A comparison of elevated blood lead levels among children living in foster care, their siblings, and the general population

Pediatrics
E K ChungC Campbell

Abstract

To assess the prevalence of elevated blood lead levels (EBLLs) among children before and after foster care placement, and to compare the prevalence of EBLLs among children in foster care with that of their siblings and the general population. We conducted a retrospective cohort study using administrative databases from the Philadelphia Department of Human Services and the Birth Certificate Registry and the Childhood Lead Poisoning Prevention Program at the Philadelphia Department of Public Health. Logistic regression analyses were performed to control for confounding variables, including age, race, gender, and the year, seasonal timing, and source (capillary vs venous) of test. From June 1992 to May 1997, there were 1824 children in foster care with available blood lead results in the Childhood Lead Poisoning Prevention Program database. Of these, 519 (28%) had initial lead screening before foster care placement and 654 (36%) after placement. There were 821 siblings and 73 608 children in the general population with available blood lead results. Before entering foster care, children were nearly twice as likely to have EBLLs as their siblings (adjusted odds ratio [OR] = 1.7; 95% confidence interval [CI] = 1.4, 2.0), those in pla...Continue Reading

Citations

Dec 12, 2001·Journal of Pediatric Nursing·R B Monsen
Jun 17, 2004·Environmental Health Perspectives·Karin KollerLen Levy
Jun 11, 2014·Toxicological Sciences : an Official Journal of the Society of Toxicology·Jay S SchneiderDavid W Anderson
Jun 24, 2008·The Journal of Pediatrics·Lynn T SingerSonia Minnes
May 15, 2007·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Maqusood Ahamed, Mohd Kaleem Javed Siddiqui
Sep 19, 2015·Current Problems in Pediatric and Adolescent Health Care·Samantha SchillingHeather Forkey
Oct 4, 2017·Clinical Pediatrics·Marissa Hauptman, Alan D Woolf

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