Int J Health Geogr - Lung cancer risk and pollution in an industrial region of Northern Spain: a hospital-based case-control study.

Tópicos

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Resumo

CKGROUND: Asturias, an Autonomous Region in Northern Spain with a large industrial area, registers high lung cancer incidence and mortality. While this excess risk of lung cancer might be partially attributable to smoking habit and occupational exposure, the role of industrial and urban pollution also needs to be assessed. The objective was to ascertain the possible effect of air pollution, both urban and industrial, on lung cancer risk in Asturias.METHODS: This was a hospital-based case-control study covering 626 lung cancer patients and 626 controls recruited in Asturias and matched by ethnicity, hospital, age, and sex. Distances from the respective participants' residential locations to industrial facilities and city centers were computed. Using logistic regression, odds ratios (ORs) and 95% confidence intervals (95%CIs) for categories of distance to urban and industrial pollution sources were calculated, with adjustment for sex, age, hospital area, tobacco consumption, family history of cancer, and occupation.RESULTS: Whereas individuals living near industries displayed an excess risk of lung cancer (OR = 1.49; 95%CI = 0.93-2.39), which attained statistical significance for small cell carcinomas (OR = 2.23; 95%CI = 1.01-4.92), residents in urban areas showed a statistically significant increased risk for adenocarcinoma (OR = 1.92; 95%CI = 1.09-3.38). In the Gijon health area, residents in the urban area registered a statistically significant increased risk of lung cancer (OR = 2.17; 95%CI = 1.25-3.76), whereas in the Aviles health area, no differences in risk were found by area of exposure.CONCLUSIONS: This study provides further evidence that air pollution is a moderate risk factor for lung cancer.

Resumo Limpo

ckground asturia autonom region northern spain larg industri area regist high lung cancer incid mortal excess risk lung cancer might partial attribut smoke habit occup exposur role industri urban pollut also need assess object ascertain possibl effect air pollut urban industri lung cancer risk asturiasmethod hospitalbas casecontrol studi cover lung cancer patient control recruit asturia match ethnic hospit age sex distanc respect particip residenti locat industri facil citi center comput use logist regress odd ratio or confid interv cis categori distanc urban industri pollut sourc calcul adjust sex age hospit area tobacco consumpt famili histori cancer occupationresult wherea individu live near industri display excess risk lung cancer ci attain statist signific small cell carcinoma ci resid urban area show statist signific increas risk adenocarcinoma ci gijon health area resid urban area regist statist signific increas risk lung cancer ci wherea avil health area differ risk found area exposureconclus studi provid evid air pollut moder risk factor lung cancer

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