Estimation of lung cancer deaths attributable to indoor radon exposure in upper northern Thailand

Abstract Radon exposure is the second leading cause of lung cancer, after smoking. In upper northern Thailand (UNT), lung cancer incidence was frequently reported by Thailand National Cancer Institute. Besides smoking, radon exposure may also influence the high lung cancer incidence in this region....

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Main Authors: Kawinwut Somsunun, Tippawan Prapamontol, Chaicharn Pothirat, Chalerm Liwsrisakun, Donsuk Pongnikorn, Duriya Fongmoon, Somporn Chantara, Rawiwan Wongpoomchai, Warangkana Naksen, Narongchai Autsavapromporn, Shinji Tokonami
Format: Article
Language:English
Published: Nature Portfolio 2022-03-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-09122-y
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author Kawinwut Somsunun
Tippawan Prapamontol
Chaicharn Pothirat
Chalerm Liwsrisakun
Donsuk Pongnikorn
Duriya Fongmoon
Somporn Chantara
Rawiwan Wongpoomchai
Warangkana Naksen
Narongchai Autsavapromporn
Shinji Tokonami
author_facet Kawinwut Somsunun
Tippawan Prapamontol
Chaicharn Pothirat
Chalerm Liwsrisakun
Donsuk Pongnikorn
Duriya Fongmoon
Somporn Chantara
Rawiwan Wongpoomchai
Warangkana Naksen
Narongchai Autsavapromporn
Shinji Tokonami
author_sort Kawinwut Somsunun
collection DOAJ
description Abstract Radon exposure is the second leading cause of lung cancer, after smoking. In upper northern Thailand (UNT), lung cancer incidence was frequently reported by Thailand National Cancer Institute. Besides smoking, radon exposure may also influence the high lung cancer incidence in this region. Indoor radon concentrations were measured in 192 houses in eight provinces of UNT. Indoor radon concentrations ranged from 11 to 405 Bq m−3 and estimated annual effective dose ranged from 0.44 to 12.18 mSv y−1. There were significant differences in indoor radon concentrations between the houses of lung cancer cases and healthy controls (p = 0.033). We estimated that 26% of lung cancer deaths in males and 28% in females were attributable to indoor radon exposure in this region. Other factors influencing indoor radon levels included house characteristics and ventilation. The open window-to-wall ratio was negatively associated with indoor radon levels (B = −0.69, 95% CI −1.37, −0.02) while the bedroom location in the house and building material showed no association. Indoor radon hence induced the fractal proportion of lung cancer deaths in UNT.
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spelling doaj.art-813d6603bbe1443d83ecdc0d5bd06f822022-12-21T21:09:56ZengNature PortfolioScientific Reports2045-23222022-03-0112111010.1038/s41598-022-09122-yEstimation of lung cancer deaths attributable to indoor radon exposure in upper northern ThailandKawinwut Somsunun0Tippawan Prapamontol1Chaicharn Pothirat2Chalerm Liwsrisakun3Donsuk Pongnikorn4Duriya Fongmoon5Somporn Chantara6Rawiwan Wongpoomchai7Warangkana Naksen8Narongchai Autsavapromporn9Shinji Tokonami10Environment and Health Research Unit, Research Institute for Health Sciences (RIHES), Chiang Mai UniversityEnvironment and Health Research Unit, Research Institute for Health Sciences (RIHES), Chiang Mai UniversityDepartment of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDepartment of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityLampang Cancer Hospital, Department of Medical Services, Ministry of Public HealthLampang Cancer Hospital, Department of Medical Services, Ministry of Public HealthEnvironmental Science Research Center, Faculty of Science, Chiang Mai UniversityDepartment of Biochemistry, Faculty of Medicine, Chiang Mai UniversityFaculty of Public Health, Chiang Mai UniversityDepartment of Radiology, Faculty of Medicine, Chiang Mai UniversityInstitute of Radiation Emergency Medicine, Hirosaki UniversityAbstract Radon exposure is the second leading cause of lung cancer, after smoking. In upper northern Thailand (UNT), lung cancer incidence was frequently reported by Thailand National Cancer Institute. Besides smoking, radon exposure may also influence the high lung cancer incidence in this region. Indoor radon concentrations were measured in 192 houses in eight provinces of UNT. Indoor radon concentrations ranged from 11 to 405 Bq m−3 and estimated annual effective dose ranged from 0.44 to 12.18 mSv y−1. There were significant differences in indoor radon concentrations between the houses of lung cancer cases and healthy controls (p = 0.033). We estimated that 26% of lung cancer deaths in males and 28% in females were attributable to indoor radon exposure in this region. Other factors influencing indoor radon levels included house characteristics and ventilation. The open window-to-wall ratio was negatively associated with indoor radon levels (B = −0.69, 95% CI −1.37, −0.02) while the bedroom location in the house and building material showed no association. Indoor radon hence induced the fractal proportion of lung cancer deaths in UNT.https://doi.org/10.1038/s41598-022-09122-y
spellingShingle Kawinwut Somsunun
Tippawan Prapamontol
Chaicharn Pothirat
Chalerm Liwsrisakun
Donsuk Pongnikorn
Duriya Fongmoon
Somporn Chantara
Rawiwan Wongpoomchai
Warangkana Naksen
Narongchai Autsavapromporn
Shinji Tokonami
Estimation of lung cancer deaths attributable to indoor radon exposure in upper northern Thailand
Scientific Reports
title Estimation of lung cancer deaths attributable to indoor radon exposure in upper northern Thailand
title_full Estimation of lung cancer deaths attributable to indoor radon exposure in upper northern Thailand
title_fullStr Estimation of lung cancer deaths attributable to indoor radon exposure in upper northern Thailand
title_full_unstemmed Estimation of lung cancer deaths attributable to indoor radon exposure in upper northern Thailand
title_short Estimation of lung cancer deaths attributable to indoor radon exposure in upper northern Thailand
title_sort estimation of lung cancer deaths attributable to indoor radon exposure in upper northern thailand
url https://doi.org/10.1038/s41598-022-09122-y
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