Reducing pesticide exposures to preschool-age children in California child care centers

减少加州儿童保育中心学龄前儿童接触农药的机会

基本信息

项目摘要

Chronic, low level indoor pesticide exposures are associated with adverse health outcomes in children, including cancer and cognitive, neurological, and respiratory problems. Recent studies show that pesticides applied as sprays are used in child care facilities exposing young children and staff to harmful chemicals. Thirteen million children in the United States and one million children in California under six years of age attend child care programs. Compared with adults, young children are more vulnerable to pesticides since their developing organs and bodily systems can be damaged during critical windows of development. Interventions to reduce pesticide exposure in child care centers have focused on teaching child care staff about integrated pest management (IPM) and providing hands-on technical assistance and follow-up consultation. IPM is an approach to managing pests that focuses on preventing infestations, monitoring for pests, and limiting the use of harmful pesticides. Pesticides are used as a last resort and primarily as self-contained baits, which do not contaminate indoor environments. IPM intervention programs led by nurses trained as child care health consultants have shown positive changes in staff knowledge, policies, and practices; however, these studies did not include control groups or assess whether the intervention reduced pesticide exposures to the children. The goal of this study is to reduce children’s exposure to pesticides in child care centers to improve their long- term health. A randomized-control trial in four northern California counties will compare changes in pesticide exposure among child care centers assigned to an IPM intervention versus an attention control intervention on physical activity. One hundred child care centers serving socio-economically and ethnically diverse preschool- age children will be enrolled. This study will be modeled on a successful nurse-led child care health consultation intervention comprised of an educational workshop, materials and tools, and center-specific consultation over seven months. In addition, the study will include novel methods of measuring pesticide concentrations in child care centers (dust) and to individual children in the child care settings (silicone wristbands). The study aims are to determine if a nurse-led IPM intervention (1) increases child care center staff’s IPM knowledge, (2) improves center’s IPM policies and practices, (3) reduces pest problems (i.e., pests present, pest residue), (4) increases director’s self-efficacy, (5) reduces pesticide exposures in child care center environments, and (6) reduces child-level pesticide exposures in the intervention child care centers compared to the control centers. This study contributes to public health goals set by Healthy People 2020 to improve environmental health through educational and community-based programs and will inform state and national programs promoting environmental health policy changes in child care. Improving children’s physical environment and reducing harmful exposures to pesticides will support young children’s growth and development so they are healthy and ready to learn as they enter kindergarten.
长期、低水平的室内农药暴露与儿童的不良健康后果有关, 包括癌症以及认知、神经和呼吸问题。最近的研究表明,杀虫剂 作为喷雾剂应用于托儿设施,使幼儿和工作人员暴露在有害化学物质中。 美国有1300万名儿童和加利福尼亚州有100万名6岁以下儿童参加 儿童保育项目。与成年人相比,幼儿更容易受到杀虫剂的伤害,因为他们 在发育的关键时期,发育中的器官和身体系统可能会受到损害。干预措施 为了减少儿童保育中心的农药接触,中心重点向儿童保育人员传授综合 病虫害防治(IPM),并提供实际技术援助和后续咨询。IPM是一种 一种管理有害生物的方法,重点是防止虫害、监测有害生物和限制使用 有害的杀虫剂。杀虫剂是作为最后的手段使用的,主要是作为自给自足的诱饵,这不 污染室内环境。由接受过儿童保健培训的护士领导的IPM干预计划 咨询人员在工作人员的知识、政策和做法方面出现了积极的变化;然而,这些研究 没有包括对照组,也没有评估干预是否减少了儿童接触杀虫剂的情况。 本研究的目标是减少儿童在托儿中心对农药的接触,以改善他们的长期健康状况。 长期健康。一项在加利福尼亚州北部四个县进行的随机对照试验将比较杀虫剂的变化 接受IPM干预的托儿中心与注意力控制干预的儿童中心之间的暴露 体力活动。为社会经济和种族多元化的学龄前儿童提供服务的100个托儿中心- 适龄儿童将被录取。这项研究将以成功的护士主导的儿童保健为模型 咨询干预包括教育研讨会、材料和工具,以及特定于中心的 咨询时间长达七个月。此外,这项研究还将包括测量农药的新方法。 托儿中心的浓度(粉尘)和托儿环境中的个别儿童(硅胶 腕带)。这项研究的目的是确定护士主导的IPM干预(1)是否增加了托儿中心 员工的IPM知识,(2)改进中心的IPM政策和实践,(3)减少有害生物问题(即有害生物 目前,有害生物残留),(4)增加主任的自我效能,(5)减少儿童保育中的农药暴露 中心环境,以及(6)减少干预托儿中心儿童水平的杀虫剂暴露 与控制中心相比。这项研究有助于健康人2020年制定的公共卫生目标 通过教育和以社区为基础的计划改善环境健康,并将向州和 促进儿童保育中环境卫生政策变化的国家方案。提高儿童的身体素质 环境和减少有害的农药暴露将支持幼儿的成长和 发展,使他们健康,并准备学习,因为他们进入幼儿园。

项目成果

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Abbey Diane Alkon其他文献

Abbey Diane Alkon的其他文献

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{{ truncateString('Abbey Diane Alkon', 18)}}的其他基金

Reducing pesticide exposures to preschool-age children in California child care centers
减少加州儿童保育中心学龄前儿童接触农药的机会
  • 批准号:
    10242192
  • 财政年份:
    2017
  • 资助金额:
    $ 65.57万
  • 项目类别:
Reducing pesticide exposures to preschool-age children in California child care centers
减少加州儿童保育中心学龄前儿童接触农药的机会
  • 批准号:
    9769523
  • 财政年份:
    2017
  • 资助金额:
    $ 65.57万
  • 项目类别:
Reducing pesticide exposures to preschool-age children in California child care centers
减少加州儿童保育中心学龄前儿童接触农药的机会
  • 批准号:
    10004755
  • 财政年份:
    2017
  • 资助金额:
    $ 65.57万
  • 项目类别:
Stress, Autonomic Reactivity, and Mental Health in Low Income, Latino Children
低收入拉丁裔儿童的压力、自主反应性和心理健康
  • 批准号:
    7738457
  • 财政年份:
    2009
  • 资助金额:
    $ 65.57万
  • 项目类别:
Stress, Autonomic Reactivity, and Mental Health in Low Income, Latino Children
低收入拉丁裔儿童的压力、自主反应性和心理健康
  • 批准号:
    7924643
  • 财政年份:
    2009
  • 资助金额:
    $ 65.57万
  • 项目类别:

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