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Prevalence of Elevated Blood Lead Levels and Risk Factors Among Residents Younger Than 6 Years, Puerto Rico-2010

机译:小于6岁的居民中血铅水平升高和危险因素的流行,波多黎各-2010

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Context: Limited data exist about blood lead levels (BLLs) and potential exposures among children living in Puerto Rico. The Puerto Rico Department of Health has no formal blood lead surveillance program. Objectives: We assessed the prevalence of elevated BLLs (>= 5 micrograms of lead per deciliter of blood), evaluated household environmental lead levels, and risk factors for BLL among children younger than 6 years of age living in Puerto Rico in 2010. Methods: We used a population-based, cross-sectional sampling strategy to enroll an island-representative sample of Puerto Rican children younger than 6 years. We estimated the island-wide weighted prevalence of elevated BLLs and conducted bivariable and multivariable linear regression analyses to ascertain risk factors for elevated BLLs. Results: The analytic data set included 355 households and 439 children younger than 6 years throughout Puerto Rico. The weighted geometric mean BLL of children younger than 6 years was 1.57 mu g/dL (95% confidence interval [CI], 1.27-1.88). The weighted prevalence of children younger than 6 years with BLLs of 5 mu g/dL or more was 3.18% (95% CI, 0.93-5.43) and for BLLs of 10 mu g/dL or more was 0.50% (95% CI, 0-1.31). Higher mean BLLs were significantly associated with data collection during the summer months, a lead-related activity or hobby of anyone in the residence, and maternal education of less than 12 years. Few environmental lead hazards were identified.
机译:背景:关于生活在波多黎各的儿童的血铅水平(BLL)和潜在暴露的数据有限。波多黎各卫生部没有正式的血铅监测计划。目的:我们评估了2010年居住在波多黎各的6岁以下儿童中BLL的升高(每分升血液中铅含量> = 5微克),评估的家庭环境铅水平以及BLL的危险因素。方法:我们使用了基于人口的横截面抽样策略,以招募6岁以下波多黎各儿童的岛屿代表样本。我们估计了全岛范围内BLL升高的加权患病率,并进行了双变量和多变量线性回归分析,以确定BLL升高的危险因素。结果:分析数据集包括波多黎各的355户家庭和439个6岁以下的儿童。 6岁以下儿童的加权几何平均BLL为1.57μg / dL(95%置信区间[CI],1.27-1.88)。 BLL为5μg / dL或更高的6岁以下儿童的加权患病率为3.18%(95%CI,0.93-5.43),而10μg / dL或更高的BLL的加权患病率为0.50%(95%CI, 0-1.31)。平均BLL较高与夏季月份的数据收集,与住所中任何人的铅相关活动或嗜好以及少于12年的孕产妇教育显着相关。几乎没有发现环境铅的危害。

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