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与乳腺癌风险相关的多重污染物暴露概况:在法国E3N队列中进行贝叶斯概况回归分析
Camille Giampiccolo1, Amina Amadou2, Thomas Coudon2
1Department of Prevention Cancer Environnent, Centre Léon Bérard, Lyon, France; Inserm U1296 Radiations : Défense, Santé, Environnement, Lyon, France; Laboratoire de Biométrie Et Biologie Evolutive, CNRS UMR 5558, Villeurbanne, France.
暴露于多种空气污染物,特别是二氧化 (NO2),颗粒物 (PM) 和多双 (PCB153),与乳腺癌风险增加有关. 这项研究强调了这些环境暴露的综合影响.
科学领域:
- 环境流行病学环境流行病学
- 毒理学 毒理学 毒理学
- 在瘤学瘤学.
背景情况:
- 人类接触空气污染涉及相关污染物的复杂混合物.
- 很少有研究评估了多种空气污染物对乳腺癌 (BC) 风险的综合影响.
研究的目的:
- 评估多种空气污染物的联合暴露与乳腺癌风险之间的关联.
主要方法:
- 一个位于法国E3N队列中的病例控制研究 (5222个BC病例/5222个对照).
- 估计每年平均暴露于八种污染物 (甲,,二氧化物,PCB153,NO2,臭氧,颗粒物).
- 使用贝叶斯概况回归 (BPR) 模型,对匹配变量和混因子进行调整.
主要成果:
- 确定了21个暴露集群;除了臭氧外,所有污染物暴露率较低的集群作为参考.
- 具有高NO2,PM和PCB153水平的三个集群显示,BC风险的持续增加 (OR=1.61,1.59,1.38).
- 其他集群没有显示出与BC风险的一致关联.
结论:
- 这是第一个使用BPR方法评估八种空气污染物混合物对BC风险的影响的研究.
- 结果表明,对大多数污染物,特别是NO2,PM和PCB153的高暴露水平对乳腺癌风险产生了积极的联合影响.
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