Evaluating the effectiveness of state specific lead-based paint hazard risk reduction laws in preventing recurring incidences of lead poisoning in children.
Evaluating the effectiveness of state specific lead-based paint hazard risk reduction laws in preventing recurring incidences of lead poisoning in children.
复制标题
DOI：
10.1016/j.ijheh.2015.09.009
复制
发表时间：
2016-01
影响因子：
6
通讯作者：
Brown, Mary Jean
中科院分区：
文献类型：
--
作者：
Kennedy, Chinaro;Lordo, Robert;Sucosky, Marissa Scalia;Boehm, Rona;Brown, Mary Jean
尽管近几十年来美国通过控制或消除环境中的铅源在预防儿童铅中毒方面取得了重大进展，但它仍然是许多社区的一个问题，主要是在低收入社区，在消除住宅涂料中的铅之前建造的房屋中有很大比例的恶化。本研究的目的是确定旨在预防儿童铅中毒的州法律是否也有效地预防以前中毒的儿童再次铅中毒。进行了一项评估，以确定马萨诸塞州和俄亥俄州这两个具有代表性的州的法律是否有效地预防了以前中毒的72个月以下儿童的复发性铅中毒，相比之下，具有代表性的州（密西西比州）在研究时尚未制定预防儿童铅中毒的立法。与没有立法相比，未经调整的估计表明，居住在马萨诸塞州的未满72个月的儿童，以前被确定为铅中毒，复发性铅中毒的可能性降低了73%。然而，在控制了其他混杂变量后，这种统计上显著的关联并不存在。在分析俄亥俄州的数据时，我们没有发现如此显著的关联。虽然未经调整的估计结果表明，马萨诸塞州等州的有关铅的法律可能有效地预防幼儿复发性铅中毒，但在多变量分析中，少量法律可能削弱了获得统计显著性的能力。我们的发现并没有提供证据证明州的铅法律，如俄亥俄州的法律，在预防幼儿复发性铅中毒方面是有效的。可能需要进一步的研究来证实这些发现。
Despite significant progress made in recent decades in preventing childhood lead poisoning in the United States through the control or elimination of lead sources in the environment, it continues to be an issue in many communities, primarily in low-income communities with a large percentage of deteriorating housing built before the elimination of lead in residential paint. The purpose of this study is to determine whether state laws aimed at preventing childhood lead poisoning are also effective in preventing recurring lead poisoning among children previously poisoned. An evaluation was conducted to determine whether laws in two representative states, Massachusetts and Ohio, have been effective in preventing recurrent lead poisoning among children less than 72 months of age previously poisoned, compared to a representative state (Mississippi) which at the time of the study had yet to develop legislation to prevent childhood lead poisoning. Compared to no legislation, unadjusted estimates showed children less than 72 months old, living in Massachusetts, previously identified as being lead poisoned, were 73% less likely to develop recurrent lead poisoning. However, this statistically significant association did not remain after controlling for other confounding variables. We did not find such a significant association when analyzing data from Ohio. While findings from unadjusted estimates indicated that state lead laws such as those in Massachusetts may be effective at preventing recurrent lead poisoning among young children, small numbers may have attenuated the power to obtain statistical significance during multivariate analysis. Our findings did not provide evidence that state lead laws, such as those in Ohio, were effective in preventing recurrent lead poisoning among young children. Further studies may be needed to confirm these findings.
登录
查看更多内容
DOI：
10.1080/00039896.1980.10667462
发表时间：
1980-01-01
期刊：
ARCHIVES OF ENVIRONMENTAL HEALTH
影响因子：
--
作者：
WALTER, SD;YANKEL, AJ
通讯作者：
YANKEL, AJ
影响因子：
10.4
作者：
Korfmacher KS;Ayoob M;Morley R
通讯作者：
Morley R
影响因子：
8
作者：
Jones, Robert L.;Homa, David M.;Brown, Mary Jean
通讯作者：
Brown, Mary Jean
影响因子：
8.3
作者：
Manton, WI;Angle, CR;Kuehnemann, TJ
通讯作者：
Kuehnemann, TJ
影响因子：
12.7
作者：
Lanphear, BP;Weitzman, M;Matte, TD
通讯作者：
Matte, TD