Reducing PM2.5 levels is associated with lower cancer incidence Article Swipe
Émeline Lequy
,
Jack Siemiatycki
,
Sergey Zhivin
,
Danielle Vienneau
,
Malek Bentayeb
,
Vérène Wagner
,
Morgane Stempfelet
,
Le Tertre A
,
Marcel Goldberg
,
Marie Zins
,
de Hoogh K
,
Bénédicte Jacquemin
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1097/01.ee9.0000607756.47854.72
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1097/01.ee9.0000607756.47854.72
OPS 32: Health impact of interventions 1, Room 315, Floor 3, August 27, 2019, 1:30 PM - 3:00 PM Background/Aim: Long-term exposure to fine particulate matter (PM2.5) is associated with cancer incidence of several sites. While reduction of exposure to PM2.5 leads to reduced all-cause mortality risk, this has not yet been studied for cancer incidence. Here we investigate the relationship between changes in PM2.5 levels in France and cancer incidence at individual level in Gazel, a large population-based cohort. Methods: Gazel included 35-50 years old participants in 1989, followed-up yearly until 2016. We estimated exposure to PM2.5 at the home address using land-use regression models developed in 2010 and applied temporal extrapolation between 1990 and 2015, for all participants. We also took into account the delay between exposure and cancer diagnosis with a 10-year lag. Annual variation of PM2.5 was calculated as the difference between two consecutive years; our main exposure metric was the cumulative difference since baseline ("delta"). We excluded participants with positive delta. Our study population included 19,216 participants, among which we identified 3,656 and 355 incident cases of all-site and lung cancer, respectively. We used extended Cox models with attained age as underlying time-scale, and PM2.5 delta as a time-dependent variable, adjusted to the baseline PM2.5 exposure. We included an interaction with baseline age for these two PM2.5 variables, and adjusted for relevant confounders (including sex, tobacco, alcohol consumption, socio-economic status, calendar time). Results: We found a significant association between PM2.5 delta and all-site cancer incidence with a hazard ratio of 0.46 (95% confidence interval 0.28-0.75) for each decrease of 5µg/m3 PM2.5. The association for lung cancer was similar but not statistically significant [0.67 (0.14-3.15)]. Interactions with baseline age were positive, indicating the effect was smaller for older participants. Conclusions: These findings suggest potentially large public health benefits of reducing PM2.5 levels.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/01.ee9.0000607756.47854.72
- OA Status
- gold
- Cited By
- 8
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2981403937
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2981403937Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/01.ee9.0000607756.47854.72Digital Object Identifier
- Title
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Reducing PM2.5 levels is associated with lower cancer incidenceWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2019Year of publication
- Publication date
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2019-10-01Full publication date if available
- Authors
-
Émeline Lequy, Jack Siemiatycki, Sergey Zhivin, Danielle Vienneau, Malek Bentayeb, Vérène Wagner, Morgane Stempfelet, Le Tertre A, Marcel Goldberg, Marie Zins, de Hoogh K, Bénédicte JacqueminList of authors in order
- Landing page
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https://doi.org/10.1097/01.ee9.0000607756.47854.72Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1097/01.ee9.0000607756.47854.72Direct OA link when available
- Concepts
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Confounding, Medicine, Demography, Incidence (geometry), Lung cancer, Population, Cumulative incidence, Cancer, Proportional hazards model, Cohort, Environmental health, Internal medicine, Mathematics, Sociology, GeometryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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8Total citation count in OpenAlex
- Citations by year (recent)
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2023: 1, 2022: 1, 2020: 5, 2019: 1Per-year citation counts (last 5 years)
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.socio-economic | 233 |
| abstract_inverted_index.time-dependent | 203 |
| abstract_inverted_index.Background/Aim: | 19 |
| abstract_inverted_index.population-based | 78 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 89 |
| countries_distinct_count | 3 |
| institutions_distinct_count | 12 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.68464057 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |