Evidence map›Paper›PMID 30996119›Full record

ArticlePediatrics2019

Blood Lead Levels Among Resettled Refugee Children in Select US States, 2010-2014.

Clelia Pezzi, Deborah Lee, Lori Kennedy, Jenny Aguirre, Melissa Titus, Rebecca Ford, Jennifer Cochran, Laura Smock, Blaine Mamo, Kailey Urban and 8 more

Abstract read
In one paragraph

Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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  14. Blood Lead Level in a Paediatric Population of South-Eastern Spain and Associated Risk Factors.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Clelia PezziImmigrant, Refugee, and Migrant Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; kpezzi@cdc.gov.
Deborah LeeImmigrant, Refugee, and Migrant Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia.
Lori KennedyColorado Department of Public Health and Environment, Denver, Colorado.
Jenny AguirreIllinois Department of Public Health, Chicago, Illinois.
Melissa TitusMarion County Public Health Department, Indianapolis, Indiana.
Rebecca FordKentucky Office for Refugees, Louisville, Kentucky.
Jennifer CochranDivision of Global Populations and Infectious Disease Prevention, Massachusetts Department of Public Health, Boston, Massachusetts.
Laura SmockDivision of Global Populations and Infectious Disease Prevention, Massachusetts Department of Public Health, Boston, Massachusetts.
Blaine MamoMinnesota Department of Health, St Paul, Minnesota.
Kailey UrbanMinnesota Department of Health, St Paul, Minnesota.
Jennifer MorilloNorth Carolina Division of Public Health, Raleigh, North Carolina.
Stephen HughesBureau of Tuberculosis Control, New York State Department of Health, Albany, New York.
Colleen PaytonDepartment of Family and Community Medicine, Sidney Kimmel Medical College,Thomas Jefferson University, Philadelphia, Pennsylvania.
Kevin ScottDepartment of Family and Community Medicine, Sidney Kimmel Medical College,Thomas Jefferson University, Philadelphia, Pennsylvania.
Jessica MontourTexas Department of State Health Services, Austin, Texas.
Jasmine MathesonRefugee Health Program, Washington State Department of Health, Shoreline, Washington; and.
Mary Jean BrownLead Poisoning Prevention Branch, Division of Emergency and Environmental Health Services, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Tarissa MitchellImmigrant, Refugee, and Migrant Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundElevated blood lead levels (EBLLs; ≥5 µg/dL) are more prevalent among refugee children resettled in the United States than the general US population and contribute to permanent health and neurodevelopmental problems. The Centers for Disease Control and Prevention recommends screening of refugee children aged 6 months to 16 years on arrival in the United States and retesting those aged 6 months to 6 years between 3- and 6-months postarrival.

methodsWe analyzed EBLL prevalence among refugee children aged 6 months to 16 years who received a domestic refugee medical examination between January 1, 2010 and September 30, 2014. We assessed EBLL prevalence by predeparture examination country and, among children rescreened 3 to 6 months after initial testing, we assessed EBLL changes during follow-up screening.

resultsTwelve sites provided data on 27 284 children representing nearly 25% of refugee children resettling during the time period of this analysis. The EBLL prevalence during initial testing was 19.3%. EBLL was associated with younger age, male sex, and overseas examination country. Among 1121 children from 5 sites with available follow-up test results, EBLL prevalence was 22.7%; higher follow-up BLLs were associated with younger age and predeparture examination country.

conclusionsEBLL decreased over the time period of our analysis in this population of refugee children. Refugee children may be exposed to lead before and after resettlement to the United States. Efforts to identify incoming refugee populations at high risk for EBLL can inform prevention efforts both domestically and overseas.

Indexed as

RefugeesAdolescentChildChild, PreschoolEnvironmental ExposureFemaleHumansInfantLeadLead PoisoningMaleUnited StatesLead

Identifiers

PMID30996119
PMCPMC6959973

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.