Aggregate-level Lead Exposure and Child Maltreatment
| Autor: | Jisuk Seon, Roger D. Lewis, Brian B. Boutwell, Jesse J. Helton, Erik J. Nelson, Richard Rosenfeld |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Child abuse
Poison control Occupational safety and health 03 medical and health sciences 0302 clinical medicine Residence Characteristics 030225 pediatrics Environmental health Injury prevention Humans Medicine 0501 psychology and cognitive sciences Child Abuse Child Applied Psychology business.industry 05 social sciences Ecological study Human factors and ergonomics Bayes Theorem Clinical Psychology Physical abuse Lead Sexual abuse Crime business 050104 developmental & child psychology |
| Zdroj: | Journal of Interpersonal Violence. 37:NP10418-NP10428 |
| ISSN: | 1552-6518 0886-2605 |
| Popis: | The purpose of this study was to examine the possible ecological association between aggregate blood lead levels (BLL) and rates of child maltreatment. To this end, we employed an ecologic study design, analyzing results from 59,645 child BLL tests between the years 1996 and 2007, and 6,640 substantiated maltreatment investigations from 2006 to 2016 in a large Midwest city. Separate Bayesian spatial Poisson conditional autoregressive (CAR) and Bayesian spatial zero-inflated Poisson CAR models were used to predict the occurrence of maltreatment. Bivariate results showed that aggregate rates of maltreatment increased as aggregate BLL increased. Multivariate results showed that medium-exposure BLL census tracts (OR = 1.38) and high-exposure BLL tracts (OR = 1.38) had increased odds of substantiated investigations for any maltreatment compared to low BLL census tracts even after controlling for crime rates, age of the housing stock, and concentrated disadvantage. Our findings, considered with prior research, continue to reveal a confluence of deleterious outcomes in areas where exposure to lead seems elevated. In this case, child maltreatment also appears to represent a macro-level correlate of aggregate lead exposure. Yet our results preclude any causal inference, and further research on the intersection of child maltreatment with environmental toxins is needed to determine if contaminant abatement should be considered as a possible maltreatment prevention strategy. |
| Databáze: | OpenAIRE |
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