Abstract
OBJECTIVES: This study was designed to explore whether parental activities such as repairing cars, welding, and rebuilding car batteries are risk factors for lead poisoning among Cuban refugee children in Miami-Dade County. METHODS: The authors performed a cross-sectional study of 479 children aged 12-83 months who had lived in Cuba during the six months prior to immigrating to the U.S. Lead levels were obtained, and parents provided information on demographics, home/neighborhood environment in Cuba prior to immigration, family/occupational factors prior to immigration, and child behavior factors. RESULTS: Of 479 children, 30 (6.3%) had elevated blood lead levels (EBLLs), defined as > or = 10 microg/dL, based on the Centers for Disease Control and Prevention action level. In multivariate analysis, racial/ethnic identification other than white, living in a home built after 1979, car repair in the home or yard, eating paint chips, and male sex were independently associated with EBLL. CONCLUSIONS: Risk factors for lead poisoning among immigrant children may differ from those among U.S.-born children. Screening of immigrant children who may have been exposed in their country of origin and education of immigrant parents about lead exposure hazards associated with activities such as car repair should be considered in the design of lead poisoning prevention and control programs.
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- Baker E. L., Folland D. S., Taylor T. A., Frank M., Peterson W., Lovejoy G., Cox D., Housworth J., Landrigan P. J. Lead poisoning in children of lead workers: home contamination with industrial dust. N Engl J Med. 1977 Feb 3;296(5):260–261. doi: 10.1056/NEJM197702032960507. [DOI] [PubMed] [Google Scholar]
- Canfield Richard L., Henderson Charles R., Jr, Cory-Slechta Deborah A., Cox Christopher, Jusko Todd A., Lanphear Bruce P. Intellectual impairment in children with blood lead concentrations below 10 microg per deciliter. N Engl J Med. 2003 Apr 17;348(16):1517–1526. doi: 10.1056/NEJMoa022848. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dalton C. B., McCammon J. B., Hoffman R. E., Baron R. C. Blood lead levels in radiator repair workers in Colorado. J Occup Environ Med. 1997 Jan;39(1):58–62. doi: 10.1097/00043764-199701000-00011. [DOI] [PubMed] [Google Scholar]
- Dolcourt J. L., Finch C., Coleman G. D., Klimas A. J., Milar C. R. Hazard of lead exposure in the home from recycled automobile storage batteries. Pediatrics. 1981 Aug;68(2):225–230. [PubMed] [Google Scholar]
- Dolcourt J. L., Hamrick H. J., O'Tuama L. A., Wooten J., Barker E. L., Jr Increased lead burden in children of battery workers: asymptomatic exposure resulting from contaminated work clothing. Pediatrics. 1978 Oct;62(4):563–566. [PubMed] [Google Scholar]
- Dykeman Ronald, Aguilar-Madrid Guadalupe, Smith Tom, Juárez-Pérez Cuauhtemoc Arturo, Piacitelli Gregory M., Hu Howard, Hernandez-Avila Mauricio. Lead exposure in Mexican radiator repair workers. Am J Ind Med. 2002 Mar;41(3):179–187. doi: 10.1002/ajim.10044. [DOI] [PubMed] [Google Scholar]
- Entzel Pamela P., Fleming Lora E., Trepka Mary Jo, Squicciarini Dominick. The health status of newly arrived refugee children in Miami-Dade County, Florida. Am J Public Health. 2003 Feb;93(2):286–288. doi: 10.2105/ajph.93.2.286. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Garrettson L. K. Childhood lead poisoning in radiator mechanics' children. Vet Hum Toxicol. 1988 Apr;30(2):112–112. [PubMed] [Google Scholar]
- Geltman P. L., Brown M. J., Cochran J. Lead poisoning among refugee children resettled in Massachusetts, 1995 to 1999. Pediatrics. 2001 Jul;108(1):158–162. doi: 10.1542/peds.108.1.158. [DOI] [PubMed] [Google Scholar]
- Goldman R. H., Baker E. L., Hannan M., Kamerow D. B. Lead poisoning in automobile radiator mechanics. N Engl J Med. 1987 Jul 23;317(4):214–218. doi: 10.1056/NEJM198707233170406. [DOI] [PubMed] [Google Scholar]
- Harari R., Cullen M. R. Childhood lead intoxication associated with manufacture of roof tiles and ceramics in the Ecuadorian Andes. Arch Environ Health. 1995 Sep-Oct;50(5):393–393. doi: 10.1080/00039896.1995.9935974. [DOI] [PubMed] [Google Scholar]
- Hayes E. B., Talbot S. B., Matheson E. S., Pressler H. M., Hanna A. B., McCarthy C. A. Health status of pediatric refugees in Portland, ME. Arch Pediatr Adolesc Med. 1998 Jun;152(6):564–568. doi: 10.1001/archpedi.152.6.564. [DOI] [PubMed] [Google Scholar]
- Kaul B., Sandhu R. S., Depratt C., Reyes F. Follow-up screening of lead-poisoned children near an auto battery recycling plant, Haina, Dominican Republic. Environ Health Perspect. 1999 Nov;107(11):917–920. doi: 10.1289/ehp.99107917. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Koplan J. P., Wells A. V., Diggory H. J., Baker E. L., Liddle J. Lead Absorption in a community of potters in Barbados. Int J Epidemiol. 1977 Sep;6(3):225–229. doi: 10.1093/ije/6.3.225. [DOI] [PubMed] [Google Scholar]
- Lanphear B. P., Dietrich K., Auinger P., Cox C. Cognitive deficits associated with blood lead concentrations <10 microg/dL in US children and adolescents. Public Health Rep. 2000 Nov-Dec;115(6):521–529. doi: 10.1093/phr/115.6.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lussenhop D. H., Parker D. L., Barklind A., McJilton C. Lead exposure and radiator repair work. Am J Public Health. 1989 Nov;79(11):1558–1560. doi: 10.2105/ajph.79.11.1558. [DOI] [PMC free article] [PubMed] [Google Scholar]
- López-Carrillo L., Torres-Sánchez L., Garrido F., Papaqui-Hernández J., Palazuelos-Rendón E., López-Cervantes M. Prevalence and determinants of lead intoxication in Mexican children of low socioeconomic status. Environ Health Perspect. 1996 Nov;104(11):1208–1211. doi: 10.1289/ehp.104-1469505. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mahaffey K. R., Annest J. L., Roberts J., Murphy R. S. National estimates of blood lead levels: United States, 1976-1980: association with selected demographic and socioeconomic factors. N Engl J Med. 1982 Sep 2;307(10):573–579. doi: 10.1056/NEJM198209023071001. [DOI] [PubMed] [Google Scholar]
- Maizlish N., Rudolph L., Sutton P., Jones J. R., Kizer K. W. Elevated blood lead in California adults, 1987: results of a statewide surveillance program based on laboratory reports. Am J Public Health. 1990 Aug;80(8):931–934. doi: 10.2105/ajph.80.8.931. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Markowitz G., Rosner D. "Cater to the children": the role of the lead industry in a public health tragedy, 1900-1955. Am J Public Health. 2000 Jan;90(1):36–46. doi: 10.2105/ajph.90.1.36. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Matte T. D., Figueroa J. P., Ostrowski S., Burr G., Jackson-Hunt L., Keenlyside R. A., Baker E. L. Lead poisoning among household members exposed to lead-acid battery repair shops in Kingston, Jamaica. Int J Epidemiol. 1989 Dec;18(4):874–881. doi: 10.1093/ije/18.4.874. [DOI] [PubMed] [Google Scholar]
- Meyer Pamela A., McGeehin Michael A., Falk Henry. A global approach to childhood lead poisoning prevention. Int J Hyg Environ Health. 2003 Aug;206(4-5):363–369. doi: 10.1078/1438-4639-00232. [DOI] [PubMed] [Google Scholar]
- Meyer Pamela A., Pivetz Timothy, Dignam Timothy A., Homa David M., Schoonover Jaime, Brody Debra, Centers for Disease Control and Prevention Surveillance for elevated blood lead levels among children--United States, 1997-2001. MMWR Surveill Summ. 2003 Sep 12;52(10):1–21. [PubMed] [Google Scholar]
- Morales Bonilla C., Mauss E. A. A community-initiated study of blood lead levels of Nicaraguan children living near a battery factory. Am J Public Health. 1998 Dec;88(12):1843–1845. doi: 10.2105/ajph.88.12.1843. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nunez C. M., Klitzman S., Goodman A. Lead exposure among automobile radiator repair workers and their children in New York City. Am J Ind Med. 1993 May;23(5):763–777. doi: 10.1002/ajim.4700230510. [DOI] [PubMed] [Google Scholar]
- Pirkle J. L., Kaufmann R. B., Brody D. J., Hickman T., Gunter E. W., Paschal D. C. Exposure of the U.S. population to lead, 1991-1994. Environ Health Perspect. 1998 Nov;106(11):745–750. doi: 10.1289/ehp.98106745. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Romieu I., Lacasana M., McConnell R. Lead exposure in Latin America and the Caribbean. Lead Research Group of the Pan-American Health Organization. Environ Health Perspect. 1997 Apr;105(4):398–405. doi: 10.1289/ehp.97105398. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schwartz J. Low-level lead exposure and children's IQ: a meta-analysis and search for a threshold. Environ Res. 1994 Apr;65(1):42–55. doi: 10.1006/enrs.1994.1020. [DOI] [PubMed] [Google Scholar]