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Primary Prevention of Lead Exposure: The Philadelphia Lead Safe Homes Study

Campbell, Carla ; Tran, Mary ; Gracely, Edward ; Starkey, Naomi ; Kersten, Hans ; Palermo, Peter ; Rothman, Nancy ; Line, Laura ; Hansen-Turton, Tine

Public health reports (1974), 2011-05, Vol.126 (1_suppl), p.76-88 [Periódico revisado por pares]

Los Angeles, CA: Association of Schools of Public Health

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Título:
Primary Prevention of Lead Exposure: The Philadelphia Lead Safe Homes Study
Autor: Campbell, Carla ; Tran, Mary ; Gracely, Edward ; Starkey, Naomi ; Kersten, Hans ; Palermo, Peter ; Rothman, Nancy ; Line, Laura ; Hansen-Turton, Tine
Assuntos: Age ; Biological and medical sciences ; Blood ; Blood levels ; Child health services ; Child, Preschool ; Children ; Childrens health ; Disease prevention ; Dust ; Education ; Educational standards ; Environmental Exposure - prevention & control ; Environmental protection ; Exposure ; Female ; Hazards ; Health education ; Homes ; Households ; Housekeeping - methods ; Housekeeping - standards ; Housing ; Housing - standards ; Human exposure ; Humans ; Impairment ; Infant ; Infant, Newborn ; Infants ; Inspection ; Intervention ; Lead ; Lead - blood ; Lead hazards ; Lead poisoning ; Lead Poisoning - blood ; Lead Poisoning - prevention & control ; Maintenance ; Male ; Medical sciences ; Miscellaneous ; Neonates ; Neurological disorders ; Newborn babies ; Outcome Assessment (Health Care) ; Parents & parenting ; Parents - education ; Philadelphia ; Poverty Areas ; Prevention ; Prevention and actions ; Primary prevention ; Primary Prevention - methods ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Remediation ; Repair and maintenance ; Screening ; Teaching methods ; Urban Health
É parte de: Public health reports (1974), 2011-05, Vol.126 (1_suppl), p.76-88
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Objective. Lead exposure in children can lead to neuropsychological impairment. This study tested whether primary prevention interventions in the newborn period prevent elevated blood lead levels (BLLs). Methods. The Philadelphia Lead Safe Homes (LSH) Study offered parental education, home evaluation, and lead remediation to the families of urban newboms. Households were randomized to a standard lead education group or maintenance education group. We conducted home visits at baseline, six months, and 12 months. To compare BLLs, we identified a matched comparison group. Results. We enrolled and randomized 314 newborns in the intervention component; 110 completed the study. There were few significant differences between the randomized groups. In the combined intervention groups, positive results on visual inspection declined from baseline to 12 months (97.0% to 90.6%, p=0.007). At baseline, 36.9% of homes were above the U.S. Environmental Protection Agency's lead dust standard, compared with 26.9% at 12 months (p=0.032), mainly due to a drop in windowsill dust levels. Both groups showed a significant increase in parental scores on a lead education test. Children in the intervention and matched control groups had similar geometric mean initial BLLs (2.6 vs. 2.7, p= 0.477), but a significantly higher percentage of children in the intervention group had an initial blood lead screening compared with those in the matched group (88.9% vs. 84.4%, p=0.032). Conclusions. A study of primary prevention of lead exposure showed a higher blood lead screening rate for the combined intervention groups and mean BLLs at one year of age not statistically different from the comparison group. Most homes had lead hazards. Lead education significantly increased knowledge.
Editor: Los Angeles, CA: Association of Schools of Public Health
Idioma: Inglês

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Primary Prevention of Lead Exposure: The Philadelphia Lead Safe Homes Study

Campbell, Carla ; Tran, Mary ; Gracely, Edward ; Starkey, Naomi ; Kersten, Hans ; Palermo, Peter ; Rothman, Nancy ; Line, Laura ; Hansen-Turton, Tine

Los Angeles, CA: Association of Schools of Public Health

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