Résumé :
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[BDSP. Notice produite par INIST-CNRS iPsJFR0x. Diffusion soumise à autorisation]. Objective. This study was designed to assess demographic and socioeconomic differences in blood lead levels (BLLs) among Mexican-American children and adolescents in the United States. Methods. We analyzed data from the Third National Health and Nutrition Examination Survey, 1988-1994, for 3,325 Mexican-American youth aged 1 to 17 years. The main study outcome measures included a continuous measure (mug/dL) of BLL and two dichotomous measures of BLL (>=5 mug/dL and>=10 mug/dL). Results. The mean BLL among Mexican-American children in the United States was 3.45 mug/dL (95% confidence interval [Cl] 3.07,3.87) ; 20% had BLL>=5 pg/dL (95% Cl 15%, 24%) ; and 4% had BLL>=10 mug/dL (95% Cl 2%, 6%). In multivariate analyses, gender, age, generational status, home language, family income, education of head of household, age of housing, and source of drinking water were statistically significant independent predictors (p<0.05) of having higher BLLs and of having BLL>=5 mug/dL, whereas age, family income, housing age, and source of drinking water were significant predictors (p<0.05) of having BLL>=10 mug/dL. Conclusions. Significant differences in the risk of having elevated BLLs exist among Mexican-American youth. Those at greatest risk should be prioritized for lead screening and lead exposure abatement interventions.
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