A study protocol to evaluate the impact of a personal and domestic hygiene intervention on lead exposure in a community next to a mine dump.


Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
04 06 2022
Historique:
received: 12 05 2022
accepted: 16 05 2022
entrez: 6 6 2022
pubmed: 7 6 2022
medline: 9 6 2022
Statut: epublish

Résumé

Lead has been associated with adverse health effects, especially neurocognitive and behavioural effects, in children. Communities living close to mining land are at risk of elevated exposure to lead. This paper outlines a before and after intervention study protocol to evaluate the impact of a personal and domestic hygiene intervention on lead exposure in a community located adjacent to a mine dump. In each participating household, parents or guardians will be interviewed using a structured questionnaire to obtain information on socio-demographic characteristics, living conditions, domestic hygiene practices and potential alternative sources of exposure to lead. A registered nurse will collect hand wipe samples from children aged one to five years, for whom parental consent and where possible child assent has been obtained. Environmental dust samples will be collected from the floors and/or windowsills of children's dwellings for lead content analysis. Soil samples will be collected from yards to determine lead content. An educational intervention will then be applied to the intervention group, including the engagement of households or guardians in an educational discussion on the sources, pathways of exposure, health effects of lead exposure and protective measures, with the aid of a specially designed educational brochure. Data will be analysed for descriptive and inferential statistics using Stata version 16. The study will determine whether the intervention led to a reduction in indoor dust lead levels, and if shown to be effective, will inform the development of an awareness campaign to reduce lead exposure in communities located in close proximity to mine dumps. The study is retrospectively registered on ClinicalTrials.gov Protocol Registration and Results System with registration number NCT05265572 and first release date of 18

Sections du résumé

BACKGROUND
Lead has been associated with adverse health effects, especially neurocognitive and behavioural effects, in children. Communities living close to mining land are at risk of elevated exposure to lead.
METHODS
This paper outlines a before and after intervention study protocol to evaluate the impact of a personal and domestic hygiene intervention on lead exposure in a community located adjacent to a mine dump. In each participating household, parents or guardians will be interviewed using a structured questionnaire to obtain information on socio-demographic characteristics, living conditions, domestic hygiene practices and potential alternative sources of exposure to lead. A registered nurse will collect hand wipe samples from children aged one to five years, for whom parental consent and where possible child assent has been obtained. Environmental dust samples will be collected from the floors and/or windowsills of children's dwellings for lead content analysis. Soil samples will be collected from yards to determine lead content. An educational intervention will then be applied to the intervention group, including the engagement of households or guardians in an educational discussion on the sources, pathways of exposure, health effects of lead exposure and protective measures, with the aid of a specially designed educational brochure. Data will be analysed for descriptive and inferential statistics using Stata version 16.
DISCUSSION
The study will determine whether the intervention led to a reduction in indoor dust lead levels, and if shown to be effective, will inform the development of an awareness campaign to reduce lead exposure in communities located in close proximity to mine dumps.
TRIAL REGISTRATION
The study is retrospectively registered on ClinicalTrials.gov Protocol Registration and Results System with registration number NCT05265572 and first release date of 18

Identifiants

pubmed: 35658916
doi: 10.1186/s12889-022-13439-8
pii: 10.1186/s12889-022-13439-8
pmc: PMC9166147
doi:

Substances chimiques

Dust 0
Lead 2P299V784P

Banques de données

ClinicalTrials.gov
['NCT05265572']

Types de publication

Clinical Trial Protocol Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1123

Informations de copyright

© 2022. The Author(s).

Références

Environ Int. 2019 Jan;122:310-315
pubmed: 30503317
Health Educ Res. 2014 Dec;29(6):933-40
pubmed: 25214512
Environ Int. 2019 Jan;122:91-103
pubmed: 30509512
Cochrane Database Syst Rev. 2016 Oct 16;10:CD006047
pubmed: 27744650
J Pediatr. 2016 Aug;175:173-81
pubmed: 27297207
Int J Hyg Environ Health. 2019 Jul;222(6):965-970
pubmed: 31257186
Environ Res. 2018 Nov;167:524-527
pubmed: 30142628
Cochrane Database Syst Rev. 2014 Dec 15;(12):CD006047
pubmed: 25506680

Auteurs

Charlotte Mokoatle (C)

Department of Environmental Health, Faculty of Health Sciences, University of Johannesburg, Johannesburg, 2094, South Africa. charlottem@uj.ac.za.

Angela Mathee (A)

Department of Environmental Health, Faculty of Health Sciences, University of Johannesburg, Johannesburg, 2094, South Africa.
Environment and Health Research Unit, South African Medical Research Council, Johannesburg, 2094, South Africa.
School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, 2094, South Africa.

Renee Street (R)

Department of Environmental Health, Faculty of Health Sciences, University of Johannesburg, Johannesburg, 2094, South Africa.
Environment and Health Research Unit, South African Medical Research Council, Johannesburg, 2094, South Africa.

Vusumuzi Nkosi (V)

Department of Environmental Health, Faculty of Health Sciences, University of Johannesburg, Johannesburg, 2094, South Africa.
Environment and Health Research Unit, South African Medical Research Council, Johannesburg, 2094, South Africa.
School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, 0001, South Africa.

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Classifications MeSH