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Determining Childhood Blood Lead Level Screening Compliance Among Physicians

Amanda Haboush-Deloye1, Erika R Marquez2, Shawn L Gerstenberger3

  • 1Nevada Institute for Children's Research and Policy, University of Nevada, Las Vegas, 4505 Maryland, Parkway, Box 453064, Las Vegas, NV, 89154-3030, USA. amanda.haboush@unlv.edu.

Journal of Community Health
|February 18, 2017
PubMed

Insights

Physician non-compliance with lead screening guidelines and low parental adherence to blood lead level (BLL) testing orders hinder childhood lead poisoning prevention. Addressing these barriers is crucial for increasing testing rates in children.

Area of Science:

  • Environmental Health
  • Pediatrics
  • Public Health Policy

Background:

  • Childhood lead poisoning remains a significant public health concern despite prevention programs.
  • Existing programs have improved screening rates, yet gaps persist, particularly for children under six.
  • Identifying barriers to blood lead level (BLL) testing is essential for effective prevention strategies.

Purpose of the Study:

  • To identify barriers to childhood blood lead level (BLL) testing.
  • To develop strategies for increasing BLL testing rates in children.
  • To assess physician adherence to CDC guidelines and parental compliance with BLL testing orders.

Main Methods:

  • A survey of Clark County physicians regarding BLL testing practices and adherence to CDC guidelines.
  • In-person interviews with physicians reporting high parental compliance to identify best practices.
  • Analysis of physician-reported data on testing adherence and parental compliance.

Main Results:

  • 48% of surveyed physicians did not follow CDC guidelines for BLL testing.
  • 60% of physicians reported over 80% parental compliance with recommended BLL testing.
  • Key barriers identified include cost, lack of insurance, absence of symptoms, and inadequate parental adherence.

Conclusions:

  • Physician non-compliance with screening recommendations and inadequate parental adherence to testing orders are primary barriers to childhood lead screening.
  • Addressing these barriers is critical to increasing testing rates and reducing the risk of childhood lead poisoning.
  • Strategies targeting physician practice and parental engagement are needed to improve BLL testing coverage.

Keywords:
Childhood lead poisoningHealth care providersPhysician

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