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Long‐term exposure to air pollution and incidence of gastric and the upper aerodigestive tract cancers in a pooled European cohort: The ELAPSE project

The ELAPSE project
Authors: Gabriele Nagel; Jie Chen; Andrea Jaensch; Lea Skodda; Sophia Rodopoulou; Maciej Strak; Kees de Hoogh; +26 Authors

Long‐term exposure to air pollution and incidence of gastric and the upper aerodigestive tract cancers in a pooled European cohort: The ELAPSE project

Abstract

AbstractAir pollution has been shown to significantly impact human health including cancer. Gastric and upper aerodigestive tract (UADT) cancers are common and increased risk has been associated with smoking and occupational exposures. However, the association with air pollution remains unclear. We pooled European subcohorts (N = 287,576 participants for gastric and N = 297,406 for UADT analyses) and investigated the association between residential exposure to fine particles (PM2.5), nitrogen dioxide (NO2), black carbon (BC) and ozone in the warm season (O3w) with gastric and UADT cancer. We applied Cox proportional hazards models adjusting for potential confounders at the individual and area‐level. During 5,305,133 and 5,434,843 person‐years, 872 gastric and 1139 UADT incident cancer cases were observed, respectively. For gastric cancer, we found no association with PM2.5, NO2 and BC while for UADT the hazard ratios (95% confidence interval) were 1.15 (95% CI: 1.00–1.33) per 5 μg/m3 increase in PM2.5, 1.19 (1.08–1.30) per 10 μg/m3 increase in NO2, 1.14 (1.04–1.26) per 0.5 × 10−5 m−1 increase in BC and 0.81 (0.72–0.92) per 10 μg/m3 increase in O3w. We found no association between long‐term ambient air pollution exposure and incidence of gastric cancer, while for long‐term exposure to PM2.5, NO2 and BC increased incidence of UADT cancer was observed.

Keywords

Cancer Research, nitrogen dioxide, air pollution, Nitrogen Dioxide, Air pollution, 610, 613, Ozone, Nitrogen Dioxide/adverse effects, SDG 3 - Good Health and Well-being, Particulate Matter/adverse effects, Stomach Neoplasms, Air Pollution, Air Pollutants/adverse effects, Humans, Particular matter, UADT; air pollution; gastric cancer; nitrogen dioxide; ozone; particular matter, UADT, Nitrogen dioxide, info:eu-repo/classification/ddc/610, Air Pollutants, gastric cancer, Incidence, Stomach Neoplasms/epidemiology, Environmental Exposure, Air Pollution/adverse effects, ozone, Oncology, particular matter, Particulate Matter, Gastric cancer, Environmental Exposure/adverse effects

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    popularity
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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
10
Top 10%
Average
Top 10%
Green
hybrid