Assessing Child Lead Poisoning Case Ascertainment in the US, 1999–2010
Assessing Child Lead Poisoning Case Ascertainment in the US, 1999–2010
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评估 1999-2010 年美国儿童铅中毒案件查明情况
DOI：
10.1542/peds.2016-4266
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发表时间：
2017
期刊：
影响因子：
8
通讯作者：
Linda Kite
中科院分区：
文献类型：
--
作者：
E. Roberts;Daniel Madrigal;Jhaqueline Valle;G. King;Linda Kite
这项研究将流行率估计值与报告的铅中毒病例进行了比较，确定了供应商错过大多数病例的国家部分地区。目标：比较血铅水平≥10.0 μg/dL（血铅水平升高[EBLL]）的患病率估计值与1999年至2010年期间向疾病控制和预防中心（CDC）报告的12个月至5岁儿童的患病率估计值。方法：根据最新可用的统计协议，基于连续的NHANES生成特定州的患病率估计值。病例报告的计数基于研究期间向CDC儿童铅中毒预防计划报告的39个州（包括哥伦比亚特区）。分析包括和排除了未向CDC报告的州和年份。结果：据信在此期间发生了大约120万例EBLL病例，但向CDC报告了607，000例（50%）。仅包括已完成报告的州和年份，报告率为64%。在39个报告州中，有23个州的儿科保健提供者发现他们的儿童中只有不到一半患有EBLL。虽然报告病例最多的是东北部和中西部，但根据流行率估计，最多的病例发生在南方。在参与报告的南部和西部各州，大约有3倍的EBLL儿童被遗漏，而不是被诊断出来。结论：根据现有的最佳估计，在许多州，儿科护理提供者对血铅水平的检测不足似乎是一种地方病。
This study compares prevalence estimates with reported cases of lead poisoning, identifying portions of the country in which providers miss the majority of cases. OBJECTIVES: To compare prevalence estimates for blood lead level ≥10.0 μg/dL (elevated blood lead level [EBLL]) with numbers reported to the Centers for Disease Control and Prevention (CDC) for children 12 months to 5 years of age from 1999 to 2010 on a state-by-state basis. METHODS: State-specific prevalence estimates were generated based on the continuous NHANES according to newly available statistical protocols. Counts of case reports were based on the 39 states (including the District of Columbia) reporting to the CDC Childhood Lead Poisoning Prevention Program during the study period. Analyses were conducted both including and excluding states and years of nonreporting to the CDC. RESULTS: Approximately 1.2 million cases of EBLL are believed to have occurred in this period, but 607 000 (50%) were reported to the CDC. Including only states and years for which reporting was complete, the reporting rate was 64%. Pediatric care providers in 23 of 39 reporting states identified fewer than half of their children with EBLL. Although the greatest numbers of reported cases were from the Northeast and Midwest, the greatest numbers based on prevalence estimates occurred in the South. In southern and western states engaged in reporting, roughly 3 times as many children with EBLL were missed than were diagnosed. CONCLUSIONS: Based on the best available estimates, undertesting of blood lead levels by pediatric care providers appears to be endemic in many states.
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影响因子：
2.9
作者：
Gump, Brooks B.;MacKenzie, James A.;Bendinskas, Kestutis;Morgan, Robert;Dumas, Amy K.;Palmer, Christopher D.;Parsons, Patrick J.
通讯作者：
Parsons, Patrick J.
影响因子：
--
作者：
Fadrowski, Jeffrey J.;Navas-Acien, Ana;Tellez-Plaza, Maria;Guallar, Eliseo;Weaver, Virginia M.;Furth, Susan L.
通讯作者：
Furth, Susan L.
DOI：
10.1111/j.1469-7610.2009.02135.x
发表时间：
2010-01
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Nigg JT;Nikolas M;Mark Knottnerus G;Cavanagh K;Friderici K
通讯作者：
Friderici K
影响因子：
3.3
作者：
Lanphear, BP;Dietrich, K;Cox, C
通讯作者：
Cox, C