Full Citation
Title: Ambient PM2.5 air pollution exposure and hepatocellular carcinoma incidence in the United States
Citation Type: Journal Article
Publication Year: 2018
ISBN:
ISSN: 0957-5243
DOI: 10.1007/s10552-018-1036-x
NSFID:
PMCID:
PMID:
Abstract: PURPOSE:To conduct the first epidemiologic study prospectively examining the association between particulate matter air pollution < 2.5 µm in diameter (PM2.5) exposure and hepatocellular carcinoma (HCC) risk in the U.S. METHODS:Surveillance, Epidemiology, and End Results (SEER) provided information on HCC cases diagnosed between 2000 and 2014 from 16 population-based cancer registries across the U.S. Ambient PM2.5 exposure was estimated by linking the SEER county with a spatial PM2.5 model using a geographic information system. Poisson regression with robust variance estimation was used to calculate incidence rate ratios and 95% confidence intervals (CIs) for the association between ambient PM2.5 exposure per 10 µg/m3 increase and HCC risk adjusting for individual-level age at diagnosis, sex, race, year of diagnosis, SEER registry, and county-level information on health conditions, lifestyle, demographic, socioeconomic, and environmental factors. RESULTS:Higher levels of ambient PM2.5 exposure were associated with a statistically significant increased risk for HCC (n = 56,245 cases; adjusted IRR per 10 µg/m3 increase = 1.26, 95% CI 1.08, 1.47; p < 0.01). CONCLUSIONS:If confirmed in studies with individual-level PM2.5 exposure and risk factor information, these results suggest that ambient PM2.5 exposure may be a risk factor for HCC in the U.S.
Url: https://europepmc.org/article/med/29696510
Url: http://link.springer.com/10.1007/s10552-018-1036-x
User Submitted?: No
Authors: VoPham, Trang; Bertrand, Kimberly A.; Tamimi, Rulla M.; Laden, Francine; Hart, Jaime E.
Periodical (Full): Cancer Causes & Control
Issue: 6
Volume: 29
Pages: 563-572
Data Collections: IPUMS NHGIS
Topics: Health, Natural Resource Management, Other
Countries: United States