Firearm licenses associated with elevated pediatric blood lead levels in Massachusetts.
Firearm licenses associated with elevated pediatric blood lead levels in Massachusetts.
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DOI：
10.1016/j.envres.2021.111642
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发表时间：
2021-11
影响因子：
8.3
通讯作者：
Specht, Aaron J.
中科院分区：
文献类型：
--
作者：
Hoover, Christian;Hoover, Gabrielle Groth;Specht, Aaron J.
确定枪支相关铅暴露与儿童血铅水平之间的关系。利用马萨诸塞州公共卫生和刑事司法信息服务部门提供的数据，我们研究了社区中活跃的A类枪支许可证与0-4岁儿童血铅水平升高的流行率之间的关联。相关性和分层多元回归分析进行了潜在的混杂因素和其他暴露，如铅涂料，铅在水中，射击场的存在，社会，经济和职业变量。对来自马萨诸塞州351个县的数据进行了研究。枪支许可证发放率较高的县也报告儿童铅暴露率较高。与低四分位数的同龄人相比，最高四分位数社区的儿童BLL升高的可能性高2.16倍。一个标准差的变化，枪支许可证的百分比被发现反映了0.96%的儿童血铅水平升高。回归分析表明，包括枪支执照显着提高了儿童BLL的预测。模型根据建筑业、农业、林业、渔业、狩猎和采矿业、收入分配和潜在铅涂料暴露的人口比例进行了调整，这些因素被认为是儿童血铅水平升高的主要预测因素。枪支的使用和拥有仍然是公共卫生领域研究最少的领域之一。虽然人们广泛了解儿童铅接触的风险，包括与枪支有关的铅接触机制和追踪，但迄今为止，还没有研究对儿童和社区一级的铅接触进行广泛研究。我们的研究结果表明，迫切需要继续研究与枪支使用，所有权和铅暴露相关的风险。
To determine the association between firearm-related lead exposure and pediatric blood lead levels. Using data available through the Massachusetts Departments of Public Health and Criminal Justice Information Services, we examined the association between active class A firearm licenses in a community with the prevalence of elevated blood lead levels in children aged 0-4. Correlational and hierarchical multiple regression analyses were conducted with potential confounders and other exposures such as lead paint, lead in water, presence of firing ranges, and social, economic, and occupational variables. Data from 351 Massachusetts sub-counties were examined. Sub-counties with higher rates of firearm licensure also report higher rates of lead exposure among children. Children in the highest quartile communities were 2.16 times more likely to have elevated BLLs when compared to their peers in the lower quartiles. A one standard deviation change in firearm licensure percentage was found to reflect a 0.96% increase in elevated pediatric blood lead levels. Regression analyses demonstrated that the inclusion of firearm licensure significantly improved the prediction of pediatric BLL. Models were adjusted for percent of a population employed in construction, agriculture, forestry, fishing, hunting, and mining, income distribution, and potential lead paint exposure, which were found to be the primary predictors of elevated pediatric blood lead levels. Firearm use and ownership remains one of the least researched areas in the public health sphere. While the risks of childhood lead exposure are widely understood, including the mechanisms of firearm-related lead exposure and tracking, to date no research has extensively examined it in children and on the community level. Our findings indicate a dire need for continued research on the risks associated with firearm use, ownership, and lead exposure.
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DOI：
10.1186/s12940-015-0008-9
发表时间：
2015-04-07
期刊：
Environmental health : a global access science source
影响因子：
--
作者：
Evens A;Hryhorczuk D;Lanphear BP;Rankin KM;Lewis DA;Forst L;Rosenberg D
通讯作者：
Rosenberg D
影响因子：
8.3
作者：
Fustinoni, Silvia;Sucato, Sabrina;Moretto, Angelo
通讯作者：
Moretto, Angelo
影响因子：
3.3
作者：
Lanphear, BP;Hornung, R;Ho, M
通讯作者：
Ho, M
DOI：
10.1016/j.ijheh.2015.09.009
发表时间：
2016-01
影响因子：
6
作者：
Kennedy, Chinaro;Lordo, Robert;Sucosky, Marissa Scalia;Boehm, Rona;Brown, Mary Jean
通讯作者：
Brown, Mary Jean
影响因子：
9.8
作者：
Datko-Williams, Laura;Wilkie, Adrien;Richmond-Bryant, Jennifer
通讯作者：
Richmond-Bryant, Jennifer