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Ronald Anguzu¹, Lisa E Rein², Sergey Tarima²

¹Division of Epidemiology and Social Sciences, Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, Wisconsin, ranguzu@mcw.edu.

WMJ : official publication of the State Medical Society of Wisconsin

|February 5, 2025

概括

儿童中毒,即使在低血水平 (BLL),显著影响密尔沃基三年级学生的学业成绩. 诸如家长教育和家庭减少等干预措施对于改善教育成果至关重要.

科学领域:

环境健康环境健康
儿科健康儿科健康
教育心理学教育心理学

背景情况:

血含量 (BLL) ≥5μg/dL的儿童中中毒率在2014年至2016年期间在密尔沃基从8.6%增加到10.4%,从8.6%增加到10.4%.
这项研究调查了密尔沃基三年级学生的暴露和学业表现之间的联系.

研究的目的:

确定血水平升高 (BLL) 与三年级儿童学业表现之间的关联.
分析暴露对标准化数学和阅读成绩的影响.

主要方法:

利用了密尔沃基公立学校,出生证明和密尔沃基市卫生部门的第三年级学生 (2010-2015年) 的数据.
学业成绩 (标准化数学/阅读成绩) 是结果,其中BLL升高 (≥5μg/dL) 是关键的独立变量.
使用混合效应线性回归,根据学年,学期,儿童和母亲的特征进行调整.

主要成果:

对18213名儿童的分析显示,最大BLL的中位数为4.0μg/dL.
与BLL<5μg/dL (P<0.001) 相比,BLL为5-9μg/dL,10-19μg/dL和≥20μg/dL的儿童的标准化数学和阅读成绩明显低于BLL<5μg/dL (P<0.001).

结论:

儿童中毒,即使在低水平,在密尔沃基普遍存在,并对三年级学业绩产生负面影响.
家长教育,童年测试和家庭削是提高儿童教育成绩的重要策略.

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