Differences in Lead Levels on Doors and Walls of Children's Homes: A Cross-sectional Study in Java, Indonesia

Authors

  • Agus Kharmayana Rubaya Department of Environmental Health, Poltekkes Kemenkes Yogyakarta, Yogyakarta, Indonesia
  • Sarjito Eko Windarso Department of Environmental Health, Poltekkes Kemenkes Yogyakarta, Yogyakarta, Indonesia
  • Haryono Haryono Department of Environmental Health, Poltekkes Kemenkes Yogyakarta, Yogyakarta, Indonesia
  • Sigid Sudaryanto Department of Environmental Health, Poltekkes Kemenkes Yogyakarta, Yogyakarta, Indonesia
  • Muchtaruddin Mansyur Occupational & Environmental Health Research Centre, Indonesian Medical and Education Research Institute (IMERI), Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Tantut Susanto Department of Community, Family & Geriatric Nursing, Faculty of Nursing, Universitas Jember, Jember, East Java, Indonesia

DOI:

https://doi.org/10.31965/infokes.Vol23.Iss3.2143

Keywords:

Blood Lead Level (BLL) , Lead In Painted Door, Lead in Painted Wall , Used Lead Acid Battery Recycling (ULAB)

Abstract

Children are one of the most vulnerable groups to lead exposure. Exposure in children is primarily related to hand-to-mouth activities and environmental conditions. Studies on lead level in homes measurements, which are linked to blood lead levels in children, are still rare. The objective of the study was to identify lead levels on painted surfaces, consisting of doors and walls, in the homes of children aged 12-59 months who had high blood lead levels (≥ 20 μg/dl). The method was a cross- sectional study conducted in Java, Indonesia, comparing lead exposed and unexposed in areas with battery recycling activities to a demographically similar control area without such activities (Cinangneng-Bogor). The results showed among the 145 inspected homes in the exposed areas, 40 were measured on doors and 93 on walls; meanwhile among the 240 inspected homes in the unexposed areas, 35 were measured on doors and 36 on walls. In the exposed areas, the lead levels at the door ranged from 0.00 µg/cm2 – 891.36 µg/cm2 and it was not different (p = 0,671) from that in the unexposed areas, i.e. ranged from 0.00 µg/cm2 – 537.03 µg/cm2. Meanwhile, the lead levels at the walls in the exposed areas were measured ranged from 0.00 µg/cm2 – 279.21 µg/cm2 (median 0.65 µg/cm2), and it was significantly different (p <0.001) from that in the unexposed area, i.e. ranged from 0.00 µg/cm2 – 45.64 µg/cm2 (median 0.00 µg/cm2). The findings of lead exposure in the children’s homes lead to a strong recommendation to regulate the elimination of lead in the household paints, and to escalate community concern of domestic lead hazards.

Downloads

Download data is not yet available.

References

Afandi, A., Suhartono, S., Budiyono, B., Margawati, A., & Kartini, A. (2025). High Blood Lead Levels As A Risk Factor Of Stunting: A Study Of Children In Agricultural Areas. Journal of Environmental Health, 17(1), 45-53. https://doi.org/10.20473/jkl.v17i1.2025.45-53

Albalak, R., Noonan, G., Buchanan, S., Flanders, W. D., Gotway-Crawford, C., Kim, D., ... & McGeehin, M. A. (2003). Blood lead levels and risk factors for lead poisoning among children in Jakarta, Indonesia. Science of the Total Environment, 301(1-3), 75-85. https://doi.org/10.1016/S0048-9697(02)00297-8

American Academy of Pediatrics. (2022). Lead Exposure in Children. American Academy of Pediatrics. Retrieved from: https://www.aap.org/en/patient-care/lead-exposure/lead-exposure-in-children/

Balali-Mood, M., Naseri, K., Tahergorabi, Z., Khazdair, M. R., & Sadeghi, M. (2021). Toxic mechanisms of five heavy metals: mercury, lead, chromium, cadmium, and arsenic. Frontiers in pharmacology, 12, 643972. https://doi.org/10.3389/fphar.2021.643972

Barg, G., Menéndez, J. A., Friedl, J. A., Hoyos, S., Queirolo, E. I., Mañay, N., ... & Kordas, K. (2015). Lead exposure, peripheral neurotransmitter levels and cognitive control: A neurobehavioral study in children from Montevideo, Uruguay. NeuroToxicology, 108, 159-68. https://doi.org/10.1016/j.neuro.2025.03.009

Budianta, W. (2012). Lead contamination in soil of Yogyakarta city, Indonesia. Journal of Applied Geology, 4(2), 90–98. https://doi.org/10.22146/jag.7200

Debnath, B., Singh, W. S., & Manna, K. (2019). Sources and toxicological effects of lead on human health. Indian Journal of Medical Specialities, 10(2), 66-71. https://doi.org/ 10.4103/INJMS.INJMS_30_18

Del Rio, M., Obeng, A., Galkaduwa, B., Rodriguez, C., Costa, C., Chavarria, C. A., ... & Sobin, C. (2023). An interdisciplinary team-based approach for significantly reducing lower-level lead poisoning in US children. Toxicology Reports, 10, 76-86. https://doi.org/10.1016/j.toxrep.2022.12.004

Ericson, B., Hariojati, N., Susilorini, B., Crampe, L. F., Fuller, R., Taylor, M. P., & Caravanos, J. (2019). Assessment of the prevalence of lead-based paint exposure risk in Jakarta, Indonesia. Science of The Total Environment, 657, 1382-1388. https://doi.org/10.1016/j.scitotenv.2018.12.154

Hammer, L. D., Ludwig, S., & Henretig, F. (1985). Increased lead absorption in children with accidental ingestions. The American journal of emergency medicine, 3(4), 301–304. https://doi.org/10.1016/0735-6757(85)90051-8

Haryanto, B. (2016). Lead exposure from battery recycling in Indonesia. Reviews on environmental health, 31(1), 13-16. https://doi.org/10.1515/reveh-2015-0036

Haryanto, B. (2020). Indonesia: country report on children’s environmental health. Reviews on Environmental Health, 35(1), 41-48. https://doi.org/10.1515/reveh-2019-0088

Heidari, S., Mostafaei, S., Razazian, N., Rajati, M., Saeedi, A., & Rajati, F. (2022). The effect of lead exposure on IQ test scores in children under 12 years: a systematic review and meta-analysis of case-control studies. Systematic reviews, 11(1), 106. https://doi.org/10.1186/s13643-022-01963-y

Lafta, M. H., Afra, A., Patra, I., Jalil, A. T., Mohammadi, M. J., Baqir Al-Dhalimy, A. M., ... & Asban, P. (2024). Toxic effects due to exposure heavy metals and increased health risk assessment (leukemia). Reviews on Environmental Health, 39(2), 351-362. https://doi.org/10.1515/reveh-2022-0227

Lestiani, D. D., Syahfitri, W. Y. N., Adventini, N., Kurniawati, S., Damastuti, E., Santoso, M., ... & Mukhtar, R. (2023). Impacts of a lead smelter in East Java, Indonesia: degree of contamination, spatial distribution, ecological risk, and health risk assessment of potentially toxic elements in soils. Environmental Monitoring and Assessment, 195(10), 1165. https://doi.org/10.1007/s10661-023-11745-1

Lin, G. Z., Peng, R. F., Chen, Q., Wu, Z. G., & Du, L. (2009). Lead in housing paints: An exposure source still not taken seriously for children lead poisoning in China. Environmental research, 109(1), 1-5. https://doi.org/10.1016/j.envres.2008.09.003

Mansyur, M., Fitriani, D. Y., Prayogo, A., Mutiara, A., Fadhillah, R., Aini, R., ... & Bose-O’Reilly, S. (2024). Determinant factors of children's blood lead levels in Java, Indonesia. International Journal of Hygiene and Environmental Health, 261, 114426. https://doi.org/10.1016/j.ijheh.2024.114426

Motamedrezaei, O., Lotfi, H., Jahani, F., Sharifzadeh, G. R., Mohammadian, F., & Laal, F. (2024). Occupational exposure to lead fume among automobile welders. Epidemiology and Health System Journal, 11(2), 81-87. https://doi.org/10.34172/ehsj.26123

Ministry of Environment. (2022). National Strategy to Phase Out Lead Paint in Indonesia. Jakarta: MoEF.

Nguyen, T. H. (2021). Soil Contamination from ULAB Facilities in Vietnam. J Environ Qual, 50 (3), 650–659.

O'Connor, D., Hou, D., Ye, J., Zhang, Y., Ok, Y. S., Song, Y., ... & Tian, L. (2018). Lead-based paint remains a major public health concern: A critical review of global production, trade, use, exposure, health risk, and implications. Environment international, 121, 85-101. https://doi.org/10.1016/j.envint.2018.08.052

Pure Earth. (2025). Global Lead Program - 2024 Results and Achievements. Pure Earth. Retrieved from: https://www.pureearth.org/wp-content/uploads/2025/04/Pure-Earth-Global-Lead-Program-Report-2024_final_April29.pdf

Rehman, K., Fatima, F., Waheed, I., & Akash, M. S. H. (2018). Prevalence of exposure of heavy metals and their impact on health consequences. Journal of cellular biochemistry, 119(1), 157-184. https://doi.org/10.1002/jcb.26234

Sample, J. (2024). Lead exposure in children: failure to protect the most vulnerable. The Journal of Pediatric Pharmacology and Therapeutics, 29(3), 212-214. https://doi.org/10.5863/1551-6776-29.3.212

Simatupang, M. M., Veronika, E., Irfandi, A., & Azteria, V. (2024). Potential impacts of lead on health: a review of environmental exposure, population at risk, and toxic effects. Journal of Environmental Health, 16(3), 277-288. https://doi.org/10.20473/jkl.v16i3.2024.277-288

UNEP. (2021). Global Elimination of Lead Paint: Toolkit for Policymakers. United Nations Environment Programme.

UNICEF. (2022). Reducing Childhood Lead Exposure in Indonesia: Policy Brief. UNICEF.

Wani, A. L., Ara, A., & Usmani, J. A. (2015). Lead toxicity: a review. Interdisciplinary toxicology, 8(2), 55–64. https://doi.org/10.1515/intox-2015-0009

World Health Organization. (2021). WHO Guideline for Clinical Management of Exposure to Lead. World Health Organization. Retrieved from: https://www.who.int/publications/i/item/9789240037045

Xue, J., Zartarian, V., Moya, J., Freeman, N., Beamer, P., Black, K., ... & Shalat, S. (2007). A meta‐analysis of children's hand‐to‐mouth frequency data for estimating nondietary ingestion exposure. Risk Analysis: An International Journal, 27(2), 411-420. https://doi.org/10.1111/j.1539-6924.2007.00893.x

Downloads

Published

2025-09-12

How to Cite

Rubaya, A. K., Windarso, S. E., Haryono, H., Sudaryanto, S., Mansyur, M., & Susanto, T. (2025). Differences in Lead Levels on Doors and Walls of Children’s Homes: A Cross-sectional Study in Java, Indonesia. JURNAL INFO KESEHATAN, 23(3), 442–450. https://doi.org/10.31965/infokes.Vol23.Iss3.2143

Issue

Section

Original Articles

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.