Zhang Shuai-ming, Dai Yao-hua, Xie Xiao-hua, Fan Zhao-yang, Tan Zang-wen
Department of Early Childhood Development, Capital Institute of Pediatrics, Beijing 100020, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2005 Sep;26(9):651-4.
To observe blood lead level and related risk factors among children aged 0-6 years old living in cities in China and to provide data for policy development to the prevention on environmental lead pollution.
A stratified-clustered-random sampling method was used. 17 141 peripheral blood samples of 0-6 years old children from 15 cities in China were tested. Tungsten atomizer absorption spectrophotometer was employed to determined the blood lead level. Related factors were also studied using a standardized questionnaire. Data were analyzed on related risk factors that affecting blood lead levels through multiple regression method.
The mean blood lead level of 0-6 years old children from 15 cities in China was 59.52 microg/L including 10.45% of those > or =100 microg/L, and 0.62% > or = 200 microg/L. However, the blood lead levels seemed to have had a trend of increase parallel to age among 0-6 years-old children and were higher for boys (59.50 microg/L) than girls (54.95 microg/L). The risk factors which influenceing children's blood lead levels would include the type of housing, parent's education levels, social status and hobby, children's behavior habit, dieting habit and nutritional condition.
The blood lead levels of children in China were lower than data gathered from former national studies but higher than those from developed countries, suggesting that the. Government and the whole society should be aware of the problem on lead poisoning among children during their childhood.
观察中国城市0-6岁儿童血铅水平及相关危险因素,为预防环境铅污染政策的制定提供依据。
采用分层整群随机抽样方法,对中国15个城市的17141例0-6岁儿童的外周血进行检测。采用钨原子吸收分光光度计测定血铅水平。同时采用标准化问卷对相关因素进行调查。通过多元回归方法分析影响血铅水平的相关危险因素。
中国15个城市0-6岁儿童血铅水平均值为59.52μg/L,其中血铅水平≥100μg/L的儿童占10.45%,≥200μg/L的儿童占0.62%。0-6岁儿童血铅水平有随年龄增长而升高的趋势,且男孩(59.50μg/L)高于女孩(54.95μg/L)。影响儿童血铅水平的危险因素包括住房类型、父母文化程度、社会地位及爱好、儿童行为习惯、饮食习惯及营养状况等。
中国儿童血铅水平低于以往全国性研究数据,但高于发达国家,提示政府及全社会应关注儿童期铅中毒问题。