Context

An increasing body of research has linked the geographic distribution of lead with various indicators of criminal and antisocial behavior.

Objective

The current study, using data from an ongoing project related to lead exposure in St. Louis City, MO, analyzed the association between aggregate blood lead levels and specific indicators violent crime within the city.

Design

Ecological study.

Setting

St. Louis, Missouri.

Exposure measure

Blood lead levels.

Main outcome measure

Official reports of violent crimes were categorized as 1) crimes involving a firearm (yes/no), 2) assault crimes (with or without a firearm), 3) robbery crimes (with or without a firearm), 4) homicides and 5) rape.

Results

With the exception of rape, aggregate blood-lead levels were statistically significant predictors of violent crime at the census tract level. The risk ratios for each of the outcome measures were as follows: firearm crimes 1.03 (1.03–1.04), assault crimes 1.03 (1.02–1.03), robbery crimes 1.03 (1.02–1.04), homicide 1.03 (1.01, 1.04), and rape 1.01 (0.99–1.03).

Conclusions

Extending prior research in St. Louis, results suggest that aggregated lead exposure at the census tract level predicted crime outcomes, even after accounting for important sociological variables. Moving forward, a more developed understanding of aggregate level crime may necessitate a shift toward studying the synergy between sociological and biological risk factors such as lead exposure.