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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Lead poisoning among refugee children resettled in Massachusetts, 1995 to 1999.
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Lead poisoning among refugee children resettled in Massachusetts, 1995 to 1999.

机译：1995年至1999年在马萨诸塞州定居的难民儿童中的铅中毒事件。

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OBJECTIVE: Lead poisoning has been reported among immigrant and refugee populations in the United States; however, prevalences of elevated blood lead (BPb) and risk factors have not been described fully among newly arrived refugee children. This study was conducted to address this lack of data. METHODS: We performed analysis of BPb levels among a cohort of refugee children, aged <7 years, who arrived in Massachusetts between July 1, 1995, and December 31, 1999. Gender, age, birthplace, time of year of lead testing, intestinal parasitoses, anemia, and growth retardation were examined as predictors of elevated BPb. RESULTS: BPb levels >/=10 microgram/dL were found in 11.3% of 693 children shortly after their arrival in the United States. Children from developing countries had the highest prevalences, including 27% of Somalis and Vietnamese. Country of birth was the strongest predictor of elevated BPb. No association between elevated lead and age was found. Among 213 children with BPb tests >/=6 months after the initial test, 7% had newly elevated levels of >/=10 microgram/dL. CONCLUSIONS: The prevalence of elevated BPb levels in recently arrived refugee children is more than twice that of US-born children. Children who are at particular risk are those from developing countries where environmental exposures are more ubiquitous. In addition, a significant percentage of refugees acquired elevated levels after arrival, thus suggesting the importance of follow-up testing of refugee children. Refugee status should be considered a risk factor for lead poisoning.
机译：目的：据报道，在美国的移民和难民中，铅中毒。然而，新来的难民儿童中血铅升高（BPb）的流行和危险因素尚未得到充分描述。进行这项研究是为了解决缺乏数据的问题。方法：我们对1995年7月1日至1999年12月31日之间抵达马萨诸塞州的7岁以下难民儿童中的BPb水平进行了分析。性别，年龄，出生地，铅测试时间，肠道检查寄生虫，贫血和生长迟缓可预测BPb升高。结果：抵达美国后不久，在693名儿童中有11.3％的人发现BPb水平> / = 10微克/ dL。来自发展中国家的儿童患病率最高，其中包括27％的索马里人和越南人。出生国是BPb升高的最强预测因子。没有发现铅的升高与年龄之间的关联。在初次测试后≥6个月的BPb测试的213名儿童中，有7％的儿童新出现了≥10微克/ dL的升高水平。结论：最近到达的难民儿童中BPb水平升高的患病率是美国出生儿童的两倍以上。处于特别危险中的儿童是来自发展中国家的儿童，在这些国家中，环境暴露更为普遍。此外，很大比例的难民到达后获得了较高的水平，因此表明对难民儿童进行后续测试的重要性。难民地位应被视为铅中毒的危险因素。

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