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Assessing the Risks and Knowledge of Economically-Disadvantaged, Minority Urban Population in Preventing and Reducing Childhood Lead Poisoning

Janvier Gasana, MD, MPH, PhD, WayWay M. Hlaing, MBBS, MS, PhD, Kristy A. Siegel, MPH, CHES, Janisse Rosario, MPH, Krishna Dummula, MD, and Emily A. Owens, MPH. Stempel School of Public Health, Florida International University, Viertes Haus 216, 11200 Southwest 8th Street, Miami, FL 33199, 305-348-4903, ksiegelapha@hotmail.com

In the U.S., childhood lead poisoning (CLP) remains an environmental health threat. Florida Children’s Environmental Health Alliance’s Partnership Against Lead (PAL) Project proposes to educate children and parents in Miami-Dade County to decrease exposure in the home. The PAL Project serves the high-risk communities of Liberty City, Little Haiti, Little Havana, and Overtown. These neighborhoods are predominantly African American, Haitian, Cuban, and African American, respectively. Analysis of data collected using our risk assessment questionnaire shows more than two-thirds of respondents have heard of CLP, with half being told by a doctor. But the vast majority of parents (71%) of Medicaid-enrolled children reported their children have not been screened. Based on selected risk factors, respondents’ children were categorized on their level of risk of CLP: none (having no risk factor) to very high (having all four risk factors). Almost a third of respondents’ children have high to very high level of risk. More than half of the children with a very high risk level have not been screened, likewise for 60.8% of children with a high risk level. More than a quarter of respondents (26.8%) that have not heard of CLP have a child with high to very high level of risk. Additionally, 73% of those living in newer homes had heard of CLP compared with 54% of older homes. The disparities observed are result of a high percentage of linguistically isolated households and other culturally associated factors that need to be addressed.

Learning Objectives: At the conclusion of this session, participants will be able to

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Handout (.ppt format, 79.5 kb)

Environmental Public Health: Exposures, Surveillance & Risk Assessment

The 132nd Annual Meeting (November 6-10, 2004) of APHA