Case-Control Study on Risk Factors of High Childhood Blood Lead - Pb Continuous

Author

ICMR

knitr::opts_chunk$set(echo = FALSE)

Part 2. Bivariate analysis of risk factors

A. Demographic

Risk Factor
Pb Levels (µg/dL)
Univariate Regression
N = 1851 N Mean Diff. (β) 95% CI p-value
Age group
183


    1-2 8.4 (7.0)

    2-3 6.3 (4.6)
-2.0 -4.5, 0.41 0.10
    3-4 6.3 (5.7)
-2.0 -4.4, 0.37 0.10
    4-5 5.8 (4.1)
-2.6 -5.0, -0.26 0.030
Gender
183


    Male 6.5 (5.4)

    Female 6.5 (5.1)
-0.04 -1.6, 1.5 >0.9
PSU type
183


    Rural 5.9 (5.0)

    Urban 8.4 (5.4)
2.5 0.77, 4.3 0.005
Caste
183


    Other Caste 10.3 (8.0)

    SC 5.1 (3.8)
-5.2 -8.3, -2.1 0.001
    ST 6.3 (5.2)
-4.0 -7.1, -0.97 0.010
    OBC 6.7 (5.0)
-3.6 -6.6, -0.70 0.016
    Not known 6.8 (NA)
-3.5 -14, 6.9 0.5
Religion
183


    Hindu 6.6 (5.3)

    Muslim 3.3 (0.2)
-3.2 -8.4, 2.0 0.2
    Christian 5.3 (3.0)
-1.2 -8.6, 6.1 0.7
    Others NA (NA)



Father highest completed education
183


    10th or less 6.2 (5.1)

    Higher secondary 6.9 (5.4)
0.78 -1.2, 2.7 0.4
    Graduate and above 7.2 (5.7)
1.1 -1.2, 3.3 0.3
Mother highest completed education
183


    10th or less 6.2 (5.0)

    Higher secondary 7.4 (6.0)
1.2 -0.72, 3.1 0.2
    Graduate and above 6.0 (4.7)
-0.21 -2.4, 2.0 0.8
Father occupation
183


    Service/ Office 6.8 (5.8)

    Agriculture 6.3 (5.8)
-0.54 -3.2, 2.1 0.7
    Paint-related/ Construction/ Industry 6.8 (4.3)
0.00 -2.8, 2.8 >0.9
    Shop/ Trade 5.7 (5.3)
-1.1 -4.6, 2.4 0.5
    Transport/ Vendor 6.7 (4.3)
-0.18 -3.7, 3.4 >0.9
    Not working 6.5 (4.4)
-0.31 -8.1, 7.4 >0.9
Mother occupation
183


    Service/ Office 5.2 (4.5)

    Agriculture 5.5 (5.3)
0.30 -3.1, 3.7 0.9
    Housewife 6.8 (5.3)
1.7 -1.2, 4.6 0.3
    Paint-related/Construction 7.5 (5.3)
2.4 -3.0, 7.8 0.4
    Shop/ Trade 4.3 (3.1)
-0.87 -6.7, 5.0 0.8
Number of household members
180 -0.20 -0.46, 0.05 0.12
    3 11.7 (11.1)



    4 6.2 (4.6)



    5 7.3 (5.7)



    6 6.7 (5.7)



    7 5.5 (3.4)



    8 7.3 (5.0)



    9 4.4 (2.9)



    10 4.1 (2.0)



    11 7.5 (7.2)



    12 8.3 (6.1)



    13 5.7 (4.2)



    14 3.1 (0.6)



    15 11.6 (NA)



    16 3.2 (0.5)



BPL card holder
183


    No 6.2 (4.5)

    Yes 6.6 (5.5)
0.37 -1.3, 2.0 0.7
Child stays outside residential area >4 weeks/year
183


    No 6.6 (5.2)

    Yes 4.6 (5.2)
-2.0 -5.2, 1.2 0.2
Child currently spends >20 hours/week away from home
183


    No 6.8 (5.3)

    Yes 6.4 (5.2)
-0.42 -2.2, 1.4 0.6
Past DABS: child spent >20 hours/week outside home
183


    No 6.6 (5.3)

    Yes 4.6 (3.5)
-2.0 -4.8, 0.75 0.2
Non-parent household member lead-related occupation/hobby
183


    No 6.5 (5.3)

    Yes 5.9 (4.7)
-0.66 -3.6, 2.3 0.7
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

B. Household characteristics

Risk Factor
Pb Levels (µg/dL)
Univariate Regression
N = 1851 N Mean Diff. (β) 95% CI p-value
Type of Family
183


    Extended 4.5 (3.6)

    Joint 7.3 (6.3)
2.9 0.00, 5.8 0.050
    Nuclear 6.6 (5.1)
2.1 -0.28, 4.5 0.082
Ownership of house
183


    Own House 6.5 (5.3)

    Rented/Other 6.4 (4.3)
-0.07 -5.3, 5.2 >0.9
Type of House
183


    Pucca 6.7 (5.4)

    Semi-pucca 6.5 (5.2)
-0.26 -2.1, 1.6 0.8
    Kutcha 6.2 (5.1)
-0.56 -2.4, 1.3 0.6
No of rooms in house
183


    >1 6.4 (5.3)

    0-1 6.7 (4.7)
0.28 -2.2, 2.7 0.8
Separate Kitchen
183


    Yes 7.2 (5.7)

    No 5.7 (4.5)
-1.5 -3.0, -0.02 0.048
Cooking fuel
183


    Firewood 6.1 (5.3)

    LPG 7.1 (5.2)
1.0 -0.59, 2.6 0.2
    Others 5.4 (2.3)
-0.70 -5.9, 4.5 0.8
Drinking Water
183


    Bore well 6.4 (5.2)

    Open well 4.0 (2.9)
-2.4 -5.5, 0.71 0.13
    Others 6.0 (4.7)
-0.36 -2.7, 2.0 0.8
    RO/Bottled/Purchased water 18.3 (NA)
12 1.8, 22 0.021
    Surface/Spring water 17.9 (NA)
12 1.4, 22 0.026
    Tap water 6.6 (5.4)
0.28 -1.5, 2.0 0.8
    Water tanker 8.5 (5.7)
2.2 -1.6, 6.0 0.3
Cooking water
183


    Bore well 6.3 (5.2)

    Open well 4.1 (2.8)
-2.2 -5.3, 0.82 0.2
    Others 6.0 (4.7)
-0.35 -2.7, 2.0 0.8
    RO/Bottled/Purchased water NA (NA)



    Surface/Spring water 17.9 (NA)
12 1.3, 22 0.028
    Tap water 6.8 (5.5)
0.46 -1.3, 2.3 0.6
    Water tanker 8.5 (5.7)
2.2 -1.7, 6.0 0.3
Water purification method
182


    Water filter/ E. Purifier NA (NA)



    Boiling 5.9 (3.1)

    Strain through a cloth 5.6 (4.1)
-0.27 -4.9, 4.4 >0.9
    Add bleach/chlorine tablets NA (NA)



    None 6.7 (5.5)
0.79 -3.5, 5.1 0.7
    Others/Multiple 7.1 (5.5)
1.2 -3.9, 6.3 0.6
Latrine type
183


    Present and using 6.6 (5.2)

    Others 8.2 (8.3)
1.6 -3.1, 6.3 0.5
    Open Defecation 5.7 (4.7)
-0.92 -2.9, 1.0 0.4
Years of construction of current house
180


    Less than 10 years 5.9 (5.0)

    More than 10 years 7.0 (5.4)
1.0 -0.51, 2.6 0.2
Visible peeling paint in current house
179


    No 6.2 (5.3)

    Yes 6.8 (5.2)
0.63 -0.97, 2.2 0.4
paint_type_current_hh
181


    No paint/Cement paint 4.7 (3.1)

    Distemper 7.0 (5.8)
2.3 -0.06, 4.6 0.056
    Chuna or similar 6.2 (5.4)
1.4 -0.75, 3.6 0.2
    Emulsion 8.7 (4.8)
3.9 0.93, 6.9 0.011
Interior painting/renovation in last 6 months
183


    No 5.8 (4.2)

    Yes 7.5 (6.4)
1.7 0.13, 3.2 0.034
Primary flooring type in household
96


    Non-soil-contact 5.5 (5.7)

    Soil-contact 7.9 (5.7)
2.3 -0.01, 4.7 0.051
Presence of bare soil in current household
180


    No 7.4 (5.8)

    Yes 6.1 (4.9)
-1.4 -3.0, 0.26 0.10
Smoking inside household
182


    No 6.2 (5.2)

    Yes 6.8 (5.3)
0.69 -0.84, 2.2 0.4
Biomass burning inside house
181


    No 7.0 (5.3)

    Yes 6.2 (5.2)
-0.78 -2.4, 0.87 0.4
Pets/domestic animals in household
179


    No 6.7 (5.1)

    Yes 6.3 (5.4)
-0.33 -1.9, 1.2 0.7
Car/machine repair activity near household
179


    No 6.6 (5.3)

    Yes 6.0 (5.0)
-0.58 -4.1, 3.0 0.7
Non-parent household member lead-related occupation/hobby
183


    No 6.5 (5.3)

    Yes 5.9 (4.7)
-0.66 -3.6, 2.3 0.7
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

C. Household assets

Risk Factor
Pb Levels (µg/dL)
Univariate Regression
N = 1851 N Mean Diff. (β) 95% CI p-value
Wealth Index
183


    Highest 7.5 (6.7)

    Higher 5.6 (4.3)
-1.9 -5.0, 1.1 0.2
    Middle 5.8 (5.4)
-1.7 -4.6, 1.2 0.3
    Lower 6.7 (4.4)
-0.77 -3.5, 2.0 0.6
    Lowest 6.6 (5.4)
-0.92 -3.4, 1.6 0.5
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

D. Blood micro-nutrient levels

Table 1 Column Name   Header                  
label                 "**Risk Factor**"       
stat_0_1              "**N = 185**"           
stat_n_2              "**N**"                 
estimate_2            "**Mean Diff. (β)**"    
conf.low_2            "**95% CI**"            
p.value_2             "**p-value**"           
Table 2 Column Name   Header                  
label                 "**Characteristic**"    
Correlation (r)       "**r**"                 
Cor. P-value          "**p (cor)**"           
stat_n                "**N**"                 
estimate              "**β (95% CI)**"        
p.value               "**p-value**"           
Risk Factor
Pb Levels (µg/dL)
Univariate Regression
r p (cor) N β (95% CI) p-value
N = 1851 N Mean Diff. (β) 95% CI p-value
Categorical Markers (Mean Pb by Group)
Anemia status
183







    No Anemia 6.3 (4.7)






    Any Anemia 6.6 (5.9)
0.29 -1.2, 1.8 0.7




Anaemia Status (Any, New)
183







    No Anemia 6.3 (4.7)






    Mild Anemia 6.3 (5.6)
-0.05 -1.8, 1.7 >0.9




    Moder+Sev Anemia 7.3 (6.4)
0.91 -1.3, 3.1 0.4




iron_def_adj
15







    No Iron Deficiency 6.0 (4.5)






    Iron Deficiency 5.1 (4.4)
-0.96 -6.6, 4.6 0.7




Vitamin B12 Status
13







    Normal (≥203 pg/mL) 4.7 (4.7)






    Deficient (<203 pg/mL) 5.3 (4.2)
0.56 -4.9, 6.0 0.8




Serum Folate Status
13







    Normal (≥4 ng/mL) 5.3 (4.3)






    Deficient (<4 ng/mL) 2.4 (NA)
-2.9 -13, 7.0 0.5




Vitamin D Status
13







    Normal (≥12 ng/mL) 3.4 (2.9)






    Deficient (<12 ng/mL) 7.6 (4.9)
4.2 -0.50, 9.0 0.075




Continuous Markers (Correlation/Regression)
Log Ferritin




0.295 0.2854 15 0.050 (-0.047, 0.147) 0.3
Vitamin B12 (pg/mL)




0.165 0.5905 13 0.004 (-0.012, 0.020) 0.6
Vitamin D (ng/mL)




-0.509 0.0756 13 -0.204 (-0.433, 0.025) 0.076
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

E. Anthropometric indicators

Risk Factor
Pb Levels (µg/dL)
Univariate Regression
N = 1851 N Mean Diff. (β) 95% CI p-value
Stunting status
144


    No Stunting 6.8 (5.2)

    Stunting 6.3 (5.1)
-0.44 -2.6, 1.7 0.7
    Severe Stunting 6.7 (5.0)
-0.11 -2.4, 2.2 >0.9
Wasting status
143


    No Wasting 6.6 (5.2)

    Wasting 8.1 (4.8)
1.6 -0.98, 4.1 0.2
    Severe Wasting 4.2 (3.1)
-2.4 -8.3, 3.5 0.4
Underweight status
145


    No Underweight 6.5 (5.1)

    Underweight 6.9 (5.1)
0.34 -1.8, 2.5 0.8
    Severe Underweight 7.0 (5.5)
0.51 -2.4, 3.4 0.7
MUAC Group
146


    Normal 6.6 (5.2)

    severewasting 6.7 (2.6)
0.12 -4.5, 4.7 >0.9
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

F. Dietary nutrient intake

Characteristic r p (cor) N β (95% CI) p-value
Energy Intake (kcal/day) -0.171 0.0407 144 -0.002 (-0.003, 0.000) 0.041
Protein Intake (g/day) -0.146 0.0810 144 -0.056 (-0.120, 0.007) 0.081
Carbohydrate Intake (g/day) -0.195 0.0191 144 -0.011 (-0.021, -0.002) 0.019
Total Fat Intake (g/day) -0.065 0.4354 144 -0.018 (-0.063, 0.027) 0.4
Iron Intake (mg/day) -0.152 0.0681 144 -0.184 (-0.381, 0.014) 0.068
Zinc Intake (mg/day) -0.209 0.0121 144 -0.503 (-0.894, -0.112) 0.012
Calcium Intake (mg/day) -0.028 0.7402 144 -0.001 (-0.006, 0.004) 0.7
Thiamine (B1) Intake (mg/day) -0.235 0.0047 144 -4.04 (-6.83, -1.26) 0.005
Riboflavin (B2) Intake (mg/day) -0.039 0.6457 144 -0.596 (-3.16, 1.96) 0.6
Niacin (B3) Intake (mg/day) -0.230 0.0055 144 -0.421 (-0.716, -0.126) 0.005
Total Folate (B9) Intake (ug/day) -0.181 0.0301 144 -0.019 (-0.037, -0.002) 0.030
Vitamin C Intake (mg/day) -0.064 0.4459 144 -0.012 (-0.044, 0.020) 0.4
Vitamin A Intake (ug/day) 0.054 0.5219 144 0.003 (-0.005, 0.011) 0.5
Vitamin B12 Intake (ug/day) -0.005 0.9537 144 -0.096 (-3.34, 3.15) >0.9
Birth Weight (grams) 0.436 0.0546 20 0.005 (0.000, 0.010) 0.055
Abbreviation: CI = Confidence Interval

G. CBC parameters

Characteristic r p (cor) N β (95% CI) p-value
WBC Count 0.011 0.8773 183 0.020 (-0.238, 0.279) 0.9
Lymphocytes (%) 0.101 0.1746 183 0.045 (-0.020, 0.109) 0.2
Monocytes (%) -0.060 0.4176 183 -0.087 (-0.298, 0.124) 0.4
Granulocytes (%) -0.077 0.2973 183 -0.033 (-0.095, 0.029) 0.3
Lymphocytes (Absolute Count) 0.088 0.2382 183 0.253 (-0.169, 0.674) 0.2
Monocytes (Absolute Count) -0.083 0.2644 183 -0.855 (-2.36, 0.652) 0.3
Granulocytes (Absolute Count) -0.084 0.2603 183 -0.148 (-0.407, 0.111) 0.3
Red Blood Cell Count 0.163 0.0271 183 1.52 (0.174, 2.87) 0.027
Hemoglobin -0.055 0.4600 183 -0.184 (-0.676, 0.307) 0.5
Hematocrit -0.019 0.7948 183 -0.023 (-0.196, 0.150) 0.8
Mean Corpuscular Volume -0.172 0.0200 183 -0.102 (-0.187, -0.016) 0.020
Red Cell Distribution Width (CV) 0.105 0.1589 183 0.234 (-0.092, 0.560) 0.2
Platelet Count 0.062 0.4060 183 0.003 (-0.004, 0.009) 0.4
Abbreviation: CI = Confidence Interval

Additional variables collected in the case-control study

H. Environmental factors in places other than current household

Risk Factor
Pb Levels (µg/dL)
Univariate Regression
N = 1851 N Mean Diff. (β) 95% CI p-value
Current outside place where child spends most time
139


    Anganwadi 6.4 (5.2)

    School 6.4 (5.2)
0.00 -1.9, 1.9 >0.9
Years of construction of building
110


    Less than 10 years 3.9 (2.6)

    More than 10 years 9.5 (5.8)
5.5 3.9, 7.2 <0.001
Visible Peeling paint at current outside place
87


    No 6.0 (4.6)

    Yes 7.5 (6.0)
1.5 -0.75, 3.8 0.2
Paint type at current outside place
39


    Emulsion 6.7 (4.0)

    Chuna or similar 7.3 (4.1)
0.56 -5.0, 6.2 0.8
    Distemper 8.2 (7.8)
1.5 -3.1, 6.0 0.5
Drinking water source at current outside place
130


    Bottled water from home 6.0 (5.0)

    Piped water 5.4 (3.7)
-0.61 -2.9, 1.7 0.6
    Dugwell/ Tubewell 7.2 (6.2)
1.2 -0.93, 3.3 0.3
Current outside place: rural/urban
132


    Rural 5.8 (5.0)

    Urban 7.6 (5.5)
1.8 -0.16, 3.8 0.072
Housing type at current outside place
124


    Pucca 6.2 (5.0)

    Semi-pucca 6.8 (5.8)
0.61 -2.0, 3.2 0.6
    Kutcha 3.9 (2.1)
-2.4 -6.5, 1.8 0.3
Flooring type at current outside place
23


    Non-soil-contact 7.8 (6.4)

    Soil-contact 4.4 (3.5)
-3.4 -7.8, 1.0 0.13
Prsence of bare soil in current outside place
120


    No 6.3 (4.8)

    Yes 6.1 (5.1)
-0.18 -2.3, 1.9 0.9
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

I. Water practices (newly collected)

Risk Factor
Pb Levels (µg/dL)
Univariate Regression
N = 1851 N Mean Diff. (β) 95% CI p-value
Current HH drinking water: piped surface water
182


    No 6.6 (5.5)

    Yes 5.8 (3.6)
-0.75 -2.8, 1.3 0.5
Current HH drinking water: piped groundwater
182


    No 6.2 (5.2)

    Yes 8.3 (4.9)
2.1 -0.12, 4.3 0.064
Current HH drinking water: tube well/hand pump
182


    No 6.8 (4.5)

    Yes 6.3 (5.6)
-0.53 -2.1, 1.1 0.5
Current HH drinking water: dug well
182


    No 6.5 (5.3)

    Yes 6.2 (4.5)
-0.31 -3.4, 2.8 0.8
Current HH drinking water: other source
182


    No 6.5 (5.3)

    Community RO/ Tanker 4.8 (2.5)
-1.7 -9.1, 5.7 0.7
Presence of old metal pipes
180


    No 5.9 (5.0)

    Yes 10.0 (5.7)
4.0 1.8, 6.3 <0.001
Water storage container: stainless steel
180


    No 7.3 (5.6)

    Yes 5.6 (4.5)
-1.7 -3.2, -0.22 0.025
Water storage container: aluminium
180


    No 5.4 (4.4)

    Yes 10.0 (5.9)
4.6 2.9, 6.3 <0.001
Water storage container: brass/copper/other metal
180


    No 6.4 (5.2)

    Yes 6.7 (4.1)
0.32 -2.7, 3.3 0.8
Water storage container: plastic
180


    No 6.4 (5.1)

    Yes 6.4 (5.2)
0.06 -1.5, 1.7 >0.9
Water storage container: non-glazed earthenware
180


    No 6.3 (5.2)

    Yes 6.9 (4.9)
0.57 -1.5, 2.6 0.6
Water storage container: concrete
180


    No 6.4 (5.1)

    Yes 6.6 (4.0)
0.20 -7.0, 7.4 >0.9
Water filtration used
180


    No 5.5 (4.1)

    Yes 7.7 (6.2)
2.3 0.76, 3.8 0.003
Water filtration method
82


    Boiling 9.3 (8.1)

    RO/ Candle Filter 7.5 (7.4)
-1.8 -7.5, 3.8 0.5
    Cloth/Sieve 7.4 (5.5)
-2.0 -5.5, 1.6 0.3
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

J. Diet practices (newly collected)

Risk Factor
Pb Levels (µg/dL)
Univariate Regression
N = 1851 N Mean Diff. (β) 95% CI p-value
Child consumes rice (>5 meals/week)
183


    No 7.0 (5.9)

    Yes 6.4 (5.2)
-0.57 -3.1, 2.0 0.7
Rice source: farm in same village
163


    No 6.1 (4.6)

    Yes 6.9 (6.2)
0.73 -0.95, 2.4 0.4
Rice farm irrigation source (same village)
50


    Surface water 6.5 (5.4)

    Groundwater 8.0 (7.4)
1.5 -2.2, 5.1 0.4
Rice source: farm in other place
163


    No 6.5 (5.3)

    Yes 5.3 (4.6)
-1.2 -3.9, 1.5 0.4
Rice farm irrigation source (other place)
14


    Surface water 7.4 (NA)

    Groundwater 5.3 (4.9)
-2.1 -13, 9.1 0.7
Rice source: public distribution system
163


    No 7.1 (5.7)

    Yes 5.2 (3.9)
-1.9 -3.5, -0.22 0.026
Rice source: market
151


    No 6.0 (5.5)

    Yes 7.1 (4.8)
1.1 -0.55, 2.8 0.2
Market rice: loose or packaged
67


    Packaged 6.7 (6.6)

    Loose 7.2 (4.6)
0.49 -3.1, 4.1 0.8
Child consumes wheat (>5 meals/week)
183


    No 7.2 (5.8)

    Yes 6.2 (5.0)
-1.0 -2.7, 0.70 0.2
Wheat source: farm in same village
133


    No 6.8 (5.4)

    Yes 5.1 (4.0)
-1.7 -3.5, 0.04 0.055
Wheat farm irrigation source (same village)
40


    Surface water 3.7 (2.1)

    Groundwater 5.8 (4.5)
2.1 -1.0, 5.2 0.2
Wheat source: farm in other place
133


    No 6.3 (5.0)

    Yes 4.9 (5.2)
-1.4 -7.2, 4.4 0.6
Wheat source: public distribution system
133


    No 6.3 (5.2)

    Yes 6.0 (4.3)
-0.26 -2.3, 1.8 0.8
Wheat source: market
134


    No 5.6 (4.3)

    Yes 6.5 (5.4)
0.88 -0.88, 2.6 0.3
Market wheat: loose or packaged
79


    Packaged 5.3 (4.7)

    Loose 6.7 (5.5)
1.4 -2.0, 4.9 0.4
Turmeric consumed regularly
183


    No 4.4 (2.3)

    Yes 6.5 (5.2)
2.0 -5.3, 9.4 0.6
Major source of turmeric
181


    Grind whole at home 6.4 (4.6)

    Grind whole at mill 6.3 (4.0)
-0.11 -2.8, 2.6 >0.9
    Purchase Loose powder 4.7 (4.9)
-1.7 -5.0, 1.6 0.3
    Purchase Packaged powder 6.9 (5.9)
0.50 -1.2, 2.2 0.6
Chilli powder consumed regularly
183


    No 9.4 (8.3)

    Yes 6.2 (4.8)
-3.2 -5.9, -0.53 0.019
Major source of chilli powder
175


    Grind whole at home 6.3 (4.6)

    Grind whole at mill 4.5 (3.2)
-1.8 -5.0, 1.4 0.3
    Purchase Loose powder 5.6 (5.9)
-0.75 -4.7, 3.2 0.7
    Purchase Packaged powder 6.9 (5.7)
0.59 -1.2, 2.3 0.5
Coriander powder consumed regularly
183


    No 8.2 (6.6)

    Yes 6.0 (4.7)
-2.2 -4.0, -0.38 0.018
Major source of coriander powder
157


    Grind whole at home 6.0 (4.1)

    Grind whole at mill 4.9 (3.7)
-1.1 -5.0, 2.7 0.6
    Purchase Loose powder 4.2 (3.2)
-1.8 -5.7, 2.1 0.4
    Purchase Packaged powder 6.8 (5.7)
0.82 -1.2, 2.9 0.4
Non-vegetarian food consumption
182


    No 6.4 (4.6)

    Yes 6.6 (5.9)
0.12 -1.4, 1.7 0.9
Packaged salted snacks consumption
182


    No 5.5 (4.5)

    Yes 7.2 (5.6)
1.7 0.17, 3.2 0.030
Biscuits/cookies consumption
182


    No 6.0 (4.8)

    Yes 6.7 (5.4)
0.73 -0.97, 2.4 0.4
Noodles/instant mixes consumption
182


    No 6.4 (5.6)

    Yes 6.7 (4.4)
0.31 -1.3, 1.9 0.7
Colored candies consumption
182


    No 5.1 (3.9)

    Yes 7.6 (5.8)
2.5 1.0, 4.0 <0.001
Chocolate/cocoa products consumption
182


    No 6.4 (5.2)

    Yes 6.6 (5.3)
0.21 -1.6, 2.0 0.8
Ice cream/frozen colored desserts consumption
182


    No 5.4 (4.3)

    Yes 6.9 (5.5)
1.5 -0.22, 3.2 0.088
Canned/tinned foods or pickles consumption
182


    No 5.1 (3.9)

    Yes 8.4 (6.1)
3.4 1.9, 4.8 <0.001
Meals from Anganwadi/mid-day meal/community kitchen (>5/week)
179


    No 6.1 (4.7)

    Yes 8.0 (6.9)
1.9 0.00, 3.9 0.050
Formula milk consumption (infancy)
182


    No 6.2 (5.2)

    Yes 10.0 (3.5)
3.8 0.84, 6.7 0.012
Fresh animal milk consumption
182


    No 6.1 (5.3)

    Yes 7.2 (5.1)
1.0 -0.56, 2.6 0.2
Packaged animal milk consumption
182


    No 6.3 (5.2)

    Yes 9.1 (4.9)
2.7 -0.62, 6.1 0.11
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

K. Utensils & Utensils recoded

Risk Factor
Pb Levels (µg/dL)
Univariate Regression
N = 1851 N Mean Diff. (β) 95% CI p-value
Cooking utensil: non-stick
182


    No 6.3 (5.2)

    Yes 8.9 (6.2)
2.6 -1.1, 6.3 0.2
Cooking utensil: stainless steel
182


    No 6.2 (5.2)

    Yes 6.6 (5.3)
0.41 -1.2, 2.0 0.6
Cooking utensil: iron
182


    No 6.4 (5.3)

    Yes 6.7 (4.4)
0.23 -2.3, 2.8 0.9
Cooking utensil: copper/brass
182


    No 6.5 (5.3)

    Yes 5.2 (3.5)
-1.3 -6.5, 3.9 0.6
Cooking utensil: aluminium
182


    No 7.6 (5.5)

    Yes 6.2 (5.2)
-1.4 -3.3, 0.61 0.2
Cooking utensil: non-glazed earthenware
182


    No 6.5 (5.3)

    Yes 4.2 (1.5)
-2.3 -7.5, 2.9 0.4
Storage/eating cooked food: stainless steel utensil
179


    No 7.1 (6.2)

    Yes 6.4 (5.0)
-0.76 -2.8, 1.3 0.5
Storage/eating cooked food: aluminium utensil
179


    No 6.5 (4.9)

    Yes 6.4 (5.6)
-0.10 -1.7, 1.5 >0.9
Storage/eating cooked food: iron utensil
179


    No 6.5 (5.3)

    Yes 4.5 (2.4)
-2.0 -8.1, 4.0 0.5
Storage/eating cooked food: copper/brass utensil
179


    No 6.6 (5.3)

    Yes 4.0 (3.1)
-2.5 -7.8, 2.7 0.3
Storage/eating cooked food: plastic utensil
179


    No 6.2 (5.1)

    Yes 12.9 (4.1)
6.6 2.8, 11 <0.001
Storage/eating cooked food: glazed earthenware
179


    No 6.5 (5.4)

    Yes 6.1 (3.8)
-0.47 -3.5, 2.5 0.8
Storage/eating cooked food: non-glazed earthenware
179


    No 6.6 (5.5)

    Yes 5.9 (3.3)
-0.71 -2.9, 1.5 0.5
Storage uncooked food: stainless steel utensil
127


    No 5.7 (4.5)

    Yes 6.1 (4.3)
0.39 -2.4, 3.2 0.8
Storage uncooked food: aluminium utensil
127


    No 5.5 (4.5)

    Yes 6.5 (4.7)
0.98 -1.0, 3.0 0.3
Storage uncooked food: iron utensil
127


    No 5.6 (4.5)

    Yes 9.5 (5.9)
3.8 -1.3, 9.0 0.15
Storage uncooked food: copper/brass utensil
127


    No 5.8 (4.5)

    Yes 3.1 (NA)
-2.7 -12, 6.3 0.6
Storage uncooked food: plastic utensil
127


    No 8.0 (5.3)

    Yes 5.4 (4.3)
-2.5 -4.9, -0.10 0.042
Storage uncooked food: glazed earthenware
127


    No 5.8 (4.6)

    Yes 4.3 (2.0)
-1.5 -5.6, 2.6 0.5
utensil_nonstick
183


    No 6.4 (5.2)

    Yes 8.9 (6.2)
2.6 -1.2, 6.3 0.2
utensil_ss
183


    No 7.6 (6.5)

    Yes 6.3 (5.0)
-1.3 -3.5, 0.96 0.3
utensil_aluminium
183


    No 7.6 (5.5)

    Yes 6.3 (5.2)
-1.3 -3.6, 1.0 0.3
utensil_iron
183


    No 6.4 (5.3)

    Yes 6.9 (4.4)
0.51 -1.8, 2.8 0.7
utensil_copper_brass
183


    No 6.6 (5.3)

    Yes 4.3 (2.7)
-2.2 -6.2, 1.7 0.3
utensil_plastic
183


    No 7.8 (6.0)

    Yes 5.7 (4.5)
-2.0 -3.6, -0.47 0.011
utensil_glazed_earthenware
183


    No 6.5 (5.4)

    Yes 5.9 (3.6)
-0.68 -3.4, 2.0 0.6
utensil_non_glazed_earthenware
183


    No 6.6 (5.5)

    Yes 5.8 (3.2)
-0.78 -2.9, 1.3 0.5
utensil_earthenware_combined
183


    No 6.6 (5.6)

    Yes 6.0 (3.4)
-0.61 -2.5, 1.3 0.5
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

K2. Utensils interaction effects for the most common types

Linear Regression: Utensil Interaction Effects on Blood Pb
term Mean Diff (β) std.error statistic p-value conf.low conf.high
(Intercept) 14.179 6.116 2.318 0.02158897 2.108 26.250
aluminium −2.699 5.844 −0.462 0.64470256 −14.232 8.833
ss −6.458 5.803 −1.113 0.26730056 −17.912 4.995
plastic −4.571 3.362 −1.360 0.17559204 −11.206 2.063
aluminium:ss 2.168 5.469 0.396 0.69229023 −8.626 12.962
aluminium:plastic −1.443 2.531 −0.570 0.56937814 −6.437 3.552
ss:plastic 4.275 2.389 1.790 0.07517520 −0.438 8.989

K3. Utensils detailed exploration

Characteristic N = 1851 Mean Diff (β) 95% CI p-value
utensil_type_detailed



    aluminium 11.5 (6.8)
    aluminium + copper_brass + glazed_earthenware + non_glazed_earthenware + plastic + ss 7.8 (NA) -3.7 -15, 7.2 0.5
    aluminium + copper_brass + plastic + ss 3.3 (0.2) -8.2 -15, -1.3 0.021
    aluminium + copper_brass + ss 2.8 (NA) -8.7 -20, 2.2 0.12
    aluminium + glazed_earthenware + iron + non_glazed_earthenware + plastic + ss 4.8 (2.3) -6.7 -15, 1.4 0.11
    aluminium + glazed_earthenware + iron + plastic + ss 3.4 (NA) -8.1 -19, 2.8 0.14
    aluminium + glazed_earthenware + non_glazed_earthenware + plastic 3.8 (NA) -7.6 -18, 3.2 0.2
    aluminium + glazed_earthenware + non_glazed_earthenware + plastic + ss 2.9 (0.3) -8.5 -17, -0.45 0.039
    aluminium + glazed_earthenware + non_glazed_earthenware + ss 10.0 (NA) -1.4 -12, 9.4 0.8
    aluminium + glazed_earthenware + plastic + ss 8.4 (7.1) -3.1 -10, 3.9 0.4
    aluminium + glazed_earthenware + ss 6.0 (2.0) -5.5 -12, 0.80 0.087
    aluminium + iron + non_glazed_earthenware + plastic + ss 9.4 (3.0) -2.1 -10, 6.0 0.6
    aluminium + iron + non_glazed_earthenware + ss 6.0 (NA) -5.5 -16, 5.4 0.3
    aluminium + iron + plastic + ss 6.1 (4.5) -5.4 -10, -0.62 0.027
    aluminium + iron + ss 5.6 (2.8) -5.9 -13, 1.1 0.10
    aluminium + non_glazed_earthenware + plastic + ss 3.7 (2.2) -7.8 -13, -2.5 0.004
    aluminium + non_glazed_earthenware + ss 6.9 (5.0) -4.5 -11, 1.7 0.2
    aluminium + nonstick + plastic + ss 12.6 (1.0) 1.1 -5.8, 8.1 0.7
    aluminium + plastic 5.6 (5.9) -5.9 -10, -1.4 0.010
    aluminium + plastic + ss 5.0 (4.3) -6.4 -10, -2.5 0.001
    aluminium + ss 7.5 (6.3) -3.9 -7.9, 0.04 0.052
    copper_brass + nonstick + plastic + ss 4.9 (5.1) -6.6 -15, 1.5 0.11
    glazed_earthenware + non_glazed_earthenware + plastic + ss 3.8 (NA) -7.7 -19, 3.1 0.2
    iron + non_glazed_earthenware + ss 11.6 (NA) 0.16 -11, 11 >0.9
    iron + nonstick + plastic + ss 18.3 (NA) 6.8 -4.1, 18 0.2
    iron + ss 7.2 (NA) -4.3 -15, 6.6 0.4
    non_glazed_earthenware + nonstick + plastic + ss 3.3 (NA) -8.2 -19, 2.6 0.14
    non_glazed_earthenware + plastic + ss 7.1 (0.8) -4.4 -11, 1.9 0.2
    nonstick + ss 2.2 (NA) -9.3 -20, 1.6 0.093
    plastic 9.6 (NA) -1.9 -13, 9.0 0.7
    plastic + ss 8.1 (4.5) -3.4 -9.2, 2.4 0.3
    ss 8.2 (10.2) -3.2 -9.5, 3.0 0.3
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

L. Behavioral factors

Risk Factor
Pb Levels (µg/dL)
Univariate Regression
N = 1851 N Mean Diff. (β) 95% CI p-value
Pica behavious in last 6 months
183


    No 4.4 (3.2)

    Yes 10.4 (6.0)
6.0 4.7, 7.4 <0.001
Past history of pica behaviour
183


    No 3.5 (2.3)

    Yes 9.4 (5.6)
6.0 4.7, 7.2 <0.001
Child uses kajal/kohl/surma
183


    No 5.9 (4.8)

    Yes 7.0 (5.6)
1.1 -0.40, 2.6 0.15
Kajal use: current or infancy
91


    Current 7.2 (5.9)

    Infancy 6.8 (5.1)
-0.42 -2.9, 2.1 0.7
Child uses skin-care products
181


    No 6.6 (5.4)

    Yes 6.5 (5.2)
-0.11 -1.7, 1.5 0.9
Use of lipstick/sindoor/red-orange paint
180


    No 6.5 (5.2)

    Yes 6.7 (6.7)
0.25 -2.9, 3.4 0.9
Consumption of silver foil
130


    No 5.0 (3.9)

    Yes 7.9 (5.3)
2.9 1.2, 4.6 <0.001
Ayurvedic/herbal supplement use
182


    No 6.1 (4.8)

    Yes 9.8 (7.6)
3.7 1.2, 6.2 0.004
Calcium/Iron/Vitamin supplement use
182


    No 6.3 (5.2)

    Yes 10.0 (5.4)
3.7 0.25, 7.2 0.036
Consumption of food colours
130


    No 4.8 (3.8)

    Yes 8.3 (5.2)
3.5 1.8, 5.1 <0.001
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

M. Lead in environmental sample

Characteristic r p (cor) N β (95% CI) p-value
Water lead concentration (ppm) -0.054 0.4683 183 -55.5 (-206, 95.2) 0.5
Rice lead concentration (mg/kg) -0.103 0.1948 160 -0.479 (-1.20, 0.247) 0.2
Wheat lead concentration (mg/kg) -0.037 0.6689 134 -0.165 (-0.927, 0.597) 0.7
Turmeric lead level (µg/kg) 0.166 0.0259 180 0.010 (0.001, 0.019) 0.026
Chilli lead level (µg/kg) 0.124 0.1085 170 0.240 (-0.054, 0.533) 0.11
Coriander lead level (µg/kg) 0.032 0.7091 141 0.066 (-0.282, 0.414) 0.7
Kajal lead level (mg/kg) 0.102 0.4460 58 0.041 (-0.066, 0.147) 0.4
Soil/dust lead concentration (µg/kg) 0.031 0.7121 147 0.005 (-0.020, 0.030) 0.7
Wall paint lead level (mg/kg) 0.107 0.2667 109 0.039 (-0.031, 0.109) 0.3
Toy lead level (mg/kg) 0.050 0.6927 64 0.000 (-0.002, 0.003) 0.7
Abbreviation: CI = Confidence Interval
Risk Factor
Pb Levels (µg/dL)
Univariate Regression
N = 1851 N Mean Diff. (β) 95% CI p-value
Water lead level
183


    BLD/ Normal 6.4 (5.2)

    High 8.1 (5.3)
1.7 -3.5, 6.9 0.5
Rice lead category
160


    BLD/ Normal 6.1 (4.7)

    High 7.1 (5.9)
1.0 -0.63, 2.7 0.2
Wheat lead category
134


    BLD/ Normal 6.4 (5.3)

    High 5.9 (4.3)
-0.53 -2.3, 1.3 0.6
Turmeric lead category
180


    BLD/ Normal 6.3 (5.1)

    High 8.6 (6.7)
2.2 -0.65, 5.1 0.13
Chilli lead category
170


    BLD/ Normal 6.5 (5.2)

    High 16.0 (NA)
9.5 -0.82, 20 0.071
Coriander lead category
141


    BLD/ Normal 6.8 (5.4)

    High 4.7 (3.1)
-2.1 -9.7, 5.5 0.6
Kajal lead category
58


    BLD/ Normal 6.9 (5.5)

    High 7.9 (7.4)
0.97 -2.8, 4.8 0.6
Wall paint lead category
109


    BLD/ Normal 7.1 (5.7)

    High 6.5 (5.0)
-0.59 -8.6, 7.4 0.9
Toy lead category
64


    BLD/ Normal 7.8 (6.1)

    High 6.5 (3.8)
-1.3 -4.8, 2.2 0.5
Number of samples exceeding lead cutoff
183


    0 sources 6.1 (5.0)

    1 source 6.4 (5.0)
0.36 -1.4, 2.1 0.7
    2 sources 7.2 (6.6)
1.1 -1.2, 3.5 0.3
    3/4 sources 7.2 (4.7)
1.2 -2.5, 4.8 0.5
1 Blood Pb Levels (μg/dL): Mean (SD)
Abbreviation: CI = Confidence Interval

N.Brands of diet and cosmetics

Characteristic N = 1851
rice_market_brand
    ABIS GOLD 3.0 (3.0, 3.0)
    Dawat 10.1 (2.4, 17.7)
    Indiagate 11.5 (11.5, 11.5)
    Lakhdatar Sona Masuri 14.1 (14.1, 14.1)
wheat_market_brand
    Amol atta 10.0 (10.0, 10.0)
    Ashriwad 3.9 (3.9, 3.9)
    Fortune Multigrain Atta 17.7 (17.7, 17.7)
    kalash atta 2.4 (2.4, 2.4)
    Kesar gold atta 3.3 (3.3, 3.3)
    Lalgulab Atta 3.0 (3.0, 3.0)
    NATWAL GOLD ATTA 2.7 (2.7, 2.7)
    Tulsi Atta 6.1 (6.1, 6.1)
turmeric_brand
    basant 2.7 (2.7, 2.7)
    Dhamya 13.2 (6.7, 19.7)
    Everest 3.5 (3.5, 3.5)
    GOLDIE 7.5 (7.5, 7.5)
    Haldiram 3.3 (3.3, 3.3)
    JMD 2.5 (2.1, 3.2)
    Khatri 6.7 (2.6, 14.1)
    MDH 3.0 (3.0, 3.0)
    Neelam 8.1 (6.5, 9.6)
    NR Brand 2.5 (2.4, 3.5)
    Om masala 2.7 (2.7, 2.7)
    PUSH 7.3 (7.3, 7.3)
    Rakshadeep 2.7 (2.7, 2.7)
    Ramdev 3.3 (3.3, 3.3)
    Ramnagar 22.6 (22.6, 22.6)
    Rawal Das 18.3 (18.3, 18.3)
    Sarda 2.0 (2.0, 2.0)
    Sardar 2.1 (1.3, 2.9)
    Sourabh 3.7 (3.7, 3.7)
    Sundar 7.2 (6.0, 8.0)
    Suresh masala 1.9 (1.9, 1.9)
    Suruchi 2.8 (2.6, 3.3)
    TEJA 4.6 (1.3, 7.8)
    Zoff 7.0 (7.0, 7.0)
chilli_brand
    Dhamya 13.2 (6.7, 19.7)
    Everest 6.8 (3.5, 10.0)
    GOLDIE 7.5 (7.5, 7.5)
    JMD 2.5 (2.1, 3.2)
    Khatri 6.6 (3.0, 10.8)
    Maharaja 2.8 (2.8, 2.8)
    MDH 3.0 (3.0, 3.0)
    Neelam 5.0 (3.2, 8.1)
    NR Brand 3.5 (2.5, 6.1)
    Ramnagar 22.6 (22.6, 22.6)
    Rawal Das 18.3 (18.3, 18.3)
    Sardar 1.3 (1.3, 1.3)
    Sourabh 3.1 (2.4, 3.7)
    Sundar 7.2 (6.0, 8.0)
    Suresh masala 1.9 (1.9, 1.9)
    Suruchi 2.8 (2.6, 3.3)
    TEJA 7.3 (1.3, 7.8)
    Zoff 7.0 (7.0, 7.0)
coriander_brand
    basant 2.7 (2.7, 2.7)
    Dhamya 13.2 (6.7, 19.7)
    Everest 5.9 (1.8, 10.0)
    GOLDIE 7.5 (7.5, 7.5)
    JMD 2.5 (2.1, 3.2)
    Khatri 6.6 (3.0, 6.9)
    MDH 3.0 (3.0, 3.0)
    Neelam 3.6 (2.7, 6.5)
    NR Brand 3.5 (2.5, 6.1)
    Om masala 2.7 (2.7, 2.7)
    Ramnagar 22.6 (22.6, 22.6)
    Rawal Das 18.3 (18.3, 18.3)
    Sardar 1.3 (1.3, 1.3)
    Sourabh 3.1 (2.4, 3.7)
    Sundar 7.2 (6.0, 8.0)
    Suresh masala 1.9 (1.9, 1.9)
    Suruchi 2.8 (2.6, 3.3)
    TEJA 4.6 (1.3, 7.8)
    Zoff 7.0 (7.0, 7.0)
kajal_brand
    Homemde 9.0 (6.0, 14.4)
    Jyoh 7.8 (7.8, 7.8)
    Jyoti NA (NA, NA)
    Local 3.5 (2.7, 8.1)
    pantanjali 14.3 (14.3, 14.3)
    SURMA Local 2.7 (2.7, 2.7)
cosmetics_brand
    Baby lips lipstick 2.0 (2.0, 2.0)
    Boroline, Ponds 18.3 (18.3, 18.3)
    Denim, Ponds 7.2 (7.2, 7.2)
    Dermicool 3.5 (2.6, 6.6)
    Domi 6.0 (6.0, 6.0)
    Dove 10.4 (6.2, 14.6)
    Himalaya 3.5 (3.0, 3.6)
    Himalaya Body Cream 12.4 (12.4, 12.4)
    Johnson 9.0 (9.0, 9.0)
    Johnson baby 3.3 (3.3, 3.3)
    Johnson powder 6.5 (6.2, 8.1)
    Local brands & ponds 9.9 (3.3, 16.4)
    Lotus Jet powder 3.6 (3.6, 3.6)
    Nycil 1.9 (1.8, 8.2)
    Ponds 6.0 (2.8, 8.1)
    Ponds Cold cream 3.6 (3.6, 3.6)
    Ponds dermicool 2.8 (2.8, 2.8)
    Ponds powder 2.9 (2.9, 2.9)
    Ponds powder, Himalaya Lip balm 8.4 (2.1, 14.7)
    Ponds Powder,Local brand lipstick 2.4 (2.4, 2.4)
    Ponds, baby lip balm 15.5 (6.9, 24.1)
    Ponds, fair lovely 3.7 (3.7, 3.7)
    Ponds, Johnson 7.9 (7.9, 7.9)
    Ponds, lipbalm 3.0 (3.0, 3.0)
    Powder 3.1 (3.1, 3.1)
    Spinz 4.9 (1.3, 8.5)
1 Blood Pb Levels (μg/dL): Median (Q1, Q3)

Part 3. Multivariable analysis for adjusted associations with risk factors

A. Household construction characteristics

Characteristic N Adj. β (95% CI)1 95% CI p-value
Years of construction of current house 180


    Less than 10 years

    More than 10 years
0.64 -0.91, 2.2 0.4
PSU Rural/Urban 180


    Rural

    Urban
2.7 0.75, 4.6 0.007
Wealth Index 180


    Highest

    Higher
-1.4 -4.4, 1.7 0.4
    Middle
-0.99 -3.9, 1.9 0.5
    Lower
-0.59 -3.3, 2.2 0.7
    Lowest
0.00 -2.5, 2.5
0.9
1 Adjusted for rural/urban and wealth index. Beta represents change in µg/dL.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Visible peeling paint in current house 179


    No

    Yes
-0.09 -1.8, 1.6
0.9
PSU Rural/Urban 179


    Rural

    Urban
2.8 0.81, 4.8 0.006
Wealth Index 179


    Highest

    Higher
-1.6 -4.6, 1.4 0.3
    Middle
-1.1 -4.0, 1.9 0.5
    Lower
-0.46 -3.2, 2.3 0.7
    Lowest
-0.04 -2.6, 2.5
0.9
1 Adjusted for rural/urban and wealth index. Beta represents change in µg/dL.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
paint_type_current_hh 181


    No paint/Cement paint

    Distemper
1.6 -0.77, 4.0 0.2
    Chuna or similar
1.4 -0.85, 3.6 0.2
    Emulsion
3.2 -0.03, 6.5 0.052
PSU Rural/Urban 181


    Rural

    Urban
2.3 0.30, 4.3 0.025
Wealth Index 181


    Highest

    Higher
-1.0 -4.1, 2.0 0.5
    Middle
-0.52 -3.5, 2.5 0.7
    Lower
0.06 -2.7, 2.8
0.9
    Lowest
0.71 -2.0, 3.4 0.6
1 Adjusted for rural/urban and wealth index. Beta represents change in µg/dL.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Primary flooring type in household 96


    Non-soil-contact

    Soil-contact
2.8 0.40, 5.2 0.023
PSU Rural/Urban 96


    Rural

    Urban
2.4 -1.1, 5.8 0.2
Wealth Index 96


    Highest

    Higher
-4.6 -12, 2.8 0.2
    Middle
-3.7 -9.5, 2.1 0.2
    Lower
-3.6 -9.5, 2.2 0.2
    Lowest
-3.8 -9.3, 1.8 0.2
1 Adjusted for rural/urban and wealth index. Beta represents change in µg/dL.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Smoking inside household 182


    No

    Yes
0.82 -0.72, 2.4 0.3
PSU Rural/Urban 182


    Rural

    Urban
2.7 0.85, 4.6 0.005
Wealth Index 182


    Highest

    Higher
-1.6 -4.5, 1.4 0.3
    Middle
-1.2 -4.1, 1.8 0.4
    Lower
-0.62 -3.4, 2.1 0.7
    Lowest
-0.20 -2.7, 2.3 0.9
1 Adjusted for rural/urban and wealth index. Beta represents change in µg/dL.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Car/machine repair activity near household 179


    No

    Yes
-0.38 -3.9, 3.2 0.8
PSU Rural/Urban 179


    Rural

    Urban
2.8 0.88, 4.7 0.004
Wealth Index 179


    Highest

    Higher
-1.8 -4.8, 1.2 0.2
    Middle
-1.3 -4.2, 1.7 0.4
    Lower
-0.59 -3.4, 2.2 0.7
    Lowest
-0.26 -2.8, 2.3 0.8
1 Adjusted for rural/urban and wealth index. Beta represents change in µg/dL.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Presence of old metal pipes 180


    No

    Yes
3.8 1.6, 6.1 0.001
PSU Rural/Urban 180


    Rural

    Urban
2.3 0.44, 4.1 0.015
Wealth Index 180


    Highest

    Higher
-2.2 -5.1, 0.76 0.14
    Middle
-1.4 -4.2, 1.4 0.3
    Lower
-0.65 -3.3, 2.0 0.6
    Lowest
-0.24 -2.7, 2.2 0.8
1 Adjusted for rural/urban and wealth index. Beta represents change in µg/dL.
Abbreviation: CI = Confidence Interval

B. Drinking water source (Sampada data)

Characteristic N Adj. β (95% CI)1 95% CI p-value
Drinking water source 183


    Bore well

    Open well
-2.3 -5.5, 0.92 0.2
    Tap water
-0.26 -2.1, 1.6 0.8
    Water tanker
0.98 -3.0, 5.0 0.6
    Others
0.42 -2.0, 2.8 0.7
Type of House 183


    Pucca

    Semi-pucca
0.28 -1.8, 2.3 0.8
    Kutcha
-0.04 -2.3, 2.2 >0.9
PSU Rural/Urban 183


    Rural

    Urban
2.6 0.52, 4.7 0.014
Wealth Index 183


    Highest

    Higher
-1.6 -4.7, 1.4 0.3
    Middle
-1.0 -4.2, 2.1 0.5
    Lower
-0.50 -3.4, 2.4 0.7
    Lowest
0.09 -2.8, 3.0 >0.9
1 Adjusted for type of house, rural/urban, and wealth index
Abbreviation: CI = Confidence Interval

C. Cooking water source (Sampada data)

Characteristic N Adj. β (95% CI)1 95% CI p-value
Cooking water source 183


    Bore well

    Open well
-2.2 -5.3, 0.91 0.2
    Tap water
-0.17 -2.1, 1.7 0.9
    Water tanker
0.99 -3.0, 5.0 0.6
    Others
0.07 -2.4, 2.5 >0.9
Type of House 183


    Pucca

    Semi-pucca
0.29 -1.8, 2.3 0.8
    Kutcha
0.01 -2.2, 2.3 >0.9
PSU Rural/Urban 183


    Rural

    Urban
2.5 0.41, 4.6 0.020
Wealth Index 183


    Highest

    Higher
-1.8 -4.9, 1.3 0.3
    Middle
-1.2 -4.3, 2.0 0.5
    Lower
-0.62 -3.6, 2.3 0.7
    Lowest
-0.03 -2.9, 2.8 >0.9
1 Adjusted for type of house, rural/urban, and wealth index
Abbreviation: CI = Confidence Interval

D-G. Malnutrition status

Characteristic N Adj. β (95% CI)1 95% CI p-value
Stunting status 144


    No Stunting

    Stunting
-0.69 -2.9, 1.5 0.5
    Severe Stunting
-0.32 -2.7, 2.1 0.8
Age group 144


    1-2

    2-3
-2.0 -4.9, 0.81 0.2
    3-4
-1.3 -4.0, 1.4 0.3
    4-5
-2.8 -5.6, -0.10 0.042
Hemoglobin 144 -0.16 -0.73, 0.40 0.6
Type of House 144


    Pucca

    Semi-pucca
0.03 -2.4, 2.4
0.9
    Kutcha
-0.12 -2.7, 2.4
0.9
PSU Rural/Urban 144


    Rural

    Urban
2.8 0.59, 5.0 0.013
Wealth Index 144


    Highest

    Higher
-0.96 -4.8, 2.9 0.6
    Middle
0.22 -3.8, 4.3
0.9
    Lower
-0.17 -3.8, 3.4
0.9
    Lowest
1.4 -2.1, 4.9 0.4
1 Adjusted for age, hemoglobin, and socio-economic factors
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Wasting status 143


    No Wasting

    Wasting
1.7 -0.95, 4.4 0.2
    Severe Wasting
-1.0 -7.1, 5.1 0.7
Age group 143


    1-2

    2-3
-1.9 -4.7, 0.94 0.2
    3-4
-1.0 -3.7, 1.6 0.5
    4-5
-2.5 -5.2, 0.17 0.067
Hemoglobin 143 -0.17 -0.73, 0.40 0.6
Type of House 143


    Pucca

    Semi-pucca
0.13 -2.3, 2.5
0.9
    Kutcha
-0.10 -2.7, 2.5
0.9
PSU Rural/Urban 143


    Rural

    Urban
2.8 0.57, 5.0 0.014
Wealth Index 143


    Highest

    Higher
-1.2 -5.1, 2.7 0.5
    Middle
0.15 -3.8, 4.2
0.9
    Lower
-0.41 -4.0, 3.2 0.8
    Lowest
1.0 -2.6, 4.6 0.6
1 Adjusted for age, hemoglobin, and socio-economic factors
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Underweight status 145


    No Underweight

    Underweight
0.96 -1.2, 3.1 0.4
    Severe Underweight
0.75 -2.2, 3.7 0.6
Age group 145


    1-2

    2-3
-2.1 -4.9, 0.64 0.13
    3-4
-1.3 -3.9, 1.4 0.3
    4-5
-2.7 -5.4, -0.10 0.042
Hemoglobin 145 -0.15 -0.71, 0.41 0.6
Type of House 145


    Pucca

    Semi-pucca
0.11 -2.2, 2.4
0.9
    Kutcha
-0.12 -2.6, 2.4
0.9
PSU Rural/Urban 145


    Rural

    Urban
3.0 0.80, 5.2 0.008
Wealth Index 145


    Highest

    Higher
-1.1 -4.9, 2.7 0.6
    Middle
0.03 -3.9, 4.0
0.9
    Lower
-0.14 -3.7, 3.4
0.9
    Lowest
1.4 -2.1, 5.0 0.4
1 Adjusted for age, hemoglobin, and socio-economic factors
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
MUAC Group 146


    Normal

    severewasting
-0.70 -5.5, 4.1 0.8
Age group 146


    1-2

    2-3
-2.1 -4.8, 0.71 0.14
    3-4
-1.3 -3.9, 1.3 0.3
    4-5
-2.7 -5.4, -0.06 0.045
Hemoglobin 146 -0.19 -0.74, 0.37 0.5
Type of House 146


    Pucca

    Semi-pucca
0.01 -2.3, 2.3
0.9
    Kutcha
-0.08 -2.6, 2.4
0.9
PSU Rural/Urban 146


    Rural

    Urban
2.9 0.72, 5.1 0.010
Wealth Index 146


    Highest

    Higher
-1.0 -4.8, 2.8 0.6
    Middle
0.00 -3.9, 3.9
0.9
    Lower
-0.21 -3.8, 3.4
0.9
    Lowest
1.4 -2.1, 4.8 0.4
1 Adjusted for age, hemoglobin, and socio-economic factors
Abbreviation: CI = Confidence Interval

H. Anemia

Characteristic N Adj. β (95% CI)1 95% CI p-value
Anemia status 183


    No Anemia

    Any Anemia
0.48 -1.1, 2.1 0.6
1 Adjusted for age, gender, rural/urban, and wealth index
Abbreviation: CI = Confidence Interval

I. Micronutrient intake

Characteristic N Adj. β (95% CI)1 95% CI p-value
Thiamine (B1) Intake (mg/day) 144 -5.0 -7.8, -2.2 <0.001
Gender 144


    Male

    Female
-0.88 -2.5, 0.73 0.3
PSU Rural/Urban 144


    Rural

    Urban
3.7 1.6, 5.7 <0.001
Wealth Index 144


    Highest

    Higher
-2.3 -5.4, 0.85 0.2
    Middle
-1.9 -5.1, 1.2 0.2
    Lower
-0.96 -3.7, 1.8 0.5
    Lowest
-0.51 -3.1, 2.1 0.7
1 Adjusted for gender, rural/urban, and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Riboflavin (B2) Intake (mg/day) 144 -1.3 -3.9, 1.3 0.3
Gender 144


    Male

    Female
-0.84 -2.5, 0.85 0.3
PSU Rural/Urban 144


    Rural

    Urban
3.1 1.0, 5.2 0.004
Wealth Index 144


    Highest

    Higher
-2.1 -5.4, 1.2 0.2
    Middle
-2.5 -5.7, 0.81 0.14
    Lower
-1.0 -3.9, 1.9 0.5
    Lowest
-0.87 -3.6, 1.9 0.5
1 Adjusted for gender, rural/urban, and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Niacin (B3) Intake (mg/day) 144 -0.50 -0.80, -0.21 <0.001
Gender 144


    Male

    Female
-0.78 -2.4, 0.84 0.3
PSU Rural/Urban 144


    Rural

    Urban
3.4 1.4, 5.4 0.001
Wealth Index 144


    Highest

    Higher
-2.6 -5.8, 0.50 0.10
    Middle
-2.1 -5.3, 1.1 0.2
    Lower
-0.92 -3.7, 1.9 0.5
    Lowest
-0.70 -3.3, 1.9 0.6
1 Adjusted for gender, rural/urban, and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Vitamin B12 Intake (ug/day) 144 -1.1 -4.4, 2.2 0.5
Gender 144


    Male

    Female
-0.71 -2.4, 0.97 0.4
PSU Rural/Urban 144


    Rural

    Urban
3.1 0.99, 5.2 0.004
Wealth Index 144


    Highest

    Higher
-2.0 -5.2, 1.3 0.2
    Middle
-2.5 -5.8, 0.78 0.13
    Lower
-0.85 -3.8, 2.1 0.6
    Lowest
-0.65 -3.4, 2.1 0.6
1 Adjusted for gender, rural/urban, and wealth index
Abbreviation: CI = Confidence Interval

J. Past pica behaviour

Characteristic N Adj. β (95% CI)1 95% CI p-value
Past history of pica behaviour 183


    No

    Yes
5.9 4.6, 7.1 <0.001
Age group 183


    1-2

    2-3
-1.8 -3.9, 0.19 0.075
    3-4
-1.4 -3.4, 0.56 0.2
    4-5
-1.9 -3.9, 0.13 0.067
Hemoglobin 183 -0.08 -0.50, 0.33 0.7
1 Adjusted for age and hemoglobin (micronutrient marker)
Abbreviation: CI = Confidence Interval

K. Kajal use and conusmption of certain food types

Characteristic N Adj. β (95% CI)1 95% CI p-value
Child uses kajal/kohl/surma 183


    No

    Yes
1.1 -0.42, 2.6 0.2
PSU Rural/Urban 183


    Rural

    Urban
2.7 0.86, 4.6 0.004
Wealth Index 183


    Highest

    Higher
-1.5 -4.4, 1.5 0.3
    Middle
-0.96 -3.8, 1.9 0.5
    Lower
-0.37 -3.1, 2.3 0.8
    Lowest
0.11 -2.4, 2.6
0.9
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Non-vegetarian food consumption 182


    No

    Yes
0.38 -1.2, 1.9 0.6
PSU Rural/Urban 182


    Rural

    Urban
2.7 0.86, 4.6 0.005
Wealth Index 182


    Highest

    Higher
-1.6 -4.6, 1.4 0.3
    Middle
-1.1 -4.0, 1.8 0.5
    Lower
-0.41 -3.1, 2.3 0.8
    Lowest
-0.02 -2.6, 2.5
0.9
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Packaged salted snacks consumption 182


    No

    Yes
1.4 -0.09, 3.0 0.064
PSU Rural/Urban 182


    Rural

    Urban
2.6 0.69, 4.4 0.007
Wealth Index 182


    Highest

    Higher
-1.5 -4.4, 1.5 0.3
    Middle
-0.78 -3.7, 2.1 0.6
    Lower
-0.38 -3.1, 2.3 0.8
    Lowest
0.12 -2.4, 2.6
0.9
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Biscuits/cookies consumption 182


    No

    Yes
0.62 -1.1, 2.3 0.5
PSU Rural/Urban 182


    Rural

    Urban
2.7 0.78, 4.5 0.006
Wealth Index 182


    Highest

    Higher
-1.6 -4.6, 1.4 0.3
    Middle
-1.1 -4.0, 1.8 0.4
    Lower
-0.43 -3.1, 2.3 0.8
    Lowest
0.03 -2.5, 2.6
0.9
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Noodles/instant mixes consumption 182


    No

    Yes
-0.06 -1.7, 1.6
0.9
PSU Rural/Urban 182


    Rural

    Urban
2.7 0.82, 4.6 0.005
Wealth Index 182


    Highest

    Higher
-1.5 -4.5, 1.4 0.3
    Middle
-1.1 -4.0, 1.8 0.5
    Lower
-0.41 -3.1, 2.3 0.8
    Lowest
0.04 -2.5, 2.6
0.9
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Colored candies consumption 182


    No

    Yes
2.6 1.1, 4.1 <0.001
PSU Rural/Urban 182


    Rural

    Urban
2.6 0.73, 4.4 0.006
Wealth Index 182


    Highest

    Higher
-1.9 -4.8, 0.96 0.2
    Middle
-1.3 -4.2, 1.5 0.3
    Lower
-0.44 -3.1, 2.2 0.7
    Lowest
-0.35 -2.8, 2.1 0.8
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Chocolate/cocoa products consumption 182


    No

    Yes
0.35 -1.4, 2.1 0.7
PSU Rural/Urban 182


    Rural

    Urban
2.7 0.86, 4.6 0.005
Wealth Index 182


    Highest

    Higher
-1.5 -4.5, 1.5 0.3
    Middle
-1.0 -3.9, 1.9 0.5
    Lower
-0.40 -3.1, 2.3 0.8
    Lowest
0.09 -2.4, 2.6
0.9
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Ice cream/frozen colored desserts consumption 182


    No

    Yes
1.5 -0.23, 3.2 0.089
PSU Rural/Urban 182


    Rural

    Urban
2.7 0.85, 4.6 0.005
Wealth Index 182


    Highest

    Higher
-1.4 -4.3, 1.6 0.4
    Middle
-1.0 -3.9, 1.9 0.5
    Lower
-0.30 -3.0, 2.4 0.8
    Lowest
0.26 -2.3, 2.8 0.8
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Canned/tinned foods or pickles consumption 182


    No

    Yes
3.1 1.7, 4.6 <0.001
PSU Rural/Urban 182


    Rural

    Urban
2.3 0.54, 4.1 0.011
Wealth Index 182


    Highest

    Higher
-1.3 -4.1, 1.6 0.4
    Middle
-1.0 -3.8, 1.7 0.5
    Lower
-0.70 -3.3, 1.9 0.6
    Lowest
-0.01 -2.4, 2.4
0.9
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Meals from Anganwadi/mid-day meal/community kitchen (>5/week) 179


    No

    Yes
1.9 -0.01, 3.9 0.051
PSU Rural/Urban 179


    Rural

    Urban
2.8 0.89, 4.7 0.004
Wealth Index 179


    Highest

    Higher
-1.5 -4.5, 1.5 0.3
    Middle
-1.1 -4.0, 1.8 0.5
    Lower
-0.65 -3.4, 2.1 0.6
    Lowest
-0.05 -2.6, 2.5
0.9
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Formula milk consumption (infancy) 182


    No

    Yes
2.1 -1.3, 5.6 0.2
PSU Rural/Urban 182


    Rural

    Urban
2.1 -0.06, 4.2 0.056
Wealth Index 182


    Highest

    Higher
-1.4 -4.3, 1.6 0.4
    Middle
-0.83 -3.7, 2.1 0.6
    Lower
-0.26 -3.0, 2.5 0.9
    Lowest
0.27 -2.3, 2.8 0.8
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Fresh animal milk consumption 182


    No

    Yes
0.89 -0.72, 2.5 0.3
PSU Rural/Urban 182


    Rural

    Urban
2.6 0.75, 4.5 0.006
Wealth Index 182


    Highest

    Higher
-1.4 -4.4, 1.6 0.4
    Middle
-1.0 -3.9, 1.9 0.5
    Lower
-0.20 -2.9, 2.5 0.9
    Lowest
0.30 -2.3, 2.9 0.8
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Packaged animal milk consumption 182


    No

    Yes
0.25 -3.5, 4.0 0.9
PSU Rural/Urban 182


    Rural

    Urban
2.6 0.55, 4.7 0.014
Wealth Index 182


    Highest

    Higher
-1.5 -4.5, 1.5 0.3
    Middle
-1.1 -4.0, 1.9 0.5
    Lower
-0.40 -3.1, 2.3 0.8
    Lowest
0.05 -2.5, 2.6
0.9
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Consumption of silver foil 130


    No

    Yes
2.5 0.77, 4.2 0.005
PSU Rural/Urban 130


    Rural

    Urban
2.0 0.10, 3.9 0.039
Wealth Index 130


    Highest

    Higher
-1.5 -4.5, 1.4 0.3
    Middle
-1.4 -4.3, 1.6 0.4
    Lower
-0.08 -2.8, 2.7
0.9
    Lowest
-0.83 -3.4, 1.7 0.5
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Ayurvedic/herbal supplement use 182


    No

    Yes
3.5 0.92, 6.0 0.008
PSU Rural/Urban 182


    Rural

    Urban
2.7 0.87, 4.6 0.004
Wealth Index 182


    Highest

    Higher
-0.64 -3.6, 2.4 0.7
    Middle
-0.41 -3.3, 2.5 0.8
    Lower
0.04 -2.6, 2.7
0.9
    Lowest
0.71 -1.8, 3.2 0.6
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Calcium/Iron/Vitamin supplement use 182


    No

    Yes
3.1 -0.37, 6.7 0.080
PSU Rural/Urban 182


    Rural

    Urban
2.5 0.57, 4.3 0.011
Wealth Index 182


    Highest

    Higher
-1.7 -4.7, 1.3 0.3
    Middle
-1.2 -4.1, 1.6 0.4
    Lower
-0.61 -3.3, 2.1 0.7
    Lowest
-0.26 -2.8, 2.3 0.8
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Consumption of food colours 130


    No

    Yes
3.0 1.4, 4.7 <0.001
PSU Rural/Urban 130


    Rural

    Urban
1.8 -0.02, 3.7 0.052
Wealth Index 130


    Highest

    Higher
-1.7 -4.6, 1.2 0.3
    Middle
-1.3 -4.2, 1.6 0.4
    Lower
-0.30 -3.0, 2.4 0.8
    Lowest
-0.80 -3.3, 1.7 0.5
1 Adjusted for rural/urban and wealth index
Abbreviation: CI = Confidence Interval

L. Utensils

Characteristic N Adj. β (95% CI)1 95% CI p-value
utensil_nonstick 183


    No

    Yes
2.5 -1.3, 6.4 0.2
Wealth Index 183


    Highest

    Higher
-1.8 -4.8, 1.2 0.2
    Middle
-1.4 -4.4, 1.5 0.3
    Lower
-0.58 -3.3, 2.2 0.7
    Lowest
-0.58 -3.1, 1.9 0.6
1 Adjusted for wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
utensil_ss 183


    No

    Yes
-1.4 -3.7, 0.90 0.2
Wealth Index 183


    Highest

    Higher
-2.0 -5.0, 1.0 0.2
    Middle
-1.8 -4.7, 1.1 0.2
    Lower
-0.79 -3.5, 2.0 0.6
    Lowest
-1.2 -3.7, 1.3 0.4
1 Adjusted for wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
utensil_aluminium 183


    No

    Yes
-1.2 -3.6, 1.2 0.3
Wealth Index 183


    Highest

    Higher
-1.7 -4.8, 1.3 0.3
    Middle
-1.5 -4.5, 1.4 0.3
    Lower
-0.69 -3.4, 2.1 0.6
    Lowest
-0.66 -3.2, 1.9 0.6
1 Adjusted for wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
utensil_iron 183


    No

    Yes
0.32 -2.0, 2.7 0.8
Wealth Index 183


    Highest

    Higher
-1.9 -4.9, 1.2 0.2
    Middle
-1.6 -4.6, 1.3 0.3
    Lower
-0.75 -3.5, 2.0 0.6
    Lowest
-0.92 -3.4, 1.6 0.5
1 Adjusted for wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
utensil_copper_brass 183


    No

    Yes
-2.5 -6.5, 1.5 0.2
Wealth Index 183


    Highest

    Higher
-2.2 -5.2, 0.89 0.2
    Middle
-1.7 -4.6, 1.2 0.2
    Lower
-0.86 -3.6, 1.9 0.5
    Lowest
-1.1 -3.6, 1.4 0.4
1 Adjusted for wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
utensil_plastic 183


    No

    Yes
-2.0 -3.6, -0.39 0.015
Wealth Index 183


    Highest

    Higher
-1.6 -4.6, 1.3 0.3
    Middle
-1.3 -4.2, 1.6 0.4
    Lower
-0.49 -3.2, 2.2 0.7
    Lowest
-0.53 -3.0, 1.9 0.7
1 Adjusted for wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
utensil_glazed_earthenware 183


    No

    Yes
-0.89 -3.6, 1.9 0.5
Wealth Index 183


    Highest

    Higher
-2.0 -5.0, 1.1 0.2
    Middle
-1.8 -4.8, 1.1 0.2
    Lower
-0.86 -3.6, 1.9 0.5
    Lowest
-1.0 -3.5, 1.5 0.4
1 Adjusted for wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
utensil_non_glazed_earthenware 183


    No

    Yes
-0.72 -2.9, 1.4 0.5
Wealth Index 183


    Highest

    Higher
-1.9 -4.9, 1.2 0.2
    Middle
-1.6 -4.6, 1.3 0.3
    Lower
-0.74 -3.5, 2.0 0.6
    Lowest
-0.85 -3.3, 1.6 0.5
1 Adjusted for wealth index
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
utensil_earthenware_combined 183


    No

    Yes
-0.61 -2.6, 1.3 0.5
Wealth Index 183


    Highest

    Higher
-1.9 -4.9, 1.1 0.2
    Middle
-1.7 -4.6, 1.2 0.2
    Lower
-0.81 -3.6, 1.9 0.6
    Lowest
-0.92 -3.4, 1.6 0.5
1 Adjusted for wealth index
Abbreviation: CI = Confidence Interval

M-T. Environmental lead levels

Characteristic N Adj. β (95% CI)1 95% CI p-value
Water lead level 180


    BLD/ Normal

    High
1.8 -3.4, 7.0 0.5
Type of House 180


    Pucca

    Semi-pucca
0.43 -1.5, 2.4 0.7
    Kutcha
0.35 -1.8, 2.5 0.7
PSU Rural/Urban 180


    Rural

    Urban
2.4 0.48, 4.3 0.015
Wealth Index 180


    Highest

    Higher
-2.1 -5.2, 0.90 0.2
    Middle
-1.5 -4.5, 1.6 0.3
    Lower
-0.80 -3.6, 2.0 0.6
    Lowest
-0.32 -3.1, 2.5 0.8
Presence of old metal pipes 180


    No

    Yes
3.9 1.6, 6.2 0.001
1 Beta represents the increase in Blood Pb (µg/dL) compared to BDL/Normal levels.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Rice lead category 160


    BLD/ Normal

    High
1.0 -0.65, 2.7 0.2
Type of House 160


    Pucca

    Semi-pucca
0.47 -1.7, 2.7 0.7
    Kutcha
0.72 -1.7, 3.1 0.6
PSU Rural/Urban 160


    Rural

    Urban
3.1 1.0, 5.1 0.004
Wealth Index 160


    Highest

    Higher
-1.9 -5.1, 1.4 0.3
    Middle
-2.1 -5.4, 1.2 0.2
    Lower
-1.1 -4.2, 2.0 0.5
    Lowest
-0.79 -3.9, 2.3 0.6
1 Beta represents the increase in Blood Pb (µg/dL) compared to BDL/Normal levels.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Wheat lead category 134


    BLD/ Normal

    High
-0.67 -2.5, 1.2 0.5
Type of House 134


    Pucca

    Semi-pucca
-0.04 -2.2, 2.2
0.9
    Kutcha
0.59 -1.9, 3.1 0.6
PSU Rural/Urban 134


    Rural

    Urban
2.5 0.38, 4.6 0.021
Wealth Index 134


    Highest

    Higher
-1.2 -4.6, 2.3 0.5
    Middle
-0.42 -3.9, 3.1 0.8
    Lower
-0.44 -3.7, 2.8 0.8
    Lowest
-0.70 -3.8, 2.4 0.7
1 Beta represents the increase in Blood Pb (µg/dL) compared to BDL/Normal levels.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Turmeric lead category 180


    BLD/ Normal

    High
2.3 -0.60, 5.2 0.12
Type of House 180


    Pucca

    Semi-pucca
0.37 -1.7, 2.4 0.7
    Kutcha
0.14 -2.1, 2.4
0.9
PSU Rural/Urban 180


    Rural

    Urban
2.8 0.81, 4.7 0.006
Wealth Index 180


    Highest

    Higher
-2.0 -5.0, 1.1 0.2
    Middle
-1.4 -4.6, 1.7 0.4
    Lower
-0.92 -3.9, 2.0 0.5
    Lowest
-0.43 -3.3, 2.5 0.8
1 Beta represents the increase in Blood Pb (µg/dL) compared to BDL/Normal levels.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Coriander lead category 141


    BLD/ Normal

    High
-2.6 -10, 5.3 0.5
Type of House 141


    Pucca

    Semi-pucca
0.79 -1.7, 3.3 0.5
    Kutcha
0.80 -1.9, 3.5 0.6
PSU Rural/Urban 141


    Rural

    Urban
2.2 -0.09, 4.4 0.060
Wealth Index 141


    Highest

    Higher
-2.6 -6.1, 0.95 0.2
    Middle
-2.0 -5.7, 1.8 0.3
    Lower
-1.3 -4.7, 2.2 0.5
    Lowest
-1.0 -4.3, 2.3 0.5
1 Beta represents the increase in Blood Pb (µg/dL) compared to BDL/Normal levels.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Kajal lead category 58


    BLD/ Normal

    High
0.91 -3.2, 5.0 0.7
Type of House 58


    Pucca

    Semi-pucca
3.6 -0.88, 8.0 0.11
    Kutcha
1.3 -3.4, 5.9 0.6
PSU Rural/Urban 58


    Rural

    Urban
3.8 -0.50, 8.1 0.082
Wealth Index 58


    Highest

    Higher
-4.8 -12, 2.0 0.2
    Middle
-2.9 -9.2, 3.5 0.4
    Lower
-2.9 -9.3, 3.6 0.4
    Lowest
-3.6 -9.9, 2.8 0.3
1 Beta represents the increase in Blood Pb (µg/dL) compared to BDL/Normal levels.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Wall paint lead category 109


    BLD/ Normal

    High
-1.4 -9.7, 6.8 0.7
Type of House 109


    Pucca

    Semi-pucca
0.17 -2.7, 3.1
0.9
    Kutcha
1.0 -2.2, 4.2 0.5
PSU Rural/Urban 109


    Rural

    Urban
2.3 -0.23, 4.8 0.075
Wealth Index 109


    Highest

    Higher
-2.5 -6.8, 1.7 0.2
    Middle
-1.5 -5.8, 2.7 0.5
    Lower
-1.3 -5.2, 2.7 0.5
    Lowest
-0.83 -4.7, 3.0 0.7
1 Beta represents the increase in Blood Pb (µg/dL) compared to BDL/Normal levels.
Abbreviation: CI = Confidence Interval
Characteristic N Adj. β (95% CI)1 95% CI p-value
Toy lead category 64


    BLD/ Normal

    High
-1.0 -4.7, 2.7 0.6
Type of House 64


    Pucca

    Semi-pucca
1.7 -2.0, 5.4 0.3
    Kutcha
2.2 -2.5, 6.8 0.4
PSU Rural/Urban 64


    Rural

    Urban
1.2 -1.9, 4.3 0.4
Wealth Index 64


    Highest

    Higher
-6.3 -12, -0.98 0.021
    Middle
-6.5 -12, -0.75 0.027
    Lower
-4.1 -9.4, 1.2 0.13
    Lowest
-3.7 -9.2, 1.9 0.2
1 Beta represents the increase in Blood Pb (µg/dL) compared to BDL/Normal levels.
Abbreviation: CI = Confidence Interval

Part 4. Comparison of lead levels in different sources of water/brands of food items

A. Water lead levels by source of water

Lead Concentration by Source: source_water_tested
Source Category Samples (N) Mean ± SD Median (Min–Max) 90th Centile
Dugwell 13 1.31 ± 0.96 1.11 (0.11–2.69) 2.63
Piped GW 25 3.03 ± 8.16 1.47 (0.11–41.92) 2.73
Piped SW 28 1.39 ± 1.26 1.23 (0.07–4.51) 3.02
Tubewell 114 2.15 ± 5.14 1.30 (0.03–51.32) 3.26
Tubewell & Piped SW 4 2.36 ± 0.33 2.43 (1.90–2.68) 2.61
Tubewell & Tanker 1 0.07 ± NA 0.07 (0.07–0.07) 0.07

B. Rice lead levels by source of rice

Lead Concentration by Source: source_rice
Source Category Samples (N) Mean ± SD Median (Min–Max) 90th Centile
Same village farm 58 0.35 ± 0.48 0.14 (0.00–1.99) 1.19
Other farm 16 0.12 ± 0.13 0.07 (0.00–0.43) 0.27
PDS 37 0.63 ± 1.18 0.10 (0.00–5.00) 1.79
Market loose 43 0.77 ± 1.71 0.14 (0.00–8.29) 1.40
Market packaged: ABIS GOLD 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged: Dawat 2 0.40 ± 0.37 0.40 (0.14–0.66) 0.61
Market packaged: Lakhdatar Sona Masuri 1 0.21 ± NA 0.21 (0.21–0.21) 0.21
Market packaged: NA 2 2.07 ± 1.11 2.07 (1.28–2.86) 2.70
1 1.47 ± NA 1.47 (1.47–1.47) 1.47

C. Wheat lead levels by source of wheat

Lead Concentration by Source: source_wheat
Source Category Samples (N) Mean ± SD Median (Min–Max) 90th Centile
Same village farm 49 0.52 ± 1.30 0.00 (0.00–5.99) 1.84
Other farm 3 0.05 ± 0.05 0.05 (0.00–0.09) 0.08
PDS 19 0.67 ± 0.90 0.11 (0.00–2.90) 1.76
Market loose 51 0.67 ± 1.11 0.12 (0.00–4.58) 1.88
Market packaged: Amol atta 1 0.04 ± NA 0.04 (0.04–0.04) 0.04
Market packaged: Ashriwad 1 1.99 ± NA 1.99 (1.99–1.99) 1.99
Market packaged: Fortune Multigrain Atta 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged: kalash atta 1 2.93 ± NA 2.93 (2.93–2.93) 2.93
Market packaged: Kesar gold atta 1 0.54 ± NA 0.54 (0.54–0.54) 0.54
Market packaged: Lalgulab Atta 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged: Tulsi Atta 1 0.12 ± NA 0.12 (0.12–0.12) 0.12
Market packaged: NA 2 0.42 ± 0.36 0.42 (0.16–0.67) 0.62
5 0.07 ± 0.11 0.00 (0.00–0.23) 0.19

D. Turmeric lead levels by source of turmeric

Lead Concentration by Source: source_turmeric
Source Category Samples (N) Mean ± SD Median (Min–Max) 90th Centile
Grind whole at home 60 7.86 ± 30.30 0.52 (0.00–167.36) 8.91
Grind whole at mill 19 26.93 ± 113.32 0.35 (0.00–494.83) 2.83
Market loose powder 11 0.32 ± 0.60 0.00 (0.00–1.94) 0.78
Market packaged powder: basant 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: Dhamya 2 1.30 ± 0.00 1.30 (1.30–1.30) 1.30
Market packaged powder: Everest 1 2.14 ± NA 2.14 (2.14–2.14) 2.14
Market packaged powder: GOLDIE 1 1.20 ± NA 1.20 (1.20–1.20) 1.20
Market packaged powder: Haldiram 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: JMD 4 1.09 ± 1.12 0.92 (0.00–2.53) 2.19
Market packaged powder: Khatri 22 0.93 ± 1.94 0.00 (0.00–7.90) 3.35
Market packaged powder: MDH 1 0.25 ± NA 0.25 (0.25–0.25) 0.25
Market packaged powder: Neelam 2 0.06 ± 0.01 0.06 (0.06–0.07) 0.07
Market packaged powder: NR Brand 2 0.00 ± 0.00 0.00 (0.00–0.00) 0.00
Market packaged powder: Om masala 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: PUSH 1 0.09 ± NA 0.09 (0.09–0.09) 0.09
Market packaged powder: Rakshadeep 1 299.23 ± NA 299.23 (299.23–299.23) 299.23
Market packaged powder: Ramdev 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: Ramnagar 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: Rawal Das 1 1.35 ± NA 1.35 (1.35–1.35) 1.35
Market packaged powder: Sarda 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: Sardar 2 1.23 ± 0.87 1.23 (0.61–1.84) 1.72
Market packaged powder: Sourabh 1 0.24 ± NA 0.24 (0.24–0.24) 0.24
Market packaged powder: Sundar 3 0.49 ± 0.51 0.46 (0.00–1.03) 0.91
Market packaged powder: Suresh masala 1 0.45 ± NA 0.45 (0.45–0.45) 0.45
Market packaged powder: Suruchi 3 0.94 ± 0.92 0.90 (0.04–1.88) 1.68
Market packaged powder: TEJA 2 0.66 ± 0.33 0.66 (0.43–0.89) 0.85
Market packaged powder: Zoff 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: NA 35 58.48 ± 157.29 0.64 (0.00–775.64) 204.64
0 NaN ± NA NA (Inf–-Inf) NA

E. Chilli lead levels by source of chilli

Lead Concentration by Source: source_chilli
Source Category Samples (N) Mean ± SD Median (Min–Max) 90th Centile
Grind whole at home 51 1.21 ± 4.79 0.10 (0.00–33.90) 1.78
Grind whole at mill 13 0.28 ± 0.58 0.00 (0.00–2.06) 0.60
Market loose powder 6 0.40 ± 0.28 0.35 (0.11–0.77) 0.71
Market packaged powder: Dhamya 2 0.48 ± 0.00 0.48 (0.48–0.48) 0.48
Market packaged powder: Everest 2 0.12 ± 0.16 0.12 (0.00–0.23) 0.21
Market packaged powder: GOLDIE 1 0.50 ± NA 0.50 (0.50–0.50) 0.50
Market packaged powder: JMD 3 2.03 ± 1.76 3.04 (0.00–3.05) 3.04
Market packaged powder: Khatri 25 0.19 ± 0.29 0.06 (0.00–1.06) 0.49
Market packaged powder: Maharaja 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: MDH 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: Neelam 4 1.06 ± 0.94 0.98 (0.15–2.14) 1.96
Market packaged powder: NR Brand 5 0.00 ± 0.00 0.00 (0.00–0.00) 0.00
Market packaged powder: Ramnagar 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: Rawal Das 1 0.43 ± NA 0.43 (0.43–0.43) 0.43
Market packaged powder: Sardar 1 0.44 ± NA 0.44 (0.44–0.44) 0.44
Market packaged powder: Sourabh 2 2.17 ± 0.73 2.17 (1.65–2.68) 2.58
Market packaged powder: Sundar 3 0.00 ± 0.00 0.00 (0.00–0.00) 0.00
Market packaged powder: Suresh masala 1 0.15 ± NA 0.15 (0.15–0.15) 0.15
Market packaged powder: Suruchi 3 0.56 ± 0.97 0.00 (0.00–1.67) 1.34
Market packaged powder: TEJA 3 0.73 ± 0.87 0.50 (0.00–1.70) 1.46
Market packaged powder: Zoff 1 0.05 ± NA 0.05 (0.05–0.05) 0.05
Market packaged powder: NA 33 0.44 ± 1.03 0.00 (0.00–4.22) 1.06
9 0.10 ± 0.03 0.09 (0.05–0.15) 0.14

F. Coriander lead levels by source of coriander

Lead Concentration by Source: source_coriander
Source Category Samples (N) Mean ± SD Median (Min–Max) 90th Centile
Grind whole at home 31 0.43 ± 0.67 0.00 (0.00–2.32) 1.55
Grind whole at mill 9 0.16 ± 0.26 0.00 (0.00–0.61) 0.58
Market loose powder 7 0.48 ± 0.32 0.49 (0.11–0.93) 0.83
Market packaged powder: basant 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: Dhamya 2 0.48 ± 0.00 0.48 (0.48–0.48) 0.48
Market packaged powder: Everest 2 0.78 ± 0.19 0.78 (0.64–0.91) 0.89
Market packaged powder: GOLDIE 1 0.50 ± NA 0.50 (0.50–0.50) 0.50
Market packaged powder: JMD 3 2.03 ± 1.76 3.04 (0.00–3.05) 3.04
Market packaged powder: Khatri 18 0.18 ± 0.32 0.04 (0.00–1.06) 0.53
Market packaged powder: Neelam 3 1.28 ± 1.02 1.55 (0.15–2.14) 2.02
Market packaged powder: NR Brand 4 0.00 ± 0.00 0.00 (0.00–0.00) 0.00
Market packaged powder: Om masala 0 NaN ± NA NA (Inf–-Inf) NA
Market packaged powder: Ramnagar 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Market packaged powder: Rawal Das 1 0.43 ± NA 0.43 (0.43–0.43) 0.43
Market packaged powder: Sourabh 2 2.17 ± 0.73 2.17 (1.65–2.68) 2.58
Market packaged powder: Sundar 3 0.00 ± 0.00 0.00 (0.00–0.00) 0.00
Market packaged powder: Suresh masala 1 0.15 ± NA 0.15 (0.15–0.15) 0.15
Market packaged powder: Suruchi 3 0.56 ± 0.97 0.00 (0.00–1.67) 1.34
Market packaged powder: TEJA 2 0.25 ± 0.35 0.25 (0.00–0.50) 0.45
Market packaged powder: Zoff 1 0.05 ± NA 0.05 (0.05–0.05) 0.05
Market packaged powder: NA 38 0.67 ± 1.44 0.07 (0.00–4.99) 2.77
39 1.08 ± 5.41 0.10 (0.00–33.90) 0.57

G. Kajal lead levels by source of kajal

Lead Concentration by Source: kajal_brand_clean
Source Category Samples (N) Mean ± SD Median (Min–Max) 90th Centile
Homemade 10 2.86 ± 5.31 0.26 (0.00–14.49) 11.35
Local 37 9.78 ± 16.07 2.81 (0.00–68.14) 31.60
Patanjali 1 0.00 ± NA 0.00 (0.00–0.00) 0.00
Jyoti 2 2.30 ± 1.62 2.30 (1.15–3.44) 3.22
9 8.76 ± 18.05 2.12 (0.00–55.90) 20.73

H. Wall paint levels by source of wallpaint

Lead Concentration by Source: paint_type_current_hh
Source Category Samples (N) Mean ± SD Median (Min–Max) 90th Centile
No paint/Cement paint 8 3.54 ± 3.41 3.44 (0.00–9.92) 6.75
Distemper 41 9.14 ± 16.05 4.15 (0.00–99.18) 19.53
Chuna or similar 48 8.87 ± 10.27 4.58 (0.00–42.24) 24.21
Emulsion 14 13.85 ± 27.17 6.58 (0.00–107.17) 13.75
0 NaN ± NA NA (Inf–-Inf) NA