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泰国人群中空气污染所致口腔、口咽和喉癌的MERRA - 2气溶胶预测诊断模型

Predictive MERRA-2 aerosol diagnostic model for oral, oropharyngeal and laryngeal cancer caused by air pollution in Thai population.

作者信息

Jenwitheesuk Kriangsak, Peansukwech Udomlack, Jenwitheesuk Kamonwan

机构信息

General Surgery Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Chronic Kidney Disease prevention in the Northeast of Thailand (CKDNET), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

出版信息

Toxicol Rep. 2022 Apr 22;9:970-976. doi: 10.1016/j.toxrep.2022.04.015. eCollection 2022.

Abstract

INTRODUCTION

Head and neck cancers were generally characterized with many possible causes. Exposure to outdoor particulate matter affected to multiple organ systems but it was unknown whether which species in PM was an association with cancer incidence.

OBJECTIVES

The study aimed to examine the oral- oropharyngeal- laryngeal cancer incidence and accumulated air pollution-related cancers in the spatial patterns.

METHODS

Observational study was conducted, and the Poisson log-linear models were used which were analyzed on subgroups-specific incidence rates by national references of Thailand and NASA's database of aerosol diagnostics model (MERRA-2).

RESULTS

With a significant influence on increasing of 1 μg/m black carbon, organic carbon, Dust-PM, and SO were associated with increased cancer risk in 1.433 times (95%CI: 1.215-1.690), 1.272 times (95%CI: 1.139-1.420), 3.640 times (95%CI: 2.011-6.589), and 1.704 times (95%CI: 1.334-2.177), respectively.

CONCLUSION

This study indicated that oral-oropharyngeal-laryngeal cancer incidence could worsen because of adverse air pollution conditions. These issues should be addressed and the importance of the monitoring procedure for dust-PM, sulfate, black carbon, and organic carbon should be emphasized.

摘要

引言

头颈癌通常有多种可能的病因。接触室外颗粒物会影响多个器官系统,但尚不清楚颗粒物中的哪些成分与癌症发病率有关。

目的

本研究旨在探讨口腔-口咽-喉癌的发病率以及空气污染相关癌症在空间分布上的累积情况。

方法

进行了观察性研究,并使用泊松对数线性模型,根据泰国的国家参考数据和美国国家航空航天局的气溶胶诊断模型数据库(MERRA-2),对亚组特异性发病率进行分析。

结果

每增加1μg/m³的黑碳、有机碳、沙尘颗粒物和二氧化硫,分别会使癌症风险增加1.433倍(95%置信区间:1.215-1.690)、1.272倍(95%置信区间:1.139-1.420)、3.640倍(95%置信区间:2.011-6.589)和1.704倍(95%置信区间:1.334-2.177)。

结论

本研究表明,空气污染状况不佳可能会使口腔-口咽-喉癌的发病率恶化。这些问题应得到解决,并应强调对沙尘颗粒物、硫酸盐、黑碳和有机碳进行监测的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c3/9742832/c5203e86a868/ga1.jpg

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