The impact of elevated blood lead levels in children on maternal health-related quality of life.

Journal: Chemosphere

Volume: 279

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Laboratory of Toxicology, Department of Environmental Veterinary Sciences, Faculty of Veterinary Medicine, Hokkaido University, Japan. Faculty of Health Sciences, Hokkaido University, Japan. Electronic address: tohyama@med.hokudai.ac.jp. Faculty of Health Sciences, Hokkaido University, Japan; Institute of Biomedical Sciences, Nagasaki University, Japan. The University of Zambia, School of Veterinary Medicine, Zambia. The University of Zambia, School of Public Health, Zambia. Ministry of Health, Zambia. The University of Zambia, School of Veterinary Medicine, Zambia; Fiji National University, College of Agriculture, Fisheries & Forestry, School of Animal and Veterinary Sciences, Koronivia Campus, Suva, Fiji. Faculty of Health Sciences, Hokkaido University, Japan. Department of Social Medicine, Asahikawa Medical University, Japan.

Abstract summary 

Kabwe is a mining town in Zambia that has been ranked among "the ten most polluted places in the world" with previous findings of serious lead (Pb) pollution. In this study, we aim to examine the impact of childhood Pb poisoning on the health-related quality of life (HRQoL) of mothers in Kabwe. The HRQoL was assessed using the Short-Form 36 survey for 404 mothers coming from residences in 40 randomly selected standard enumeration areas (SEAs). Blood lead levels (BLLs) of the household members including the mothers themselves were measured. We found a significant positive correlation between the BLLs of the mothers and their children (R = 0.6385, p < 0.0001), while the BLLs of preschool-aged and school-aged children were significantly higher than those of their mothers and fathers. Using the data sets containing the BLLs of the household members, the age of the mothers, the household income, and the household SEA, we performed stepwise multiple linear regression analyses. The results showed significant negative associations between the representative BLL of household children and the BLL of preschool-aged children with the vitality and mental health scores of their mothers. Additionally, the BLL of school-aged children was only significantly associated with the mental health score of their mothers. By contrast, there was a significant negative association between the BLLs of the mothers with the social role functioning score. This suggests that elevated BLLs in children have a negative impact on the mental health conditions of their mothers regardless of the mothers' BLL.

Authors & Co-authors:  Nakata Hokuto H Tohyama Harukazu H Fujita Wakako W Nakayama Shouta M M SMM Ishizuka Mayumi M Yabe John J Munyinda Nosiku S NS Sakala Doreen D Choongo Kennedy K Yamasaki Shojiro S Nagai Natsumi N Yoshida Takahiko T Saito Takeshi T

Study Outcome 

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Citations : 
Authors :  13
Identifiers
Doi : 10.1016/j.chemosphere.2021.130490
SSN : 1879-1298
Study Population
Mothers
Mesh Terms
Child
Other Terms
Health-related quality of life;Lead poisoning;Mother;Multiple linear regression analysis;Short-form 36;Stepwise
Study Design
Study Approach
Country of Study
Zambia
Publication Country
England