Visualizing Parcel-Level Lead Risk Using an Exterior Housing-Based Index

Neal J. Wilson (), Ryan Allenbrand, Elizabeth Friedman, Kevin Kennedy, Amy Roberts and Stephen Simon
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Neal J. Wilson: Center for Economic Information, University of Missouri-Kansas City, 5120 Rockhill Rd, Kansas City, MO 64110, USA
Ryan Allenbrand: Environmental Health Program, Children’s Mercy Kansas City, 2401 Gillham Road, Kansas City, MO 64108, USA
Elizabeth Friedman: Environmental Health Program, Children’s Mercy Kansas City, 2401 Gillham Road, Kansas City, MO 64108, USA
Kevin Kennedy: Healthy Indoors Training and Consulting, LLC., Lawrence, KS 66044, USA
Amy Roberts: Kansas City, Missouri Health Department, 2400 Troost Ave., Kansas City, MO 64106, USA
Stephen Simon: Department of Biomedical and Health Informatics, University of Missouri-Kansas City, 2411 Holmes St, Kansas City, MO 64108, USA

IJERPH, 2024, vol. 22, issue 1, 1-12

Abstract: Pediatric lead poisoning remains a persistent public health problem. Children in the US spend the preponderance of their time at home; thus, housing is an important social determinant of health. Improving health outcomes derived from housing-based sources involves differentiating the risks posed by the existing housing stock. In this paper, we developed a parcel-level lead risk index (LRI) based on external housing conditions and the year of home construction. The purpose of this study was to introduce a housing-based lead risk index (LRI), developed using retrospective data, to estimate parcel-by-parcel variation in housing-based lead risk. We described how the LRI is constructed, relate it to the likelihood of a pediatric occupant’s blood lead level (BLL) > 3.5 µg/dL using Lasso regression ( n = 6589), visualized this relationship graphically, and mapped the outcome. We found that mapping the LRI provided more information at a more precise geographic level than was possible using other public health surveillance methods.

Keywords: childhood blood lead levels; lead hazard risk; housing; social determinates of health; environmental public health; place-based approach (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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