Health Outcomes

• Neurological/Cognitive outcomes

Health Outcome List:

• Neurological/cognitive outcomes (developmental delay)

Environmental Agents

List of Environmental Agents:

• Air pollutants (polycyclic aromatic hydrocarbons (PAH))

Source of Environmental Agents:

• Combustion of fossil fuels and other organic materials

Economic Evaluation / Methods and Source

Type:

• Cost analysis (CA)

Cost Measures:

• Annual costs of preschool special education services

Potential Cost Measures:

• Not available

Benefits Measures:

• Not available

Potential Benefits Measures:

• Not available

Location:

• New York City

Models Used:

• Environmentally Attributable Fraction (EAF) model

Models References:

• References cited in publication — Institute of Medicine, 1981

Methods Used:

• Researchers used results from CCCEH NYC cohort (low-income women/children in NYC) to compute the rate of developmental delay due to PAH exposure for the NYC Medicaid population. The authors — 1) employed the environmentally attributable fraction method to calculate the costs of developmental delay due to prenatal exposure to PAHs; and 2) estimated the annual costs of PAH-related preschool education services by multiplying the rate of developmental delay by the size of the population at risk from exposure to PAH and the cost per case for preschool education.

Sources Used:

• Effect of prenatal exposure to airborne polycyclic aromatic hydrocarbons on neurodevelopment in the first 3 years of life among inner-city children (Perera et al., 2006); Early childhood outcomes data (New York State Education Department, 2007); New York City Medicaid data (2000); additional sources cited in publication

Economic Citation / Fundings

Citation:

• Weiland K, Neidell M, Rauh V, and Perera F. Cost of developmental delay from prenatal exposure to airborne polycyclic aromatic hydrocarbons. Journal of Health Care for the Poor and Underserved. 2011. 22; 1.
• Pubmed

NIEHS Funding:

• Not available

Other Funding: Not available