Linking elevated blood lead level in urban school-aged children with bioaccessible lead in neighborhood soil

Lead (Pb) exposure is known to affect the health of children while soil Pb is an important contributor to human Pb exposure. To analyze the effects of both environmental and other factors, especially total and bioaccessible Pb in neighborhood soil, on school-aged urban children’s blood lead level (BLL), 75 children (6–11 years old) were recruited from an industry city in eastern China for BLL measurement and questionnaire survey. Soil samples were collected from their living neighborhoods and measured for total and bioaccessible Pb. The mean BLL was 4.82 μg dL⁻¹, with 42 out of 75 children having BLL exceeding the international guideline of 5 μg dL⁻¹. Low Pb contamination was observed in soil with total Pb ranging from 12.5 to 271 mg kg⁻¹ (mean 34.3 mg kg⁻¹). Based on the in vitro Solubility Bioaccessibility Research Consortium (SBRC) gastric fluid extraction, bioaccessible Pb in soil ranged from 0.40 to 79.1 mg kg⁻¹ (mean 7.58 mg kg⁻¹) with Pb bioaccessibility ranging from 1.74 to 68.1 (mean 19.9%). When BLL was correlated with total Pb in soil, insignificant linear relationship was observed (P > 0.05, correlation coefficient 95%CI = −0.047–0.40, R² = 0.07). However, when BLL was correlated with soil bioaccessible Pb or Pb bioaccessibility, much stronger linear relationships were observed (P < 0.01, correlation coefficient 95%CI = 0.28–0.64, R² = 0.16–0.20), suggesting that bioaccessible Pb was a much stronger predictor of BLL. In addition, strong associations were also observed between BLL and social factors such as house decoration, residence time, and personal habits, suggesting that both soil Pb contamination and social factors play important roles in elevating BLL for city children.