The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Elevated Blood Lead Levels in Children Associated With the Flint Drinking Water Crisis: A Spatial Analysis of Risk and Public Health Response
Open accessAbstract
Objectives. We analyzed differences in pediatric elevated blood lead level incidence before and after Flint, Michigan, introduced a more corrosive water source into an aging water system without adequate corrosion control. Methods. We reviewed blood lead levels for children younger than 5 years before (2013) and after (2015) water source change in Greater Flint, Michigan. We assessed the percentage of elevated blood lead levels in both time periods, and identified geographical locations through spatial analysis. Results. Incidence of elevated blood lead levels increased from 2.4% to 4.9% (P < .05) after water source change, and neighborhoods with the highest water lead levels experienced a 6.6% increase. No significant change was seen outside the city. Geospatial analysis identified disadvantaged neighborhoods as having the greatest elevated blood lead level increases and informed response prioritization during the now-declared public health emergency. Conclusions. The percentage of children with elevated blood lead levels increased after water source change, particularly in socioeconomically disadvantaged neighborhoods. Water is a growing source of childhood lead exposure because of aging infrastructure.
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Social Determinants of Health: Implications for Environmental Health Promotion
Schulz, A., & Northridge, M. E. (2004) · Health Education & Behavior · doi:10.1177/1090198104265598 · Cited by 599
A deprivation index for health planning in Canada
Pampalon, R., Hamel, D., Gamache, P., & Raymond, G. (2009) · Chronic Diseases in Canada · doi:10.24095/hpcdp.29.4.05 · Cited by 570
Landrigan, P. J., Schechter, C. B., Lipton, J. M., Fahs, M. C., & Schwartz, J. (2002) · Environmental Health Perspectives · doi:10.1289/ehp.02110721 · Cited by 529
Negroes in Cities, Residential Segregation and Neighborhood Change
Rose, H. M., Taeuber, K. E., & Taeuber, A. F. (1966) · Economic Geography · doi:10.2307/142013 · Cited by 338
Gould, E. (2009) · Environmental Health Perspectives · doi:10.1289/ehp.0800408 · Cited by 319
Edwards, M., Triantafyllidou, S., & Best, D. (2009) · Environmental Science & Technology · doi:10.1021/es802789w · Cited by 278
Negroes in Cities: Residential Segregation and Neighborhood Change.
Glenn, N. D., Taeuber, K. E., & Taeuber, A. F. (1966) · Social Forces · doi:10.2307/2575103 · Cited by 247
Societal Benefits of Reducing Lead Exposure
Schwartz, J. (1994) · Environmental Research · doi:10.1006/enrs.1994.1048 · Cited by 230
Fetal Death and Reduced Birth Rates Associated with Exposure to Lead-Contaminated Drinking Water
Edwards, M. (2014) · Environmental Science & Technology · doi:10.1021/es4034952 · Cited by 165
Sen, A., Heredia, N., Senut, M.-C., Land, S., Hollocher, K., Lu, X., Dereski, M. O., & Ruden, D. M. (2015) · Scientific Reports · doi:10.1038/srep14466 · Cited by 162
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Voinov, A., Jenni, K., Gray, S., Kolagani, N., Glynn, P. D., Bommel, P., Prell, C., Zellner, M., Paolisso, M., Jordan, R., et al. (2018) · Environmental Modelling & Software · doi:10.1016/j.envsoft.2018.08.028 · Cited by 428
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Liu, G., Zhang, Y., Knibbe, W.-J., Feng, C., Liu, W., Medema, G., & van der Meer, W. (2017) · Water Research · doi:10.1016/j.watres.2017.03.031 · Cited by 339
Environmental Toxin Screening Using Human-Derived 3D Bioengineered Liver and Cardiac Organoids
Forsythe, S. D., Devarasetty, M., Shupe, T., Bishop, C., Atala, A., Soker, S., & Skardal, A. (2018) · Frontiers in Public Health · doi:10.3389/fpubh.2018.00103 · Cited by 112
Metadata
- Authors
- Hanna-Attisha, M., LaChance, J., Sadler, R. C., & Champney Schnepp, A.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2016-02
- Volume
- 106
- Issue
- 2
- Pages
- 283-290
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W2213487080
- Cited by
- 1,119
- References
- 20
- FWCI
- 59.21
- Type
- journal article
- Language
- en
- Open access
- green
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- Hanna-Attisha, M., LaChance, J., Sadler, R. C., & Champney Schnepp, A. (2016). Elevated Blood Lead Levels in Children Associated With the Flint Drinking Water Crisis: A Spatial Analysis of Risk and Public Health Response. American Journal of Public Health. https://doi.org/10.2105/ajph.2015.303003
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