Special Features: Health Policy
Blood Lead Level Analysis Among Refugee Children Resettled in New Hampshire and Rhode Island
Article first published online: 6 NOV 2012
© 2012 Wiley Periodicals, Inc.
Public Health Nursing
Volume 30, Issue 1, pages 70–79, January/February
How to Cite
Raymond, J. S., Kennedy, C. and Brown, M. J. (2013), Blood Lead Level Analysis Among Refugee Children Resettled in New Hampshire and Rhode Island. Public Health Nursing, 30: 70–79. doi: 10.1111/phn.12007
- Issue published online: 7 JAN 2013
- Article first published online: 6 NOV 2012
- blood lead;
To examine the association between refugee status and elevated blood lead levels (EBLLs) among children living in two U.S. cities and to assess the effect of the Centers for Disease Control and Prevention recommendations for BLL testing of newly emigrated refugee children for EBLLs.
Design and Sample
A longitudinal study was conducted of 1,007 refugee children and 953 nonrefugee children living, when blood testing occurred, in the same buildings in Manchester, New Hampshire and Providence, Rhode Island.
Surveillance and blood lead data were collected from both sites, including demographic information, BLLs, sample type, refugee status, and age of housing.
Refugee children living in Manchester were statistically significantly more likely to have an EBLL compared with nonrefugee children even after controlling for potential confounders. We did not find this association in Providence. Compared with before enactment, the mean time of refugee children to fall below 10 μg/dL was significantly shorter after the recommendations to test newly emigrated children were enacted.
Refugee children living in Manchester were significantly more likely to have an EBLL compared with nonrefugee children. And among refugee children, we found a statistically significant difference in the mean days to BLL decline <10 μg/dL before and after recommendations to test newly emigrated children.