Caregivers living in areas with environmental lead problems are often advis
ed to engage in behaviors to protect their children from lead. This study i
nvestigates caregiver knowledge, beliefs, and barriers associated with lead
poisoning prevention behaviors. Interviews were conducted with 332 caregiv
ers of children ages 1 through 6 living in a mining area with large quantit
ies of lead-contaminated soil. Findings indicated low to moderate levels of
preventive behaviors. Of the health beliefs examined, self-efficacy and ba
rriers most consistently predicted the preventive behaviors. Applications o
f the findings are discussed for both family and community-based lead poiso
ning prevention programs.