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Cost of developmental delay from prenatal exposure to airborne polycyclic aromatic hydrocarbons

Environmental Health Economic Analysis Annotated Bibliography

Details

Research article Cost analysis (CA)
Authors
Weiland K, Neidell M, Rauh V, and Perera F
Journal
Journal of Health Care for the Poor and Underserved
Summary
The cost of preschool special education for children with PAH-related cognitive developmental delay was estimated to be over $13.7 million per birth cohort in New York City, according to this cost analysis. These findings support the role of policies aimed at reducing the level of PAHs in air in order to reduce the health impacts associated with PAH exposure.
Population
Low-income, preschool children in NYC

Health Outcomes

  • 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 Measured:

  • Annual costs of preschool special education services

Potential Cost Measures: (Not available)

Benefits Measures: (Not available)

Potential Benefits: (Not available)

Location:

  • New York City

Models Used:

  • Environmentally Attributable Fraction (EAF) model

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 Evaluation / Methods and Source

Citation:

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

Pubmed:

DOI: (Not available)

NIEHS Funding: (Not available)

Other Funding: (Not available)