Results. The geometric mean blood lead concentration for children in the
study sample was 1.9 ug/dL; 172 (2. 1 %) had blood lead concentrations >= 10.0
ug/dL. After adjustment for gender, race/ethnicity, poverty, region of the
country, parent or caregiver's educational level, parent or caregiver's marital
status parent, serum ferritin level, and serum cotinine level, the data showed
an inverse relationship between blood lead concentration and scores on
four measures of cognitive functioning. For every ug/dL increase in blood
lead concentration, there was a 0.7-point decrement in mean arithmetic
scores, an approximately 1-point decrement in mean reading scores, a 0.1 -
point decrement in mean scores on a measure of nonverbal reasoning, and a
0.5-point decrement in mean scores on a measure of short-term memory.
An inverse relationship between blood lead concentration and arithmetic
and reading scores was observed for children with blood lead concentrations
lower than 5.0 ug/dL.
Conclusion. Deficits in cognitive and academic skills associated with lead
exposure occur at blood lead concentrations lower than 5 ug/dl.
|