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纽约长岛拿骚县和萨福克县的乳腺癌风险与居住在工业或交通设施附近的关系

Breast cancer risk and residence near industry or traffic in Nassau and Suffolk Counties, Long Island, New York.

作者信息

Lewis-Michl E L, Melius J M, Kallenbach L R, Ju C L, Talbot T O, Orr M F, Lauridsen P E

机构信息

Division of Occupational Health and Environmental Epidemiology, New York State Department of Health, Albany 12203, USA.

出版信息

Arch Environ Health. 1996 Jul-Aug;51(4):255-65. doi: 10.1080/00039896.1996.9936024.

Abstract

A case-control interview study was used to evaluate the relationship between breast cancer risk and residential proximity to industrial facilities and traffic for pre- and postmenopausal women in Nassau and Suffolk Counties on Long Island, New York. A geographic information system was used to assign industry and traffic counts to 1-km2 grid cells (5-kM2 grid cells for traffic) and to assign potential exposure values to study subjects, based on 20-y residential histories. A significantly elevated risk of breast cancer was observed among postmenopausal subjects who were ever potentially exposed to chemical facilities (Nassau County adjusted odds ratio [OR] = 1.61, 95% confidence interval [95% CI] = 1.06-2.43; Suffolk County adjusted OR = 1.58, 95% CI = 0.71-3.51. This elevated risk, however, was not observed among premenopausal subjects. Risk increased for post-menopausal subjects as number of chemical facilities increased from one (adjusted OR = 1.45, 95% CI = 0.93-2.25) to two or more (adjusted OR = 3.47, 95% CI = 1.06-11.38). Crude and adjusted ORs for high traffic density were elevated among Nassau--but not Suffolk--county subjects and were not significant statistically.

摘要

一项病例对照访谈研究旨在评估纽约长岛拿骚县和萨福克县绝经前后女性患乳腺癌风险与居住地点距工业设施及交通设施的远近之间的关系。利用地理信息系统,根据20年居住史,将工业设施和交通流量计数分配到1平方公里的网格单元(交通流量为5平方公里的网格单元),并为研究对象分配潜在暴露值。在曾有可能接触化学设施的绝经后受试者中,观察到患乳腺癌的风险显著升高(拿骚县调整后的优势比[OR]=1.61,95%置信区间[95%CI]=1.06 - 2.43;萨福克县调整后的OR = 1.58,95%CI = 0.71 - 3.51)。然而,在绝经前受试者中未观察到这种风险升高。随着化学设施数量从一个增加到两个或更多,绝经后受试者的风险增加(调整后的OR从1.45,95%CI = 0.93 - 2.25增至3.47,95%CI = 1.06 - 11.38)。在拿骚县(而非萨福克县)的受试者中,高交通密度的粗优势比和调整后优势比有所升高,但在统计学上不显著。

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