Zhang Bin, Sun Hao, Zhu Bin, Wang Mengmeng, Zuo Bingli, Dai Jiuming
Binhai County People's Hospital, Yancheng, Jiangsu, China.
Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China.
Front Public Health. 2025 Mar 12;13:1544174. doi: 10.3389/fpubh.2025.1544174. eCollection 2025.
The aim of this study was to investigate the relationship between mixed chemicals in urine and the prevalence of cancers in men.
A total of 1,068 male subjects were included in this study. Analyses were performed by several analytical methods to ensure the stability of the results: one-way analysis, WQS analysis, Qgcomp analysis, BKMR analysis, and Restricted Cubic Spline (RCS).
In the final adjusted model, each 1 increase in ln-transformed BPS increased the risk of developing cancerous prostate by 49% (95% CI: 1.00-2.20). The results of multiple sensitivity analyses by WQS and Qgcomp showed that the mixed chemicals was positively correlated with the prevalence of cancers and prostate cancer in men. In the final adjusted model, each quartile increase in the WQS index was associated with a 78% (OR: 1.78, 95% CI: 1.10-2.87) increase in the risk of cancers and a 148% (OR: 2.48, 95% CI: 1.07-5.71) increase in the risk of prostate cancer. Each quartile increase in the Qgcomp index was associated with a 59% (OR: 1.59, 95% CI: 1.09-2.33) increase in the risk of cancers, and a 105% (OR: 2.05, 95% CI: 1.04-4.06) increase in the risk of prostate cancer.
In conclusion, this study showed a positive correlation between the concentrations of the three groups of mixed chemicals in urine and the prevalence of cancers in men, as well as a positive correlation with the prevalence of prostate cancer.
本研究旨在调查尿液中混合化学物质与男性癌症患病率之间的关系。
本研究共纳入1068名男性受试者。采用多种分析方法进行分析以确保结果的稳定性:单因素分析、加权分位数和分析(WQS分析)、Qgcomp分析、贝叶斯核机器回归分析(BKMR分析)以及限制性立方样条分析(RCS)。
在最终调整模型中,经自然对数转换的双酚S(BPS)每增加1个单位,患前列腺癌的风险增加49%(95%置信区间:1.00 - 2.20)。WQS和Qgcomp的多重敏感性分析结果表明,混合化学物质与男性癌症及前列腺癌的患病率呈正相关。在最终调整模型中,WQS指数每增加一个四分位数,患癌风险增加78%(比值比:1.78,95%置信区间:1.10 - 2.87),患前列腺癌的风险增加148%(比值比:2.48,95%置信区间:1.07 - 5.71)。Qgcomp指数每增加一个四分位数,患癌风险增加59%(比值比:1.59,95%置信区间:1.09 - 2.33),患前列腺癌的风险增加105%(比值比:2.05,95%置信区间:1.04 - 4.06)。
总之,本研究表明尿液中三组混合化学物质的浓度与男性癌症患病率之间呈正相关,且与前列腺癌患病率也呈正相关。