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An Education Initiative Concerning Lead in an Arkansas Community: Results from Pre- and Post-Surveys

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Abstract

The Arkansas People Participating in Lead Education (APPLE) Program is a collaborative effort between six Arkansas state, national and community organizations to provide lead awareness, training, and municipal legislation to needy communities in Arkansas. Under this program, APPLE organized and hosted well-designed, hands-on, and effective “call to action” lead awareness workshops for parents and community members in 10 needy communities over a 2 year period. Pre- and post-surveys were given to community members to access knowledge, attitudes and effectiveness of lead workshop activities, with demographic and another 13 and 11 questions on pre- and post-surveys, respectively. There were 709 adult attendees across the 10 workshop (Many children also attended.), with 460 completing pre-surveys, and 199 completed post-survey. Post-surveys were limited to four cities. The majority of those who completed surveys were African-American, reported as 78% on pre-surveys, with the majority also being parents (61%) and females. Although, 71% reported knowing that lead paint was bad for their health, more than 60% reported knowing little about lead exposure, and another 25% did not know the age of their residence. On the post-surveys, the majority of respondents found the workshop to be pleasant and informative (98%), while 45% had changed something in their lives to prevent lead exposure for a child and another 53% planned to make a change to prevent lead exposure for a child.

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References

  1. Center for Disease Control and Prevention. (2000). Blood Lead Levels in Young Children—United States and Selected States, 1996–1999. MMWR Weekly, 49(50), 1133–1137.

    Google Scholar 

  2. Ferguson, A., Kern, D., & Bursac, Z. (2010). Arkansas People Participating in Lead Education (APPLE): Results of a lead-safe training program. Journal of Community Health, 36, 367–374.

    Article  Google Scholar 

  3. Ferguson, A., & Kern, D. (2008). Lead outreach needs for the State of Arkansas. Journal of the Arkansas Medical Society, 105, 137–141.

    PubMed  Google Scholar 

  4. Ferguson, A., & Gilkey, B. (2010). Lead safety for children. Parenting in Arkansas, a Publication of Arkansas Children’s Hospital, 22, 12.

    Google Scholar 

  5. Ferguson, A. (2010). New EPA lead paint rule requires certification. City and Town, 66, 5.

    Google Scholar 

  6. Landrigan, P. J., Schechter, C. B., Lipton, J. M., Fahs, M. C., & Schwartz, J. (2002). Environmental pollutants and disease in american children: estimates of morbidity, mortality, and costs for lead poisoning, asthma, cancer, and developmental disabilities. Environmental Health Perspectives, 110, 721–728.

    Article  PubMed  Google Scholar 

  7. Heneman, K., & Zidenberg-Cherr, S. (2006). Is lead toxicity still a risk to U.S. children. California Agriculture, 60(4), 180–184.

    Article  Google Scholar 

  8. Akland, G. G., Pellizzari, E. D., Hu, Y., Roberds, M., Rohrer, C. A., Leckie, J. O., et al. (2000). Factors influencing total dietary exposures of young children. Journal of Exposure Analysis and Environmental Epidemiology, 10, 710–722.

    Article  PubMed  CAS  Google Scholar 

  9. Jordan, C. M., Yust, B. L., Robison, L. L., Hannan, P., & Deinard, A. S. (2003). A randomized trial of education to prevent lead burden in children at high risk for lead exposure: efficacy as measured by blood lead monitoring. Environmental Health Perspectives, 111(16), 1947–1951.

    Article  PubMed  CAS  Google Scholar 

  10. EPA. Residential Lead Hazard Standards—TSCA Section 403. http://www.epa.gov/lead/pubs/leadhaz.htm. 2001. Last Update: 11-08-2010, Last Accessed: 08-23-2011.

  11. Freeman, N. C. G. (2007). Children’s Risk Assessment. In M. Robson & W. Toscano (Eds.), Risk assessment for environmental health (pp. 315–344). San Francisco: Wiley.

    Google Scholar 

  12. Braun, J. M., Kahn, R. S., Froehlich, T., Auinger, P., & Lanphear, B. P. (2006). Exposures to environmental toxicants and attention deficit hyperactivity disorder in U.S. children. Environmental Health Perspectives, 114, 1904–1909.

    PubMed  Google Scholar 

  13. Gilbert, S. G., & Weiss, B. (2006). A rationale for lowering the blood lead action level from 10 to 2 ug/dL. Journal of Neurotoxicology, 27(5), 693–701.

    Article  CAS  Google Scholar 

  14. US Congress. 1992. Residential Lead-Based Paint Hazard Reduction Act of 1992–Title X. Rep. Public Law 102-550, http://www.fsa.usda.gov/Internet/FSA_File/lbpactof1992.pdf, Last Update: NA, Last Acessed: 08-23-2011.

  15. Margai, F., & Henry, N. (2003). A community-based assessment of learning disabilities using environmental and contextual risk factors. Social Science and Medicine, 56, 1073–1085.

    Article  PubMed  Google Scholar 

  16. Bruening, K. (1998). Dietary calcium intakes of urban children at risk of lead poisoning. Environmental Health Perspective, 107, 431–435.

    Article  Google Scholar 

  17. Gallicchio, L., Scherer, R. W., & Sexton, M. (2002). Influence of nutrient intake on blood lead levels of young children at risk for lead poisoning. Environmental Health Perspective, 110, A767–A772.

    Article  CAS  Google Scholar 

  18. Yiin, L., Lu, S., Sannoh, S., Lim, B., & Rhoads, G. (2004). Evaluation of cleaning methods applied in home environments after renovation and remodeling activities. Environmental Research, 96, 156–162.

    Article  PubMed  CAS  Google Scholar 

  19. Jordan, C. M., Yust, B. L., Robison, L. L., Hannan, P., & Deinard, A. S. (2003). A randomized trial of education to prevent lead burden in children at high risk for lead exposure: Efficacy as measured by blood lead monitoring. Environmental Health Perspectives, 111(16), 1947–1951.

    Article  PubMed  CAS  Google Scholar 

  20. Schlenker, T. L., Baxmann, R., McAvoy, P., Bartkowski, J., & Murphy, A. (2001). Primary prevention of childhood lead poisoning through community outreach. Wisconsin Medical Journal, 100(8), 48–54.

    PubMed  CAS  Google Scholar 

  21. Brown, M. J., McLaine, P., Dixon, S., & Simon, P. (2006). A randomized, community-based trial of home visiting to reduce blood lead levels in children. Pediatrics, 117(1), 147–153.

    Article  PubMed  Google Scholar 

  22. Hilts, S. R., Bock, S. E., Oke, T. L., Yates, C. L., & Copes, R. A. (1998). Effect of interventions on children’s blood lead levels. Environmental Health Perspectives, 106, 79–83.

    Article  PubMed  CAS  Google Scholar 

  23. United Health Foundation. 2010 America’s Health Rankings for 2010. www.unitedhealthfoundation.org. Last Update: NA, Last Accessed: 08-23-2011.

  24. Mailman School of Public Health, Columbia University. (2010). National Center for Children in Poverty (Arkansas: Demographics of Young Poor Children). http://www.nccp.org/. Last Update: NA, Last Accessed: 08-23-2011.

  25. Arkansas Department of Education. (2010). State-Wide Enrollment by School. arkansased.org/about/schools.html. Last Update: NA, Last Accessed: 8-4-2011.

  26. Arkansas IDEA Data and Research Office, Arkansas Department of Education. (2011). Special education district profile. http://arksped.k12.ar.us/documents/data_n_research/lea%20profiles%202010-11.pdf. Last Update: NA, Last Accessed: 8-4-2011.

  27. Blackwood, R. (1975). Childhood lead poisoning. The Journal of the Arkansas Medical Society, 71(12), 410–411.

    Google Scholar 

  28. Center for Disease Control and Prevention. CDC Surveillance Data, 1997–2005. http://www.cdc.gov/nceh/lead/surv/stats.htm. 2007. 3-20-0007.

  29. West, R. (1999). Childhood blood lead screening in Arkansas: Recommendations for health care providers. The Journal of the Arkansas Medical Society, 95, 532–537.

    PubMed  CAS  Google Scholar 

  30. Endres, J., Montgomery, J., & Welch, P. (2002). Lead poison prevention: a comparative review of brochures. Journal of Environmental Health, 64, 20–26.

    PubMed  Google Scholar 

  31. Environmental Protection Agency. (2003). Protect your children from lead in the home. http://www.epa.gov/opptintr/lead/pubs/leadpdfe.pdf . Last Update: NA, Last Accessed: 8-4-2011.

  32. Centers for Disease Control and Prevention. (2005). Preventing lead poisoning in young children. 2008. http://www.cdc.gov/nceh/lead/publications/prevleadpoisoning.pdf . Last Update: NA, Last Accessed: 8-4-2011.

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Correspondence to Alesia Ferguson.

Appendices

Appendix 1: APPLE Education Workshop Pre-Survey

 

Appendix 2: APPLE Education Workshop Post-Survey

 

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Ferguson, A., Gilkey, B., Kern, D. et al. An Education Initiative Concerning Lead in an Arkansas Community: Results from Pre- and Post-Surveys. J Community Health 37, 599–609 (2012). https://doi.org/10.1007/s10900-011-9490-3

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