Lee Jangho, Hu Michael
Department of Earth and Environmental Sciences, University of Illinois Chicago, Chicago, IL 60607, USA.
PGY3 Internal Medicine-Pediatrics, School of Medicine, University of Illinois Chicago, Chicago, IL 60607, USA.
Int J Environ Res Public Health. 2024 Mar 22;21(4):383. doi: 10.3390/ijerph21040383.
This study analyzes the prevalence of elevated blood lead levels (BLLs) in children across Chicagoland zip codes from 2019 to 2021, linking them to socioeconomic, environmental, and racial factors. Wilcoxon tests and generalized additive model (GAM) regressions identified economic hardship, reflected in per capita income and unemployment rates, as a significant contributor to increased lead poisoning (LP) rates. Additionally, LP rates correlate with the average age of buildings, particularly post the 1978 lead paint ban, illustrating policy impacts on health outcomes. The study further explores the novel area of land surface temperature (LST) effects on LP, finding that higher nighttime LST, indicative of urban heat island effects, correlates with increased LP. This finding gains additional significance in the context of anthropogenic climate change. When these factors are combined with the ongoing expansion of urban territories, a significant risk exists of escalating LP rates on a global scale. Racial disparity analysis revealed that Black and Hispanic/Latino populations face higher LP rates, primarily due to unemployment and older housing. The study underscores the necessity for targeted public health strategies to address these disparities, emphasizing the need for interventions that cater to the unique challenges of these at-risk communities.
本研究分析了2019年至2021年芝加哥地区邮政编码区域内儿童血铅水平(BLL)升高的患病率,并将其与社会经济、环境和种族因素联系起来。威尔科克森检验和广义相加模型(GAM)回归确定,人均收入和失业率所反映的经济困难是导致铅中毒(LP)率上升的一个重要因素。此外,LP率与建筑物的平均使用年限相关,特别是在1978年禁止使用含铅涂料之后,这说明了政策对健康结果的影响。该研究进一步探讨了地表温度(LST)对LP影响这一全新领域,发现夜间较高的LST(表明存在城市热岛效应)与LP增加相关。在人为气候变化的背景下,这一发现具有更大的意义。当这些因素与城市区域的持续扩张相结合时,全球范围内LP率上升的风险很大。种族差异分析表明,黑人和西班牙裔/拉丁裔人群面临较高的LP率,主要原因是失业和住房老旧。该研究强调了制定有针对性的公共卫生策略以解决这些差异的必要性,强调需要采取干预措施来应对这些高危社区所面临的独特挑战。