Housing hazards contribute to considerable morbidity and mortality among millions of children each year in the US, but few interventions are proven to control asthma and lead poisoning. Moreover, there is little evidence that many of the current recommendations to control residential hazards are safe and efficacious. The only interventions that have been found to work consistently are home visitation programs and home modification, such as installment of window guards and carpet removal. Altering the environment to protect the health of children requires pediatrician intervention. New models of cooperation between pediatricians and public health agencies must deal with residential hazards in an integrated manner and cannot be focused on one disease process or one method at a time. With research in more effective environmental interventions and pediatric-public-health partnerships, primary and secondary prevention of diseases from residential hazards may become a reality in the future.
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http://dx.doi.org/10.3928/0090-4481-20040701-14 | DOI Listing |
Epidemiology
January 2025
Epidemiology Branch, Division of Intramural Research and Training, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA.
Background: We evaluated air emissions of industrial compounds, many of which have carcinogenic or endocrine disrupting properties, in relation to breast cancer incidence.
Methods: Using the United States Environmental Protection Agency's Toxics Release Inventory, we quantified air emissions of 28 compounds near Sister Study participants' residences during the 10 years leading up to study enrollment (2003-2006; n=46,150). We used Cox proportional hazards regression to estimate adjusted hazard ratios (HR) and 95% confidence intervals (CI) for associations of residential emission levels of single pollutants with incident breast cancer.
J Hazard Mater
January 2025
Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China. Electronic address:
Evidence on the association of long-term exposure to fine particular matter (PM) and its chemical constituents with the prognosis of oral cancer patients is limited. We identified 1673 oral cancer patients from 2011 to 2021 in Fujian, China. We evaluated annual average concentrations of PM and constituents, including nitrate, sulfate, ammonium, black carbon (BC), and organic matter (OM), using bilinear interpolation based on the patients' residential address.
View Article and Find Full Text PDFBMC Med
January 2025
Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, 310016, China.
Background: The co-occurrence of diabetes and mental disorders is an exceedingly common comorbidity with poor prognosis. We aim to investigate the impact of green space, garden space, and the natural environment on the risk of mental disorders among the population living with diabetes.
Methods: We performed a longitudinal analysis based on 39,397 participants with diabetes from the UK Biobank.
J Public Health Manag Pract
January 2025
Author Affiliations: Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center (Mrs Manning, Dr Duan, and Dr Brokamp); and Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio (Dr Brokamp).
Context: Area-level predictive models are commonly used to screen children for blood lead levels (BLLs) greater than the Center for Disease Control and Prevention (CDC) blood lead reference value (BLRV) of 3.5 µg/dL.
Objectives: To increase screening accuracy and precision by creating a parcel-level model incorporating housing characteristics to predict parcels where children are at high risk.
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