Predictors of elevated blood lead level in Thai children: a pilot study using risk assessment questionnaire.

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dc.contributor.authorChomchai, Chulathidaen_US
dc.contributor.authorPadungtod, Chantanaen_US
dc.contributor.authorChomchai, Summonen_US
dc.date.accessioned2009-05-27T21:34:26Z
dc.date.available2009-05-27T21:34:26Z
dc.date.issued2005-11-22en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractINTRODUCTION: In the era post leaded-gasoline use, the risk of exposure to environmental lead in Thai children is not well described. This is a pilot study using a risk assessment questionnaire to identify children with elevated blood lead level. MATERIAL AND METHOD: Children from 4 communities, 2 in the Bangkok metropolitan area and 2 in Kanchanaburi province, were recruited during their well child visits. Blood lead levels were obtained in all children and parents are asked to fill out a 25-item risk assessment questionnaire. STATISTICAL ANALYSIS: The relationship between the blood lead level and dependent variables were tested using linear regression and one-way analysis of variance (ANOVA) as appropriate. RESULTS: There were 296 children included in the study; 33 from Klong Toey and 114 from Siriraj community in Bangkok while 149 were from two different communities in Kanchanaburi province. The average blood lead level was 5.65 +/- 3.05 mcg/dL. The overall prevalence of children with blood lead level > 10 mcg/dL was 8.1%, while that of the Klong Toey community was 12.5%. The questionnaire identified 3 independent predictors of elevated blood lead levels; the presence of peeling paint in or outside the house, eating paints chips, and the geographic location of children. CONCLUSION: Using a risk assessment questionnaire, together with obtaining blood lead level has proven effective in identifying key environmental features associated with elevated blood lead level in children from sampled Thai communities. The challenge now is to conduct a larger epidemiological study of a similar type in order to guide the screening and preventive efforts.en_US
dc.description.affiliationDivision of Ambulatory Pediatrics and Pediatric Toxicology, Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand. sicgt@mahidol.ac.then_US
dc.identifier.citationChomchai C, Padungtod C, Chomchai S. Predictors of elevated blood lead level in Thai children: a pilot study using risk assessment questionnaire. Journal of the Medical Association of Thailand. 2005 Nov; 88 Suppl 8(): S53-9en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/45026
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAnalysis of Varianceen_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshEnvironmental Healthen_US
dc.subject.meshFemaleen_US
dc.subject.meshHousingen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshLead --blooden_US
dc.subject.meshLinear Modelsen_US
dc.subject.meshMaleen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshThailanden_US
dc.titlePredictors of elevated blood lead level in Thai children: a pilot study using risk assessment questionnaire.en_US
dc.typeJournal Articleen_US
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