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累积的环境质量与乳腺癌发病率有关,根据总结阶段和城市化程度不同
Larisa M Gearhart-Serna1,2,3,4, Brittany A Mills1, Hillary Hsu1,2,4,5
1Department of Surgery, Duke University School of Medicine, DUMC Box 2606 Med Ctr, Durham, NC, 27710, USA.
Scientific reports
|November 21, 2023
概括
环境质量显著影响乳腺癌发病率. 环境质量差与较高的总和局部乳腺癌率有关,特别是在城市地区.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 癌症研究 癌症研究
背景情况:
- 个别的环境污染物与乳腺癌有关.
- 对多次环境暴露和乳腺癌的同时评估是有限的.
研究的目的:
- 评估乳腺癌总结阶段与环境质量指数 (EQI) 之间的关联.
- 调查环境质量如何与不同阶段和城市化水平的乳腺癌发病率有关.
主要方法:
- 利用了县级环境质量指数 (EQI) 数据 (2000-2005年).
- 链接EQI与北卡罗来纳州县级乳腺癌年龄标准化发病率 (2010-2014).
- 分析了总,现场,局部,区域和远程乳腺癌SIRs,按农村-城市状态分层.
主要成果:
- 环境质量差的县与环境质量好的县相比,乳腺癌总发病率 (10.82例/100,000人) 更高.
- 这种关联在局部乳腺癌中最为明显.
- 土地质量差与较高的早期疾病发病率 (本位和局部癌症) 和总乳腺癌相关,特别是在城市县.
结论:
- 环境质量和乳腺癌发病率之间存在显著的关联.
- 这些关联因乳腺癌的阶段和城市化而有所不同.
- 累积的环境暴露需要在癌症分期的背景下进行评估.
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