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Xinshu She, MD

  • Xinshu She

Trabajo y educación

Educación

Albert Einstein College of Medicine, Bronx, NY, 6/30/2011

Últimos años de residencia

Montefiore Medical Center of Albert Einstein College of Medicine, Bronx, NY, 6/30/2014

Subespecialidad

Boston Children's Hospital, Boston, MA, 6/30/2016

Certificado(s) de especialidad

Pediatrics, American Board of Pediatrics

Todo Publicaciones

Elevated Blood Lead Levels in Infants and Children in Haiti, 2015. Public health reports (Washington, D.C. : 1974) Carpenter, C. n., Potts, B. n., von Oettingen, J. n., Bonnell, R. n., Sainvil, M. n., Lorgeat, V. n., Mascary, M. C., She, X. n., Jean-Baptiste, E. n., Palfrey, S. n., Woolf, A. D., Palfrey, J. n. 2018: 33354918807975

Abstract

Few studies have reported blood lead levels (BLLs) in Haitian children, despite the known presence of lead from environmental factors such as soil, water, leaded paint and gasoline, improperly discarded batteries, and earthquakes. We sought to determine the prevalence of elevated blood lead levels (EBLLs) among healthy Haitian children.We enrolled children aged 9 months to 6 years from 3 geographic areas in Haiti (coastal, urban, and mountain) from March 1 through June 30, 2015. We obtained anthropometric measurements, household income, potential sources of lead exposure, and fingerstick BLLs from 273 children at 6 churches in Haiti. We considered a BLL 5 g/dL to be elevated.Of 273 children enrolled in the study, 95 were from the coastal area, 78 from the urban area, and 100 from the mountain area. The median BLL was 5.8 g/dL, with higher levels in the mountain area than in the other areas ( P < .001). BLLs were elevated in 180 (65.9%) children. The prevalence of EBLL was significantly higher in the mountain area (82 of 100, 82.0%; P < .001) than in the urban area (42 of 78, 53.8%) and the coastal area (56 of 95, 58.9%; P < .001). Twenty-eight (10.3%) children had EBLLs 10 g/dL and 3 (1.1%) children had EBLLs 20 g/dL. Exposure to improperly discarded batteries ( P = .006) and living in the mountain area ( P < .001) were significant risk factors for EBLLs.More than half of Haitian children in our study had EBLLs. Public health interventions are warranted to protect children in Haiti against lead poisoning.

View details for PubMedID 30426830

Art in Healing: A Quality Improvement Project for Inpatient Pediatrics in Haiti She, X., Andre, M., Hilaire, J., Wilson, K., Palfrey, J., St-hilaire, R. AMER ACAD PEDIATRICS. 2018
Measuring the Gap: A Health Assessment of Rural Chinese Children Compared to Urban Children. Global pediatric health She, X., Zhao, D., Scholnick, J. 2016; 3: 2333794X15625298-?

Abstract

China is a large country where rapid development is accompanied by growing inequalities. How economic inequalities translate to health inequalities is unknown. Baseline health assessment is lacking among rural Chinese children. We aimed at assessing baseline student health of rural Chinese children and comparing them with those of urban children of similar ages. A cross-sectional study was conducted using the 2003 Global School-Based Student Health Survey among 100 students Grade 4 to 6 from rural Guizhou, China. Results were summarized and compared with public data from urban Beijing using multivariate logistic regression models. Rural children are more likely to not wash their hands before a meal (odds ratio [OR] = 5.71, P < .01) and after using the toilet (OR = 5.41, P < .01). They are more likely to feel sick or to get into trouble after drinking (OR = 7.28, P < .01). They are more likely to have used drugs (OR = 8.54, P < .01) and to have no close friends (OR = 8.23, P < .01). An alarming percentage of rural (8.22%) and urban (14.22%) children have had suicidal ideation in the past year (OR = 0.68, P > .05). Rural parents are more likely to not know their children's whereabouts (OR = 1.81, P < .05). Rural children are more than 4 times likely to have serious injuries (OR = 4.64, P < .01) and to be bullied (OR = 4.01, P < .01). In conclusion, school-age rural Chinese children exhibit more health risk behaviors and fewer protective factors at baseline compared to their urban counterparts. Any intervention aimed at improving child health should take this distributive gap into consideration.

View details for DOI 10.1177/2333794X15625298

View details for PubMedID 27335999

View details for PubMedCentralID PMC4784561