Reducing Lead Exposure Risk to Vulnerable Populations
A Proactive Geographic Solution
Bibliographic Data
| ID | 3775754 |
|---|---|
| Authors | Laura Schuch (Kent State University), Andrew Curtis (0000-0001-6046-6476, Kent State University), Joel Davidson (0009-0005-7915-2879, Akron Children's Hospital) |
| Year | 2017 |
| Volume | 107 |
| Issue | 3 |
| Pages | 606-624 |
| Publication date | 2017-05-04 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Annals of the American Association of Geographers (JOURNAL) |
| Journal identifiers | ISSN: 2469-4452 • E-ISSN: 2469-4460 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/24694452.2016.1261689 |
| OpenAlex | W2588402475 |
| Language | EN |
| Citations received | 4 |
| References cited | 65 |
Recent headlines highlight disparities in childhood lead poisoning in urban areas yet discourse does not address the lack of primary prevention options. Previous geographic information systems (GIS) approaches, concentrated on census tracts or ZIP codes, miss contextual understanding of lead exposure and make intervention impractical. Through the combination of electronic medical record (EMR) data from an urban children's hospital and spatial video geonarrative (SVG), we show how blood lead level researchers, clinicians, and public health planners can become more proactive in prediction and intervention strategies through the development of an environmental lead index (ELI). Kernel density estimation (KDE) clusters of geocoded locations of children with elevated blood lead (EBL), from 2012 to 2014, were identified using GIS. Analyses identify an increased relative risk for African American and Asian patients compared to white patients and Nepali and non-English-speaking patients compared to English-speaking patients. Fine-scale analyses of EBL clusters reveal nuances of exposure and environmental characteristics that are not identifiable at an aggregate level. Initial testing of the ELI was conducted using identified locations of EBL and non-EBL test results. The mean ELI score was higher among EBL parcels, and comparison proportions of ELI variables between EBL and non-EBL parcels found a statistically significant increase in four variables. Preliminary results support the use of the ELI as a predictive tool; further validation is needed. The technology and the method are translatable to other environments and health conditions
Biology · Business · Economics · Environmental health · Environmental planning · Environmental resource management · Geography · Natural resource economics · Environmental and Social Impact Assessments · Environmental Justice and Health Disparities · Environmental Science · Heavy Metal Exposure and Toxicity · Medicine
Inaction on Lead Despite the Relevant Knowledge
Neighborhood Poverty in Combination with Older Housing Is Associated with Adverse Birth Outcomes
A Parcel Level Housing Conditions Survey in Academic and Civil Context
Exploring Environmental Injustice in Exposure to Airborne Lead Released from Industrial Facilities in Kentucky, United States
Lead Poisoning
Developmental neurotoxicity of industrial chemicals
Intellectual Impairment in Children with Blood Lead Concentrations below 10 μg per Deciliter
The Long-Term Effects of Exposure to Low Doses of Lead in Childhood
Environment, Health, and Human Capital
The Important Health Impact of Where a Child Lives
Inequitable Chronic Lead Exposure
The political ecology of lead poisoning in eastern North Carolina
Environmental Inequality
Choosing area based socioeconomic measures to monitor social inequalities in low birth weight and childhood lead poisoning
Lead concentrations in inner-city soils as a factor in the child lead problem
Racial differences in Urban children's environmental exposures to lead
Elevated Blood Lead Levels in Children Associated With the Flint Drinking Water Crisis
Exploring the unequal landscapes of healthcare accessibility in lower-income urban neighborhoods through qualitative inquiry
The Uncertain Geographic Context Problem
A Tale of Two Swaths
Geo-Narrative
New Kid in Town
Context and Spatial Nuance Inside a Neighborhood's Drug Hotspot
| Unique citing works | 4 |
|---|---|
| Citations per year | 0,67 |
| Citation span | 2020 - 2024 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |