ACE: Biomonitoring - Lead
Indicator B1 
Data characterization
- Data for this indicator are obtained from an ongoing continuous survey conducted by the National Center for Health Statistics.
- Survey data are representative of the U.S. civilian noninstitutionalized population.
- Lead is measured in blood samples obtained from individual survey participants.
- The median concentration of lead in the blood of children between the ages of 1 and 5 years dropped from 15 µg/dL in 1976–1980 to 1. 0 µg/dL in 2011–2012, a decrease of 93%.
- The concentration of lead in blood at the 95th percentile in children ages 1 to 5 years dropped from 29 µg/dL in 1976–1980 to 2.9 µg/dL in 2011– 2012, a decrease of 90%.
- The largest declines in blood lead levels occurred from the 1970s to the 1990s, following the elimination of lead in gasoline. The data show continuing declines in blood lead levels from 1999–2000 through 2011– 2012, when the primary focus of lead reduction efforts has been on lead-based paint in homes.
- These decreasing trends were all statistically significant, including the trend in both the median and 95th percentile over the most recent 12 years (from 1999–2000 to 2011– 2012).
- In 2011– 2012, median blood lead levels by age group were: 1. 1 µg/dL for age 1 year; 1.0 µg/dL for age 2 years; 0.9 µg/dL for ages 3 to 5 years; 0. 7 µg/dL for ages 6 to 10 years; 0. 5 µg/dL for ages 11 to 15 years; and 0. 5 µg/dL for ages 16 to 17. The 95th percentile blood lead levels were 3.6, 3.5, 2.7, 2.0, 1.3, and 1.5 µg/dL, respectively, for ages 1, 2, 3 to 5, 6 to 10, 11 to 15, and 16 to 17 years. (See Table B1a.)
- The differences among age groups in median and 95th percentile blood lead levels were statistically significant.
Indicator B2
*The estimate should be interpreted with caution because the standard error of the estimate is relatively large: the relative standard error, RSE, is at least 30% but is less than 40% (RSE = standard error divided by the estimate), or the RSE may be underestimated.
Data characterization
- Data for this indicator are obtained from an ongoing continuous survey conducted by the National Center for Health Statistics.
- Survey data are representative of the U.S. civilian noninstitutionalized population.
- Lead is measured in blood samples obtained from individual survey participants.
- The median blood lead level in children ages 1 to 5 years in 2009– 2012 was 1. 1 µg/dL. The median blood lead level in Black non-Hispanic children ages 1 to 5 years in 2009– 2012 was 1. 4 µg/dL, higher than the level of 1. 0 µg/dL in White non-Hispanic children, Mexican-American children, and children of “All Other Races/Ethnicities.”
- The median blood lead level in Black non-Hispanic children was statistically significantly higher than the median level for each of the remaining race/ethnicity groups.
- The median blood lead level for children living in families with incomes below the poverty level was 1. 2 µg/dL, and for children living in families at or above the poverty level it was 0.9 µg/dL, a difference that was statistically significant.
- The median blood lead levels in children ages 1 to 5 years were higher for those in families with incomes below the poverty level compared with those at or above the poverty level within each race/ethnicity group. (See Table B2a.)
- The differences in median blood lead levels between income groups were statistically significant for each race/ethnicity group.
- The 95th percentile blood lead level among all children ages 1 to 5 years was 3. 2 µg/dL. The 95th percentile blood lead level in Black non-Hispanic children ages 1 to 5 years in 2009– 2012 was 4.1 µg/dL, compared with 3. 4 µg/dL for White non-Hispanic children, and 2.6 µg/dL for children of “All Other Races/Ethnicities ” and Mexican-American children. (See Table B2a.)
- The 95th percentile blood lead level in Black non-Hispanic children was statistically significantly higher than the 95th percentile for Mexican-American children and children of “All Other Races/Ethnicities.”
- mong children ages 1 to 5 years in families with incomes below poverty level, the 95th percentile blood lead was 4. 3 µg/dL, and among those in families at or above the poverty level, it was 2.6 µg/dL, a difference that was statistically significant . (See Table B2a.)
- The 95th percentile blood lead levels in children ages 1 to 5 years were higher for those in families with incomes below the poverty level compared with those at or above the poverty level for Black non-Hispanic children, Mexican-American children, and children of “All Other Races/Ethnicities.” (See Table B2a.)
- The difference in 95th percentile blood lead levels between income groups was statistically significant for Mexican-American children after accounting for differences by age and sex.
- Between 1991–1994 and 2009– 2012, median blood lead levels among Black non-Hispanic children ages 1 to 5 years declined 67%: from 4.3 µg/dL to 1. 4 µg/dL. Over the same time period, median blood lead levels among Mexican-American children ages 1 to 5 years declined 68%: from 3.1 µg/dL to 1. 0 µg/dL, and median blood lead levels among White non-Hispanic children ages 1 to 5 years declined 57%: from 2.3 µg/dL to 1. 0 µg/dL. The differences over time were statistically significant for each race/ethnicity. (See Table B2b.)