
通讯作者：
Vimpani, G
影响因子：
1.9
作者：
Brown, Ray W.;Longoria, Thomas
通讯作者：
Longoria, Thomas