Jiménez-Gutiérrez C, Romieu I, Ramírez-Sánchez A L, Palazuelos-Rendón E, Muñoz-Quiles I
Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública (INSP), México.
Salud Publica Mex. 1999;41 Suppl 2:S72-81.
To identify exposure factors contributing to lead poisoning in school children from Mexico City.
Cross-sectional study of 340 children. A convenience sample of schools and a random sample of children were selected. A questionnaire was filled out and venous blood samples were taken. Lead levels were measured by atomic absorption spectrophotometry. Statistical analysis consisted of comparison of means using Student's t test and ANOVA. Multiple linear regression was used for multivariate analysis. Logarithmic transformation of lead blood levels were used to account for their non-normal distribution.
Geometric means for private and public schools were: GM = 8.76 micrograms/dl, 95% CI = 9.1-10.5; GM = 11.5 micrograms/dl, 95% CI = 9.4-13.5. Lead levels were higher among children from public schools who are male, between 6 and 8 years of age, in first and second grade, whose mothers have a profession, who use glazed earthenware utensils, and who live near glazed earthenware shops or factories.
Exposure predictors of lead blood levels are: being between 6 and 8 years of age, having a professional mother, using glazed earthenware utensils, living near glazed earthenware shops or factories, and studying the second grade of elementary school.
确定导致墨西哥城学童铅中毒的暴露因素。
对340名儿童进行横断面研究。选取了方便样本的学校和儿童随机样本。填写了一份问卷并采集了静脉血样。通过原子吸收分光光度法测量铅水平。统计分析包括使用学生t检验和方差分析进行均值比较。多元线性回归用于多变量分析。对血铅水平进行对数转换以处理其非正态分布。
私立学校和公立学校的几何均值分别为:GM = 8.76微克/分升,95%置信区间 = 9.1 - 10.5;GM = 11.5微克/分升,95%置信区间 = 9.4 - 13.5。公立学校中,6至8岁、一、二年级、母亲有职业、使用釉面陶器餐具且居住在釉面陶器商店或工厂附近的男性儿童铅水平较高。
血铅水平的暴露预测因素为:年龄在6至8岁之间、母亲有职业、使用釉面陶器餐具、居住在釉面陶器商店或工厂附近以及就读小学二年级。