Title

Efforts to Identify At-Risk Children for Blood Lead Screening in Pediatric Clinics – Clark County, Nevada

Document Type

Article

Publication Date

2012

Publication Title

Clinical Pediatrics

Volume

51

Issue

11

First page number:

1048

Last page number:

1055

Abstract

Background.

Childhood lead poisoning continues to be a public health problem; however, lead screening rates remain low in many areas. Our objective is to increase screening in pediatric clinics, while testing a questionnaire for its predictability of elevated blood lead levels (BLLs).

Methods.

Participants were approached at pediatric clinics in Las Vegas, Nevada. A brief questionnaire assessed the child’s potential exposure to lead and a blood sample was collected from each child.

Results.

Of 564 children tested, 35 had detectable BLLs. Two questions from the questionnaire demonstrated significant differences in proportions (Fisher’s exact test: P < .05) of affirmative/negative responses, for the 35 participants with detectable BLLs.

Conclusion.

The questionnaire failed to identify reliable associations between detectable BLLs and affirmative responses, limiting its use as an in-office tool. More research is recommended to identify and alleviate barriers to childhood lead screening in the clinical setting and to develop more applicable risk assessment tools.

Keywords

Blood – Analysis; Blood lead level; Childhood lead poisoning; Lead poisoning – Risk factors; Lead poisoning in children; Medical screening; Nevada – Clark County; Nevada – Las Vegas; Pediatric clinics; Risk factors; Screening

Disciplines

Community-Based Research | Environmental Public Health | Medicine and Health | Pediatrics | Public Health

Language

English

Permissions

Use Find in Your Library, contact the author, or interlibrary loan to garner a copy of the item. Publisher policy does not allow archiving the final published version. If a post-print (author's peer-reviewed manuscript) is allowed and available, or publisher policy changes, the item will be deposited.

Identifier

DOI: 10.1177/0009922812458352

UNLV article access

Search your library

Share

COinS