Tags

Type your tag names separated by a space and hit enter

WIC Participation and Blood Lead Levels among Children 1-5 Years: 2007-2014.
Environ Health Perspect. 2018 06; 126(6):067011.EH

Abstract

BACKGROUND

The CDC recommends a targeted strategy for childhood blood lead screening based on participation in federal programs, such as Medicaid and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Yet, there is scarcity of data on blood lead levels (BLLs) among WIC participants.

OBJECTIVE

Our objective was to investigate whether children participating in WIC and not enrolled in Medicaid, who have not been targeted in the historical Medicaid-focused screening strategy, have higher BLLs than children in neither of these programs.

METHODS

The analysis included 3,180 children 1-5 y of age in the National Health and Nutrition Examination Surveys conducted in 2007-2014. Log-binomial regression, which allows direct estimation of prevalence ratios, was used to examine associations between WIC participation (in conjunction with Medicaid enrollment) and having BLLs ≥5 μg/dL with adjustment for age (1-2 vs. 3-5 y).

RESULTS

The percentage of children participating in "WIC only," "Medicaid only," "both WIC and Medicaid," and "neither" were 18.9%, 10.8%, 25.4%, and 44.9%, respectively. "WIC only," "Medicaid only," and "both WIC and Medicaid" children were more likely to have BLLs ≥5 μg/dL than children who were not enrolled in either program, with adjusted prevalence ratios of 3.29 [95% confidence interval (CI): 1.19, 9.09], 4.56 (95% CI: 2.18, 9.55), and 2.58 (95% CI: 1.18, 5.63).

CONCLUSIONS

Children participating in WIC but not Medicaid were more likely to have BLLs ≥5 μg/dL than children who were not enrolled in either program. These findings may inform public health recommendations and clinical practice guidelines. https://doi.org/10.1289/EHP2384

Authors+Show Affiliations

Division of Health and Nutrition Examination Surveys, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland.Division of Health and Nutrition Examination Surveys, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29961657

Citation

Aoki, Yutaka, and Debra J. Brody. "WIC Participation and Blood Lead Levels Among Children 1-5 Years: 2007-2014." Environmental Health Perspectives, vol. 126, no. 6, 2018, p. 067011.
Aoki Y, Brody DJ. WIC Participation and Blood Lead Levels among Children 1-5 Years: 2007-2014. Environ Health Perspect. 2018;126(6):067011.
Aoki, Y., & Brody, D. J. (2018). WIC Participation and Blood Lead Levels among Children 1-5 Years: 2007-2014. Environmental Health Perspectives, 126(6), 067011. https://doi.org/10.1289/EHP2384
Aoki Y, Brody DJ. WIC Participation and Blood Lead Levels Among Children 1-5 Years: 2007-2014. Environ Health Perspect. 2018;126(6):067011. PubMed PMID: 29961657.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - WIC Participation and Blood Lead Levels among Children 1-5 Years: 2007-2014. AU - Aoki,Yutaka, AU - Brody,Debra J, Y1 - 2018/06/29/ PY - 2017/06/22/received PY - 2018/05/30/revised PY - 2018/06/03/accepted PY - 2018/7/3/entrez PY - 2018/7/3/pubmed PY - 2019/3/19/medline SP - 067011 EP - 067011 JF - Environmental health perspectives JO - Environ Health Perspect VL - 126 IS - 6 N2 - BACKGROUND: The CDC recommends a targeted strategy for childhood blood lead screening based on participation in federal programs, such as Medicaid and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Yet, there is scarcity of data on blood lead levels (BLLs) among WIC participants. OBJECTIVE: Our objective was to investigate whether children participating in WIC and not enrolled in Medicaid, who have not been targeted in the historical Medicaid-focused screening strategy, have higher BLLs than children in neither of these programs. METHODS: The analysis included 3,180 children 1-5 y of age in the National Health and Nutrition Examination Surveys conducted in 2007-2014. Log-binomial regression, which allows direct estimation of prevalence ratios, was used to examine associations between WIC participation (in conjunction with Medicaid enrollment) and having BLLs ≥5 μg/dL with adjustment for age (1-2 vs. 3-5 y). RESULTS: The percentage of children participating in "WIC only," "Medicaid only," "both WIC and Medicaid," and "neither" were 18.9%, 10.8%, 25.4%, and 44.9%, respectively. "WIC only," "Medicaid only," and "both WIC and Medicaid" children were more likely to have BLLs ≥5 μg/dL than children who were not enrolled in either program, with adjusted prevalence ratios of 3.29 [95% confidence interval (CI): 1.19, 9.09], 4.56 (95% CI: 2.18, 9.55), and 2.58 (95% CI: 1.18, 5.63). CONCLUSIONS: Children participating in WIC but not Medicaid were more likely to have BLLs ≥5 μg/dL than children who were not enrolled in either program. These findings may inform public health recommendations and clinical practice guidelines. https://doi.org/10.1289/EHP2384 SN - 1552-9924 UR - https://www.unboundmedicine.com/medline/citation/29961657/WIC_Participation_and_Blood_Lead_Levels_among_Children_1_5_Years:_2007_2014_ L2 - https://ehp.niehs.nih.gov/doi/10.1289/EHP2384?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -