Jiang Hui, Justice Laura M, Purtell Kelly M, Bates Randi
The Ohio State University, Columbus, OH, USA.
Clin Pediatr (Phila). 2020 Jun;59(6):557-565. doi: 10.1177/0009922820908591. Epub 2020 Feb 28.
Considerable evidence has highlighted the heightened susceptibility of developmental delay in children from low-income homes; consequently, this study explored whether environmental toxicant exposure may be a contributing factor to disruption in language and cognitive development for children reared in poverty. Using a sample of 190 low-income mothers and their young children, mothers completed questionnaires on toxicant exposure in the home environment. Exposure to toxicants, especially pesticides, was reported by about 20% of mothers at or around pregnancy, and 30% when their children were between 1 and 2 years of age. Toxicant exposure was significantly associated with lags in language and cognition even when controlling for socioeconomic factors. Study findings highlight the importance of the American Academy of Pediatrics' policy statements arguing for pediatricians to take a strong anticipatory guidance role in counseling parents to limit chemical exposure in the home and engage in safe storage practices.
大量证据表明,低收入家庭儿童发育迟缓的易感性更高;因此,本研究探讨了环境毒物暴露是否可能是贫困家庭儿童语言和认知发展受到干扰的一个促成因素。以190名低收入母亲及其幼儿为样本,母亲们填写了关于家庭环境中毒物暴露的问卷。约20%的母亲报告在怀孕时或怀孕前后接触过毒物,尤其是农药,当孩子1至2岁时,这一比例为30%。即使在控制了社会经济因素后,毒物暴露仍与语言和认知滞后显著相关。研究结果凸显了美国儿科学会政策声明的重要性,该声明主张儿科医生在指导家长限制家庭化学物质暴露并采取安全储存措施方面发挥强有力的前瞻性指导作用。