In an effort to determine whether specific aspects of attention are im
paired by lead, the performance of 79 subjects (aged 19 and 20 y) on a
neuropsychologically based battery of tests of attention was examined
in relation to lead levels in deciduous teeth (dentin), current blood
, and tibia and patella bones measured by K-X-ray fluorescence. Dentin
lead levels averaged 14 mu g/g. Most bone lead levels were less than
10 mu g/g. Dentin lead levels were related inversely to scores on two
of four attention factors: focus-execute (ability to select and respon
d to critical information) and shift (ability to shift focus adaptivel
y). Few significant associations were observed between bone lead level
s and performance. Five individuals with the ALA-D 1-2 isozyme phenoty
pe tended to achieve more optimal scores. Executive and self-regulatio
n functions may be among the cognitive skills targeted by lead.