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住宅氡暴露与脑癌:氡高发地区(西班牙加利西亚)的一项生态学研究。

Residential radon exposure and brain cancer: an ecological study in a radon prone area (Galicia, Spain).

机构信息

Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago, Spain.

CIBER de Epidemiología y Salud Pública, CIBERESP, Santiago, Spain.

出版信息

Sci Rep. 2017 Jun 15;7(1):3595. doi: 10.1038/s41598-017-03938-9.

Abstract

We aimed to know if radon concentration is associated with municipal mortality due to brain cancer in Galicia, Spain. We designed an ecological study taking as study unit Galician municipalities. To be included, municipalities had to have at least three radon measurements. We correlated radon concentrations with municipal mortality due to these malignant tumors during the period 1999-2008. We calculated the relative risk of dying of brain cancers for each municipality and correlated this value with municipal radon concentration using Spearman's Rho. 251 municipalities were included, with close to 3,500 radon measurements and an average of 14 radon measurements at each municipality. We observed a significant correlation between residential radon with brain cancer mortality for males and females and the intensity of the correlation was higher for females. These results were reinforced when the analysis was restricted to municipalities with more than 5 radon measurements: Spearman's Rho 0.286 (p-value < 0.001) and Spearman's Rho 0.509 (p-value < 0.001) for males and females, respectively. These results suggest an association between residential radon and brain cancer mortality. More research using more robust epidemiological designs is needed to confirm these findings.

摘要

我们旨在了解西班牙加利西亚地区的氡浓度是否与城市因脑癌而导致的死亡率有关。我们设计了一项以加利西亚市为研究单位的生态研究。纳入的城市必须至少有 3 次氡测量值。我们将 1999 年至 2008 年期间的氡浓度与这些恶性肿瘤导致的城市死亡率进行了相关性分析。我们计算了每个城市因脑癌死亡的相对风险,并使用 Spearman's Rho 相关性分析将该值与城市的氡浓度进行了相关性分析。共有 251 个城市被纳入研究,共进行了近 3500 次氡测量,每个城市的平均测量次数为 14 次。我们观察到氡浓度与男性和女性的脑癌死亡率之间存在显著相关性,且女性的相关性更强。当将分析仅限于氡测量值大于 5 的城市时,结果得到了加强:Spearman's Rho 分别为 0.286(p 值<0.001)和 0.509(p 值<0.001)。这些结果提示氡浓度与脑癌死亡率之间存在关联。需要更多使用更稳健的流行病学设计的研究来证实这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef38/5472649/ad4c079300b1/41598_2017_3938_Fig1_HTML.jpg

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