Pediatric Blood Lead Levels in Public vs Private New York Housing

MedicalResearch.com Interview with:

Lead paint can crack and form flakes, which can contaminate the surrounding environment. Source: Wikipedia

Lead paint can crack and form flakes, which can contaminate the surrounding environment.
Source: Wikipedia

Ms. Jacqueline Chiofalo, MPA
Director of Policy Research & Analysis
The Institute for Family Health
Astoria, New York 

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Exposure to lead is dangerous and has been banned from use in residential dwellings. However, residual sources of lead still exist. Few studies have examined pediatric lead poisoning between public (NYCHA) and private housing units, and no recent studies performed in New York City. Our study used retrospective chart analysis of routine child lead testing to examine the difference in blood lead levels between the two housing types.

Our data showed that children seen in our health centers who lived in New York City public housing had significantly lower mean blood lead levels and fewer children were found with levels over the CDC reference range of 5 μg/dL compared to children who lived in private housing.  Continue reading

Despair Rising in Young Middle Aged Adults, Regardless of Ethnicity or Education

MedicalResearch.com Interview with:

Lauren Gaydosh, PhDAssistant ProfessorCenter for Medicine, Health, and SocietyPublic Policy StudiesVanderbilt University 

Dr. Gaydosh

Lauren Gaydosh, PhD
Assistant Professor
Center for Medicine, Health, and Society
Public Policy Studies
Vanderbilt University 

MedicalResearch.com: What is the background for this study?  

Response: Several years ago, life expectancy at birth in the United States declined, and this decline has continued every year since. Part of the cause underlying this decline is that midlife mortality – deaths among those 45-54 – has been rising. This increase in midlife mortality has been attributed by some to the “deaths of despair” – a cluster of causes of death including suicide, drug overdose, and alcohol-related disease – and has been most pronounced among middle-aged white adults with a HS degree or less.

In our research, we wanted to better understand the indicators of despair that would be predictive of these causes of death. Things like depression, substance use, and suicidal ideation. And study them in individuals before the period of elevated risk of death – in other words, before they reached middle age. Our goal was to evaluate whether these markers of despair were rising for a younger cohort, and whether this pattern was isolated to white adults with low education.

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Amphetamine Use Even Higher than Opioids Among Rural Pregnant Women

MedicalResearch.com Interview with:

Lindsay Admon, MD MSc Assistant Professor, Department of Obstetrics & Gynecology Institute for Healthcare Policy and Innovation  University of Michigan

Dr. Admon

Lindsay Admon, MD MSc
Assistant Professor, Department of Obstetrics & Gynecology
Institute for Healthcare Policy and Innovation
University of Michigan

MedicalResearch.com: What is the background for this study? What are the main findings?

In our previous work (https://journals.lww.com/greenjournal/Fulltext/2017/12000/Disparities_in_Chronic_Conditions_Among_Women.19.aspx), we identified higher rates of deliveries complicated by substance use among rural women. We knew that some of this difference would be accounted for by opioids.What we didn’t expect was that when we took a closer look, amphetamine use disorder accounted for a significant portion of this disparity as well.

The main findings of this study are that, between 2008-09 and 2014-15, amphetamine and opioid use among delivering women increased disproportionately across rural compared to urban counties in three of four census regions. By 2014-15, amphetamine use disorder was identified among approximately 1% of all deliveries in the rural western United States, which was higher than the incidence of opioid use in most regions.

Compared to opioid-related deliveries, amphetamine-related deliveries were associated with higher incidence of the majority of adverse gestational outcomes that we examined including pre-eclampsia, preterm delivery, and severe maternal morbidity and mortality.   Continue reading