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首页> 美国卫生研究院文献>Bulletin of the New York Academy of Medicine >Is home renovation or repair a risk factor for exposure to lead among children residing in New York City?
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Is home renovation or repair a risk factor for exposure to lead among children residing in New York City?

机译：家庭装修或维修是否是居住在纽约市儿童中铅暴露的风险因素？

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摘要

Children can be lead poisoned when leaded paint is disturbed during home renovation or repair. We conducted a case-control study to assess the association between elevated blood lead levels (BLLs) in children younger than 5 years of age and renovation or repair of homes built before 1950 in New York City. In 1998, we interviewed parents of 106 case children (BLLs)≥10 μg/dL) and 159 control children (BLLs≤5 μg/dL) living in selected New York City neighborhoods. We then used logistic regression methods to estimate odds ratios (ORs) for elevated BLLs among children living in housing that had undergone varous renovations or repairs in the 6 months before the blood lead test, and we adjusted for age and test month. Case children were only slightly more likely than control children to live in a house that had undergone any renovation (OR=1.2, 95% confidence interval [95% CI]=0.7, 2.1). Case children were more likely to (1) live in housing that had interior surfaces prepared for painting, especially by hand sanding (OR=3.5, 95% CI=1.1, 10.9; population attributable risk [PAR%]=10.4%, 95% CI=0.5% 19.3%); and (2) have work-created dust throughout their housing unit (OR =6.3, 95% CI=1.2, 32.3; PAR%=6.8%, 95% CI=0.0%, 13.1%). The risk for excess lead exposure is increased by home renovation or repair work involving interior paint preparation or reported dispersal of dust beyond the work area. The proportion of cases related to this exposure is high enough to merit preventive measures.
机译：如果在房屋翻新或维修期间扰乱了含铅油漆，则儿童可能会中毒。我们进行了一项病例对照研究，以评估5岁以下儿童的血铅水平升高（BLL）与1950年之前在纽约市修建的房屋进行翻新或维修的关系。 1998年，我们采访了居住在纽约市某些社区的106例儿童（BLLs≥10μg/ dL）和159例对照儿童（BLLs≤5μg/ dL）的父母。然后，我们使用logistic回归方法来估计在血铅测试前6个月内经历过各种翻新或维修的房屋中儿童的BLL升高的比值比（OR），并对年龄和测试月份进行了调整。案例儿童比经过控制的儿童住在经过任何翻新的房屋中的可能性仅高一点（OR = 1.2，95％置信区间[95％CI] = 0.7，2.1）。案例中的儿童更有可能（1）生活在具有准备绘画的内表面的房屋中，特别是通过手工打磨（OR = 3.5，95％CI = 1.1，10.9；人口归因风险[PAR％] = 10.4％，95％ CI = 0.5％，19.3％）； （2）在整个房屋单元内产生了工作尘埃（OR = 6.3，95％CI = 1.2，32.3； PAR％= 6.8％，95％CI = 0.0％，13.1％）。家庭装修或维修工作（包括内部油漆的准备工作）或据报告灰尘散布到工作区域之外，会增加过量铅暴露的风险。与这种接触有关的病例比例很高，值得采取预防措施。

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