Inadequate Prenatal Care and Elevated Blood Lead Levels among Children Born in Providence, Rhode Island: A Population-Based Study

Greene, Anna; Morello‐Frosch, Rachel; Shenassa, Edmond D.

doi:10.1177/003335490612100613

Cited by 3 publications

(3 citation statements)

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“…Later, biomonitoring studies by the Centers for Disease Control (CDC) during 1976–1980 documented significant declines in blood lead levels corresponding to the decline of lead in gasoline [ 7 ]. Population-based biomonitoring of blood lead levels in children was adopted to track the effectiveness of poisoning prevention strategies and to detect cases where exposures from homes contaminated with lead paint need to be remediated [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Toxic ignorance and right-to-know in biomonitoring results communication: a survey of scientists and study participants

et al. 2009

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BackgroundExposure assessment has shifted from pollutant monitoring in air, soil, and water toward personal exposure measurements and biomonitoring. This trend along with the paucity of health effect data for many of the pollutants studied raise ethical and scientific challenges for reporting results to study participants.MethodsWe interviewed 26 individuals involved in biomonitoring studies, including academic scientists, scientists from environmental advocacy organizations, IRB officials, and study participants; observed meetings where stakeholders discussed these issues; and reviewed the relevant literature to assess emerging ethical, scientific, and policy debates about personal exposure assessment and biomonitoring, including public demand for information on the human health effects of chemical body burdens.ResultsWe identify three frameworks for report-back in personal exposure studies: clinical ethics; community-based participatory research; and citizen science 'data judo.' The first approach emphasizes reporting results only when the health significance of exposures is known, while the latter two represent new communication strategies where study participants play a role in interpreting, disseminating, and leveraging results to promote community health. We identify five critical areas to consider in planning future biomonitoring studies.ConclusionPublic deliberation about communication in personal exposure assessment research suggests that new forms of community-based research ethics and participatory scientific practice are emerging.

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Section: Introductionmentioning

confidence: 99%

Toxic ignorance and right-to-know in biomonitoring results communication: a survey of scientists and study participants

et al. 2009

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“…Hence, HBM is rapidly becoming a key means of providing a scientific basis for prevention via exposure reduction and motivating action. For example, in the past, HBM was used to investigate lead levels in children living in contaminated homes to measure their exposure and monitor prevention strategies [36]. In Europe and California, biomonitoring data from breast milk were used to encourage the phase-out of certain polybrominated diphenyl ethers (PBDEs), which are flame retardants used in electronic equipment, furniture, and other products [37].…”

Section: The Role Of Human Biomonitoring In Chemical Trespassmentioning

confidence: 99%

Health and Psychological Concerns of Communities Affected by Per- and Poly-Fluoroalkyl Substances: The Case of Residents Living in the Orange Area of the Veneto Region

Menegatto,

Zamperini

2023

IJERPH

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Residents of an extensive area of the Veneto Region (Italy) face one of the largest technological disasters due to per- and polyfluoroalkyl substances (PFAS). On the basis of a risk gradient of contamination, the affected territories were divided into 4 areas: Red (of maximum exposure, where a human biomonitoring programme (HBM) was activated), Orange, Yellow, and Green. This article presents a case study of residents who live in the Orange Area, the second area in terms of contamination, excluded from the HBM. Semi-structured interviews were conducted with 17 residents engaged in promoting a legal procedure to exercise their right to know. Grounded theory and a thematic analysis method were used. Overall, the findings revealed that experiencing contamination causes a negative psychosocial impact on the residents’ lives; difficulty accessing information; living with uncertainty, caused by the lack of institutional and health support and medical consultation; a sense of abandonment; difficulty managing preventive and protective actions; and the deterioration of relationships, on the basis of the social comparison with residents of the Red Area, to whom HBM was granted and where the concept of health ostracism has emerged. This study demonstrated that biomonitoring may help reduce discomfort in the case of contamination by informing people of their chemical exposure.

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“…Rates of inadequate prenatal care are particularly high among African-American women, 23.5% of whom receive no prenatal care at all during the first trimester of pregnancy, as compared to 11.1% of white women (Martin et al, 2006). Inadequate prenatal care is associated with a variety of adverse foetal outcomes including prematurity, low birthweight, elevated blood lead levels, and infant mortality (Greene, Morello-Frosch, & Shenassa, 2006; Lewis, Mathews, & Heuser, 1996; Murray & Bernfield, 1988; Scholl, Hediger, & Belsky, 1994). In addition, the greater likelihood of inadequate care among African-American women contributes to the comparatively high infant mortality rates in this group (Hessol & Fuentes-Afflick, 2005).…”

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confidence: 99%

The relationship between prenatal care, personal alcohol abuse and alcohol abuse in the home environment

Grekin

Ondersma

2009

Drugs: Education, Prevention and Policy

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Aims Nearly one-fourth of African-American women receive no prenatal care during the first trimester of pregnancy. The aim of the current study is to identify factors that underlie inadequate prenatal care among African-American women. Maternal alcohol abuse has been examined as one risk factor for inadequate prenatal care, but findings have been inconsistent, perhaps because (a) alcohol use during pregnancy is substantially under-reported and (b) studies have not considered the wider social network in which maternal alcohol use takes place. The current study attempts to clarify relationships between personal alcohol use, alcohol use in the home environment, and prenatal care in a sample of post-partum women. Methods Participants were 107 low-income, primarily African-American women. All participants completed a computer-based screening which assessed personal and environmental alcohol use, prenatal care and mental health. Findings Environmental alcohol use was related to delayed prenatal care while personal alcohol use was not. More specifically, after controlling for demographic variables, the presence of more than three person-episodes of binge drinking in a woman’s home environment increased the odds of seriously compromized prenatal care by a factor of seven. Conclusions Findings suggest the need to further assess environmental alcohol use and to examine the reliability of personal alcohol use measures.

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Inadequate Prenatal Care and Elevated Blood Lead Levels among Children Born in Providence, Rhode Island: A Population-Based Study

Abstract: Results suggest that conducting lead screening as a regular part of prenatal care provision could help identify women possibly experiencing ongoing lead exposure and help reduce or prevent exposures to their offspring.

Cited by 3 publications

References 36 publications

Toxic ignorance and right-to-know in biomonitoring results communication: a survey of scientists and study participants

Toxic ignorance and right-to-know in biomonitoring results communication: a survey of scientists and study participants

Health and Psychological Concerns of Communities Affected by Per- and Poly-Fluoroalkyl Substances: The Case of Residents Living in the Orange Area of the Veneto Region

The relationship between prenatal care, personal alcohol abuse and alcohol abuse in the home environment

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