Association between Air Pollutants and Cancer Incidence Rates in Japan: An Ecological Study

We investigated the associations between the incidence rates of five typical cancer types and five air pollutants in 317 Japanese municipalities in 2017. We obtained the concentrations of the five air pollutants, i.e., sulfur dioxide (SO<sub>2</sub>), nitric oxide (NO), nitric dioxide (N...

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Main Authors: Kohei Hasegawa, Teruomi Tsukahara, Tetsuo Nomiyama
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Medical Sciences Forum
Subjects:
Online Access:https://www.mdpi.com/2673-9992/4/1/15
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author Kohei Hasegawa
Teruomi Tsukahara
Tetsuo Nomiyama
author_facet Kohei Hasegawa
Teruomi Tsukahara
Tetsuo Nomiyama
author_sort Kohei Hasegawa
collection DOAJ
description We investigated the associations between the incidence rates of five typical cancer types and five air pollutants in 317 Japanese municipalities in 2017. We obtained the concentrations of the five air pollutants, i.e., sulfur dioxide (SO<sub>2</sub>), nitric oxide (NO), nitric dioxide (NO<sub>2</sub>), photochemical oxidants (O<sub>x</sub>), and fine particulate matter (PM<sub>2.5</sub>), from Japan’s National Institute for Environmental Studies and calculated the yearly mean of each. We identified patients of both sexes with the five most common cancers in Japan’s National Cancer Registry, which covers all cancer patients in the country. For males, we included prostate, stomach, colorectal, lung, and liver cancers. For females, we included breast, colorectal, lung, stomach, and uterine cancers. We calculated the Spearman’s correlation coefficients between 25 pairs of air-pollutant concentrations and the age-standardized incidence rate of the cancer types for each sex. We used Poisson regression models to examine the dose–response relationships. We identified 11 significantly positive correlation coefficients at the Bonferroni-corrected alpha level for the five pollutants for the five cancers in both sexes. We observed significantly positive dose–response relationships between NO<sub>2</sub> and colorectal cancer and PM<sub>2.5</sub> and lung cancer for both sexes. We also observed significant dose–response relationships between SO<sub>2</sub> and PM<sub>2.5</sub> and liver cancer for males and between NO and lung cancer and NO<sub>2</sub> and breast cancer for females. We did not observe significant associations with prostate, stomach, or uterine cancer. Our findings support the concept that exposure to air pollutants increases cancer incidence rates.
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spelling doaj.art-11dcb758b2374c6c942563867cfacef72023-11-18T11:52:07ZengMDPI AGMedical Sciences Forum2673-99922021-01-01411510.3390/ECERPH-3-09054Association between Air Pollutants and Cancer Incidence Rates in Japan: An Ecological StudyKohei Hasegawa0Teruomi Tsukahara1Tetsuo Nomiyama2Department of Preventive Medicine and Public Health, School of Medicine, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Preventive Medicine and Public Health, School of Medicine, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Preventive Medicine and Public Health, School of Medicine, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanWe investigated the associations between the incidence rates of five typical cancer types and five air pollutants in 317 Japanese municipalities in 2017. We obtained the concentrations of the five air pollutants, i.e., sulfur dioxide (SO<sub>2</sub>), nitric oxide (NO), nitric dioxide (NO<sub>2</sub>), photochemical oxidants (O<sub>x</sub>), and fine particulate matter (PM<sub>2.5</sub>), from Japan’s National Institute for Environmental Studies and calculated the yearly mean of each. We identified patients of both sexes with the five most common cancers in Japan’s National Cancer Registry, which covers all cancer patients in the country. For males, we included prostate, stomach, colorectal, lung, and liver cancers. For females, we included breast, colorectal, lung, stomach, and uterine cancers. We calculated the Spearman’s correlation coefficients between 25 pairs of air-pollutant concentrations and the age-standardized incidence rate of the cancer types for each sex. We used Poisson regression models to examine the dose–response relationships. We identified 11 significantly positive correlation coefficients at the Bonferroni-corrected alpha level for the five pollutants for the five cancers in both sexes. We observed significantly positive dose–response relationships between NO<sub>2</sub> and colorectal cancer and PM<sub>2.5</sub> and lung cancer for both sexes. We also observed significant dose–response relationships between SO<sub>2</sub> and PM<sub>2.5</sub> and liver cancer for males and between NO and lung cancer and NO<sub>2</sub> and breast cancer for females. We did not observe significant associations with prostate, stomach, or uterine cancer. Our findings support the concept that exposure to air pollutants increases cancer incidence rates.https://www.mdpi.com/2673-9992/4/1/15air pollutionenvironmental pollutioncancerenvironmental epidemiology
spellingShingle Kohei Hasegawa
Teruomi Tsukahara
Tetsuo Nomiyama
Association between Air Pollutants and Cancer Incidence Rates in Japan: An Ecological Study
Medical Sciences Forum
air pollution
environmental pollution
cancer
environmental epidemiology
title Association between Air Pollutants and Cancer Incidence Rates in Japan: An Ecological Study
title_full Association between Air Pollutants and Cancer Incidence Rates in Japan: An Ecological Study
title_fullStr Association between Air Pollutants and Cancer Incidence Rates in Japan: An Ecological Study
title_full_unstemmed Association between Air Pollutants and Cancer Incidence Rates in Japan: An Ecological Study
title_short Association between Air Pollutants and Cancer Incidence Rates in Japan: An Ecological Study
title_sort association between air pollutants and cancer incidence rates in japan an ecological study
topic air pollution
environmental pollution
cancer
environmental epidemiology
url https://www.mdpi.com/2673-9992/4/1/15
work_keys_str_mv AT koheihasegawa associationbetweenairpollutantsandcancerincidenceratesinjapananecologicalstudy
AT teruomitsukahara associationbetweenairpollutantsandcancerincidenceratesinjapananecologicalstudy
AT tetsuonomiyama associationbetweenairpollutantsandcancerincidenceratesinjapananecologicalstudy