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American Journal of Public Health logoLink to American Journal of Public Health
. 2001 Apr;91(4):621–624. doi: 10.2105/ajph.91.4.621

The effectiveness of housing policies in reducing children's lead exposure.

M J Brown 1, J Gardner 1, J D Sargent 1, K Swartz 1, H Hu 1, R Timperi 1
PMCID: PMC1446655  PMID: 11291376

Abstract

OBJECTIVES: This study evaluated the relation of housing policies to risk of subsequent lead exposure in addresses where lead-poisoned children had lived. METHODS: Addresses where children with lead poisoning lived between May 1992 and April 1993 were selected from lead screening registries in 2 northeastern states differing in their enforcement of lead poisoning prevention statutes. Blood lead levels of subsequently resident children, exterior condition, tax value, age, and census tract characteristics were collected. The odds of elevated blood lead levels in subsequently resident children were calculated with logistic regression. RESULTS: The risk of identifying 1 or more children with blood lead levels of 10 micrograms/dL or greater was 4 times higher in addresses with limited enforcement. Controlling for major confounders had little effect on the estimate. CONCLUSIONS: Enforcement of housing policies interrupts the cycle of repeated lead exposure.

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Selected References

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  1. Bailey A. J., Sargent J. D., Goodman D. C., Freeman J., Brown M. J. Poisoned landscapes: the epidemiology of environmental lead exposure in Massachusetts children 1990-1991. Soc Sci Med. 1994 Sep;39(6):757–766. doi: 10.1016/0277-9536(94)90037-x. [DOI] [PubMed] [Google Scholar]
  2. Brody D. J., Pirkle J. L., Kramer R. A., Flegal K. M., Matte T. D., Gunter E. W., Paschal D. C. Blood lead levels in the US population. Phase 1 of the Third National Health and Nutrition Examination Survey (NHANES III, 1988 to 1991) JAMA. 1994 Jul 27;272(4):277–283. doi: 10.1001/jama.272.4.277. [DOI] [PubMed] [Google Scholar]
  3. Charney E., Kessler B., Farfel M., Jackson D. Childhood lead poisoning. A controlled trial of the effect of dust-control measures on blood lead levels. N Engl J Med. 1983 Nov 3;309(18):1089–1093. doi: 10.1056/NEJM198311033091804. [DOI] [PubMed] [Google Scholar]
  4. Farfel M. R., Chisolm J. J., Jr Health and environmental outcomes of traditional and modified practices for abatement of residential lead-based paint. Am J Public Health. 1990 Oct;80(10):1240–1245. doi: 10.2105/ajph.80.10.1240. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Lanphear B. P., Howard C., Eberly S., Auinger P., Kolassa J., Weitzman M., Schaffer S. J., Alexander K. Primary prevention of childhood lead exposure: A randomized trial of dust control. Pediatrics. 1999 Apr;103(4 Pt 1):772–777. doi: 10.1542/peds.103.4.772. [DOI] [PubMed] [Google Scholar]
  6. Needleman H. L., Gatsonis C. A. Low-level lead exposure and the IQ of children. A meta-analysis of modern studies. JAMA. 1990 Feb 2;263(5):673–678. [PubMed] [Google Scholar]
  7. Needleman H. L., Schell A., Bellinger D., Leviton A., Allred E. N. The long-term effects of exposure to low doses of lead in childhood. An 11-year follow-up report. N Engl J Med. 1990 Jan 11;322(2):83–88. doi: 10.1056/NEJM199001113220203. [DOI] [PubMed] [Google Scholar]
  8. Pirkle J. L., Brody D. J., Gunter E. W., Kramer R. A., Paschal D. C., Flegal K. M., Matte T. D. The decline in blood lead levels in the United States. The National Health and Nutrition Examination Surveys (NHANES) JAMA. 1994 Jul 27;272(4):284–291. [PubMed] [Google Scholar]
  9. Sargent J. D., Brown M. J., Freeman J. L., Bailey A., Goodman D., Freeman D. H., Jr Childhood lead poisoning in Massachusetts communities: its association with sociodemographic and housing characteristics. Am J Public Health. 1995 Apr;85(4):528–534. doi: 10.2105/ajph.85.4.528. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Sargent J. D., Dalton M., Demidenko E., Simon P., Klein R. Z. The association between state housing policy and lead poisoning in children. Am J Public Health. 1999 Nov;89(11):1690–1695. doi: 10.2105/ajph.89.11.1690. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Swindell S. L., Charney E., Brown M. J., Delaney J. Home abatement and blood lead changes in children with class III lead poisoning. Clin Pediatr (Phila) 1994 Sep;33(9):536–541. doi: 10.1177/000992289403300905. [DOI] [PubMed] [Google Scholar]
  12. Weitzman M., Aschengrau A., Bellinger D., Jones R., Hamlin J. S., Beiser A. Lead-contaminated soil abatement and urban children's blood lead levels. JAMA. 1993 Apr 7;269(13):1647–1654. [PubMed] [Google Scholar]
  13. White R. F., Diamond R., Proctor S., Morey C., Hu H. Residual cognitive deficits 50 years after lead poisoning during childhood. Br J Ind Med. 1993 Jul;50(7):613–622. doi: 10.1136/oem.50.7.613. [DOI] [PMC free article] [PubMed] [Google Scholar]

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