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Smoking Modifies the Association Between Radon Exposure and Incident Ischemic Stroke: The REGARDS Study
Yijia Zhang1,2, Qi Yan1, Meghan Angley1,2
1Department of Obstetrics and Gynecology (Y.Z., Q.Y., M.A., L.L., R.W.F., K.K.), Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York.
Residential radon exposure is linked to ischemic stroke risk, particularly in never-smokers. This study highlights a potential environmental factor influencing stroke incidence, emphasizing the need for further research on indoor radon levels.
Area of Science:
- Environmental Health
- Epidemiology
- Cardiovascular Disease Research
Background:
- Radon exposure is a known risk factor for lung cancer.
- Research on residential radon's link to stroke risk is limited.
- Understanding environmental factors in stroke etiology is crucial.
Purpose of the Study:
- To investigate the association between residential radon exposure and incident ischemic stroke.
- To explore whether this association differs based on smoking status.
Main Methods:
- Utilized data from the REGARDS cohort (n=26,950) of adults aged 45+.
- Linked county-level radon measures to participants' residential history.
- Employed Cox proportional hazards regression models to analyze time to ischemic stroke.
Main Results:
- Radon exposure was significantly associated with incident ischemic stroke in never-smokers (HR, 1.39; 95% CI, 1.01-1.90) after adjusting for confounders.
- No significant association was found between radon exposure and ischemic stroke in ever-smokers.
- Sensitivity analyses using alternative radon measures supported the main findings.
Conclusions:
- Residential radon exposure may increase ischemic stroke risk, especially among never-smokers.
- Smoking status appears to modify the relationship between radon and stroke.
- Further research with direct indoor radon measurements is warranted to confirm these findings.
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