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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Rural children's exposure to well water contaminants: implications in light of the American Academy of Pediatrics' recent policy statement.
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Rural children's exposure to well water contaminants: implications in light of the American Academy of Pediatrics' recent policy statement.

机译：乡村儿童暴露于井水污染物中：根据美国儿科学会最近的政策声明而产生的影响。

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摘要

PURPOSE: Implementing the recent American Academy of Pediatrics' (AAP) policy for annual well water testing will impact pediatric healthcare providers, who will be called upon for advice regarding testing, interpretation, and mitigation. We report findings from a study of low-income rural families' participation in household well water testing. DATA SOURCES: We collected data from 188 rural low-income households inclusive of 320 children under the age of seven. Participating families lived in one of two western U.S. counties and received water from a well with <15 connections. Household water samples and questionnaire data were collected for analysis. CONCLUSIONS: Twenty-seven percent of households tested positive for at least one contaminant, including total coliforms (18%), arsenic (6%), synthetic organic chemicals (6%), nitrates (2%), fluoride (2%), and E. coli (<1%). Eighty-nine percent of households testing positive for total coliforms were positive at re-test. Respondents expressed greatest concern for biological contamination and took multiple precautionary actions, although only 31% had ever tested their water for contaminants. Higher levels of education, income, and age, as well as homeowner status, were significantly associated with previous testing. IMPLICATIONS FOR PRACTICE: Recommendations for communicating abnormal results, mitigating risks, and overcoming logistical challenges are presented.
机译：目的：实施最近的美国儿科学会（AAP）的年度井水测试政策将影响到儿科医疗保健提供者，他们将被要求就测试，解释和缓解提出建议。我们报告了对低收入农村家庭参与家庭井水测试的研究结果。数据来源：我们收集了来自188个农村低收入家庭的数据，其中包括320个7岁以下的孩子。参与调查的家庭住在美国西部两个县之一，并从供水量小于15的井中获得水。收集家庭用水样本和问卷数据进行分析。结论：27％的家庭至少一种污染物检测为阳性，包括大肠菌群（18％），砷（6％），合成有机化学品（6％），硝酸盐（2％），氟化物（2％），和大肠杆菌（<1％）。在总大肠菌群检测呈阳性的家庭中，有89％在重新检测中呈阳性。尽管只有31％的受访者曾经对自己的水进行过污染物测试，但受访者对生物污染表示了最大的关注，并采取了多种预防措施。较高的教育水平，收入和年龄以及房主身份与以前的测试有显着关联。实践的意义：提出了有关传达异常结果，降低风险和克服后勤挑战的建议。

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