Mesh : Humans Lead Poisoning / prevention & control Community-Based Participatory Research Community-Institutional Relations Lead Universities / organization & administration Environmental Exposure / prevention & control adverse effects Child

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Abstract:
BACKGROUND: Soil constitutes a major source of childhood lead exposure, disproportionately affecting communities of color. Mulching offers a low-cost interim control.
OBJECTIVE: A community-academic partnership was established for lead poisoning prevention, with a three-fold aim: (1) control soil lead hazards by applying mulch, (2) identify home lead hazards with screening kits, and (3) connect residents to resources to address lead hazards.
METHODS: Student volunteers canvassed neighborhoods one month prior to the annual event. They requested consent for mulching, distributed lead screening kits, and screened residents for grant eligibility. Soil samples were collected from each home before mulching. According to principles of community-based participatory research, materials and plans were iterative, guided and adjusted by neighborhood association feedback, and detailed reports about home lead results were shared with each participating resident. Composite neighborhood data and survey results were shared with volunteers and community partners.
RESULTS: The project was evaluated in the third (41 homes) and fourth (48 homes) years of implementation. Before mulching, the median soil lead level was over 400 ppm, and after mulching, it was less than 20 ppm. Lead screening kits identified widespread lead hazards in paint, soil, and dust, but not water. Challenges remain in (a) increasing child blood lead testing and (b) increasing submissions for city grant funding for lead abatement. Evaluation surveys indicate a sense of ownership in the project among community partners and high levels of engagement among students.
CONCLUSIONS: Community-academic partnerships are an effective tool for lead poisoning prevention, generating evidence for public health action.
摘要:
背景:土壤是儿童铅暴露的主要来源,不成比例地影响颜色社区。覆盖提供了低成本的临时控制。
目的:建立了预防铅中毒的社区-学术伙伴关系,有三个目的:(1)通过施用覆盖物控制土壤铅危害,(2)使用筛查试剂盒识别家庭铅危害,(3)将居民与资源联系起来,以解决铅危害。
方法:学生志愿者在年度活动前一个月对社区进行调查。他们要求同意覆盖,分布式铅筛查试剂盒,并筛选居民的补助资格。在覆盖之前从每个家庭收集土壤样品。根据社区参与式研究的原则,材料和计划是迭代的,由邻域协会反馈指导和调整,与每位参与居民分享了有关家庭铅结果的详细报告。与志愿者和社区合作伙伴共享综合社区数据和调查结果。
结果:该项目在实施的第三(41个家庭)和第四(48个家庭)年中进行了评估。在覆盖之前,土壤铅含量中位数超过400ppm,覆盖之后,它小于20ppm。铅筛选套件确定了油漆中广泛存在的铅危害,土壤,和灰尘,但不是水。在(a)增加儿童血铅检测和(b)增加为减少铅的城市补助金提供资金方面仍然存在挑战。评估调查表明,社区合作伙伴对项目有主人翁感,学生参与程度高。
结论:社区-学术伙伴关系是预防铅中毒的有效工具,为公共卫生行动提供证据。
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