Heavy-metal associated breast cancer and colorectal cancer hot spots and their demographic and socioeconomic characteristics
Purpose Cancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting cancer. The role of known metal carcinogens (i.e., cadmium, arsenic, nickel, chromium(VI)) in breast and colorectal carcinogenesis is largely...
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| Published in: | Cancer causes & control Vol. 35; no. 10; pp. 1367 - 1381 |
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| Main Authors: | , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Springer International Publishing
01-10-2024
Springer Nature B.V |
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| Abstract | Purpose
Cancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting cancer. The role of known metal carcinogens (i.e., cadmium, arsenic, nickel, chromium(VI)) in breast and colorectal carcinogenesis is largely unknown. Historically marginalized communities are disproportionately exposed to metals, which could explain cancer disparities. We examined area-based metal exposures and odds of residing in breast and colorectal cancer hotspots utilizing state tumor registry data and described the characteristics of those living in heavy metal-associated cancer hotspots.
Methods
Breast and colorectal cancer hotspots were mapped across Kentucky, and area-based ambient metal exposure to cadmium, arsenic, nickel, and chromium(VI) were extracted from the 2014 National Air Toxics Assessment for Kentucky census tracts. Among colorectal cancer (
n
= 56,598) and female breast cancer (
n
= 77,637) diagnoses in Kentucky, we used logistic regression models to estimate Odds Ratios (ORs) and 95% Confidence Intervals to examine the association between ambient metal concentrations and odds of residing in cancer hotspots, independent of individual-level and neighborhood risk factors.
Results
Higher ambient metal exposures were associated with higher odds of residing in breast and colorectal cancer hotspots. Populations in breast and colorectal cancer hotspots were disproportionately Black and had markers of lower socioeconomic status. Furthermore, adjusting for age, race, tobacco and neighborhood factors did not significantly change cancer hotspot ORs for ambient metal exposures analyzed.
Conclusion
Ambient metal exposures contribute to higher cancer rates in certain geographic areas that are largely composed of marginalized populations. Individual-level assessments of metal exposures and cancer disparities are needed. |
|---|---|
| AbstractList | Abstract Purpose Cancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting cancer. The role of known metal carcinogens (i.e., cadmium, arsenic, nickel, chromium(VI)) in breast and colorectal carcinogenesis is largely unknown. Historically marginalized communities are disproportionately exposed to metals, which could explain cancer disparities. We examined area-based metal exposures and odds of residing in breast and colorectal cancer hotspots utilizing state tumor registry data and described the characteristics of those living in heavy metal-associated cancer hotspots. Methods Breast and colorectal cancer hotspots were mapped across Kentucky, and area-based ambient metal exposure to cadmium, arsenic, nickel, and chromium(VI) were extracted from the 2014 National Air Toxics Assessment for Kentucky census tracts. Among colorectal cancer ( n = 56,598) and female breast cancer ( n = 77,637) diagnoses in Kentucky, we used logistic regression models to estimate Odds Ratios (ORs) and 95% Confidence Intervals to examine the association between ambient metal concentrations and odds of residing in cancer hotspots, independent of individual-level and neighborhood risk factors. Results Higher ambient metal exposures were associated with higher odds of residing in breast and colorectal cancer hotspots. Populations in breast and colorectal cancer hotspots were disproportionately Black and had markers of lower socioeconomic status. Furthermore, adjusting for age, race, tobacco and neighborhood factors did not significantly change cancer hotspot ORs for ambient metal exposures analyzed. Conclusion Ambient metal exposures contribute to higher cancer rates in certain geographic areas that are largely composed of marginalized populations. Individual-level assessments of metal exposures and cancer disparities are needed. Cancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting cancer. The role of known metal carcinogens (i.e., cadmium, arsenic, nickel, chromium(VI)) in breast and colorectal carcinogenesis is largely unknown. Historically marginalized communities are disproportionately exposed to metals, which could explain cancer disparities. We examined area-based metal exposures and odds of residing in breast and colorectal cancer hotspots utilizing state tumor registry data and described the characteristics of those living in heavy metal-associated cancer hotspots. Breast and colorectal cancer hotspots were mapped across Kentucky, and area-based ambient metal exposure to cadmium, arsenic, nickel, and chromium(VI) were extracted from the 2014 National Air Toxics Assessment for Kentucky census tracts. Among colorectal cancer (n = 56,598) and female breast cancer (n = 77,637) diagnoses in Kentucky, we used logistic regression models to estimate Odds Ratios (ORs) and 95% Confidence Intervals to examine the association between ambient metal concentrations and odds of residing in cancer hotspots, independent of individual-level and neighborhood risk factors. Higher ambient metal exposures were associated with higher odds of residing in breast and colorectal cancer hotspots. Populations in breast and colorectal cancer hotspots were disproportionately Black and had markers of lower socioeconomic status. Furthermore, adjusting for age, race, tobacco and neighborhood factors did not significantly change cancer hotspot ORs for ambient metal exposures analyzed. Ambient metal exposures contribute to higher cancer rates in certain geographic areas that are largely composed of marginalized populations. Individual-level assessments of metal exposures and cancer disparities are needed. PurposeCancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting cancer. The role of known metal carcinogens (i.e., cadmium, arsenic, nickel, chromium(VI)) in breast and colorectal carcinogenesis is largely unknown. Historically marginalized communities are disproportionately exposed to metals, which could explain cancer disparities. We examined area-based metal exposures and odds of residing in breast and colorectal cancer hotspots utilizing state tumor registry data and described the characteristics of those living in heavy metal-associated cancer hotspots.MethodsBreast and colorectal cancer hotspots were mapped across Kentucky, and area-based ambient metal exposure to cadmium, arsenic, nickel, and chromium(VI) were extracted from the 2014 National Air Toxics Assessment for Kentucky census tracts. Among colorectal cancer (n = 56,598) and female breast cancer (n = 77,637) diagnoses in Kentucky, we used logistic regression models to estimate Odds Ratios (ORs) and 95% Confidence Intervals to examine the association between ambient metal concentrations and odds of residing in cancer hotspots, independent of individual-level and neighborhood risk factors.ResultsHigher ambient metal exposures were associated with higher odds of residing in breast and colorectal cancer hotspots. Populations in breast and colorectal cancer hotspots were disproportionately Black and had markers of lower socioeconomic status. Furthermore, adjusting for age, race, tobacco and neighborhood factors did not significantly change cancer hotspot ORs for ambient metal exposures analyzed.ConclusionAmbient metal exposures contribute to higher cancer rates in certain geographic areas that are largely composed of marginalized populations. Individual-level assessments of metal exposures and cancer disparities are needed. Cancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting cancer. The role of known metal carcinogens (i.e., cadmium, arsenic, nickel, chromium(VI)) in breast and colorectal carcinogenesis is largely unknown. Historically marginalized communities are disproportionately exposed to metals, which could explain cancer disparities. We examined area-based metal exposures and odds of residing in breast and colorectal cancer hotspots utilizing state tumor registry data and described the characteristics of those living in heavy metal-associated cancer hotspots.PURPOSECancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting cancer. The role of known metal carcinogens (i.e., cadmium, arsenic, nickel, chromium(VI)) in breast and colorectal carcinogenesis is largely unknown. Historically marginalized communities are disproportionately exposed to metals, which could explain cancer disparities. We examined area-based metal exposures and odds of residing in breast and colorectal cancer hotspots utilizing state tumor registry data and described the characteristics of those living in heavy metal-associated cancer hotspots.Breast and colorectal cancer hotspots were mapped across Kentucky, and area-based ambient metal exposure to cadmium, arsenic, nickel, and chromium(VI) were extracted from the 2014 National Air Toxics Assessment for Kentucky census tracts. Among colorectal cancer (n = 56,598) and female breast cancer (n = 77,637) diagnoses in Kentucky, we used logistic regression models to estimate Odds Ratios (ORs) and 95% Confidence Intervals to examine the association between ambient metal concentrations and odds of residing in cancer hotspots, independent of individual-level and neighborhood risk factors.METHODSBreast and colorectal cancer hotspots were mapped across Kentucky, and area-based ambient metal exposure to cadmium, arsenic, nickel, and chromium(VI) were extracted from the 2014 National Air Toxics Assessment for Kentucky census tracts. Among colorectal cancer (n = 56,598) and female breast cancer (n = 77,637) diagnoses in Kentucky, we used logistic regression models to estimate Odds Ratios (ORs) and 95% Confidence Intervals to examine the association between ambient metal concentrations and odds of residing in cancer hotspots, independent of individual-level and neighborhood risk factors.Higher ambient metal exposures were associated with higher odds of residing in breast and colorectal cancer hotspots. Populations in breast and colorectal cancer hotspots were disproportionately Black and had markers of lower socioeconomic status. Furthermore, adjusting for age, race, tobacco and neighborhood factors did not significantly change cancer hotspot ORs for ambient metal exposures analyzed.RESULTSHigher ambient metal exposures were associated with higher odds of residing in breast and colorectal cancer hotspots. Populations in breast and colorectal cancer hotspots were disproportionately Black and had markers of lower socioeconomic status. Furthermore, adjusting for age, race, tobacco and neighborhood factors did not significantly change cancer hotspot ORs for ambient metal exposures analyzed.Ambient metal exposures contribute to higher cancer rates in certain geographic areas that are largely composed of marginalized populations. Individual-level assessments of metal exposures and cancer disparities are needed.CONCLUSIONAmbient metal exposures contribute to higher cancer rates in certain geographic areas that are largely composed of marginalized populations. Individual-level assessments of metal exposures and cancer disparities are needed. Purpose Cancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting cancer. The role of known metal carcinogens (i.e., cadmium, arsenic, nickel, chromium(VI)) in breast and colorectal carcinogenesis is largely unknown. Historically marginalized communities are disproportionately exposed to metals, which could explain cancer disparities. We examined area-based metal exposures and odds of residing in breast and colorectal cancer hotspots utilizing state tumor registry data and described the characteristics of those living in heavy metal-associated cancer hotspots. Methods Breast and colorectal cancer hotspots were mapped across Kentucky, and area-based ambient metal exposure to cadmium, arsenic, nickel, and chromium(VI) were extracted from the 2014 National Air Toxics Assessment for Kentucky census tracts. Among colorectal cancer ( n = 56,598) and female breast cancer ( n = 77,637) diagnoses in Kentucky, we used logistic regression models to estimate Odds Ratios (ORs) and 95% Confidence Intervals to examine the association between ambient metal concentrations and odds of residing in cancer hotspots, independent of individual-level and neighborhood risk factors. Results Higher ambient metal exposures were associated with higher odds of residing in breast and colorectal cancer hotspots. Populations in breast and colorectal cancer hotspots were disproportionately Black and had markers of lower socioeconomic status. Furthermore, adjusting for age, race, tobacco and neighborhood factors did not significantly change cancer hotspot ORs for ambient metal exposures analyzed. Conclusion Ambient metal exposures contribute to higher cancer rates in certain geographic areas that are largely composed of marginalized populations. Individual-level assessments of metal exposures and cancer disparities are needed. |
| Author | Guinn, Brian Ellis, C. Tyler Kavalukas, Sandy Udoh, Karen Tomlinson, Madeline M. Ruther, Matthew Nail, Alexandra N. Abraham, Stephie States, J. Christopher Pugh, Felicia Tamimi, Rulla M. Newton, Johnnie D. Iyer, Hari S. Laden, Francine DuPré, Natalie C. |
| Author_xml | – sequence: 1 givenname: Madeline M. surname: Tomlinson fullname: Tomlinson, Madeline M. organization: Department of Epidemiology and Population Health, School of Public Health and Information Sciences, University of Louisville – sequence: 2 givenname: Felicia surname: Pugh fullname: Pugh, Felicia organization: Department of Epidemiology and Population Health, School of Public Health and Information Sciences, University of Louisville, Louisville Metro Department of Public Health and Wellness, Center for Health Equity – sequence: 3 givenname: Alexandra N. surname: Nail fullname: Nail, Alexandra N. organization: Department of Pharmacology and Toxicology, School of Medicine, University of Louisville – sequence: 4 givenname: Johnnie D. surname: Newton fullname: Newton, Johnnie D. organization: Department of Epidemiology and Population Health, School of Public Health and Information Sciences, University of Louisville – sequence: 5 givenname: Karen surname: Udoh fullname: Udoh, Karen organization: Department of Surgery, School of Medicine, University of Louisville – sequence: 6 givenname: Stephie surname: Abraham fullname: Abraham, Stephie organization: Department of Epidemiology and Population Health, School of Public Health and Information Sciences, University of Louisville – sequence: 7 givenname: Sandy surname: Kavalukas fullname: Kavalukas, Sandy organization: Department of Surgery, School of Medicine, University of Louisville – sequence: 8 givenname: Brian surname: Guinn fullname: Guinn, Brian organization: Department of Epidemiology and Population Health, School of Public Health and Information Sciences, University of Louisville – sequence: 9 givenname: Rulla M. surname: Tamimi fullname: Tamimi, Rulla M. organization: Department of Population Health Sciences, Weill Cornell Medical – sequence: 10 givenname: Francine surname: Laden fullname: Laden, Francine organization: Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Department of Epidemiology and Department of Environmental Health, Harvard TH Chan School of Public Health – sequence: 11 givenname: Hari S. surname: Iyer fullname: Iyer, Hari S. organization: Section of Cancer Epidemiology and Health Outcomes, Rutgers Cancer Institute of New Jersey – sequence: 12 givenname: J. Christopher surname: States fullname: States, J. Christopher organization: Department of Pharmacology and Toxicology, School of Medicine, University of Louisville, Center for Integrative Environmental Health Sciences, University of Louisville – sequence: 13 givenname: Matthew surname: Ruther fullname: Ruther, Matthew organization: Department of Urban and Public Affairs, College of Arts and Sciences, University of Louisville – sequence: 14 givenname: C. Tyler surname: Ellis fullname: Ellis, C. Tyler organization: Department of Surgery, School of Medicine, University of Louisville, Center for Integrative Environmental Health Sciences, University of Louisville – sequence: 15 givenname: Natalie C. surname: DuPré fullname: DuPré, Natalie C. email: natalie.dupre@louisville.edu organization: Department of Epidemiology and Population Health, School of Public Health and Information Sciences, University of Louisville, Center for Integrative Environmental Health Sciences, University of Louisville |
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| Keywords | Cadmium Breast cancer Cancer registry Arsenic Metals Colorectal cancer |
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Cancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting... Cancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting cancer.... Abstract Purpose Cancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms... PurposeCancer registries offer an avenue to identify cancer clusters across large populations and efficiently examine potential environmental harms affecting... |
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| SubjectTerms | Adult Aged Arsenic Biomedical and Life Sciences Biomedicine Breast cancer Breast Neoplasms - chemically induced Breast Neoplasms - epidemiology Breast Neoplasms - etiology Cadmium Cancer Research Carcinogenesis Chromium Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - chemically induced Colorectal Neoplasms - epidemiology Colorectal Neoplasms - etiology Disease hot spots Environmental Exposure - adverse effects Epidemiology Female Heavy metals Hematology Humans Kentucky - epidemiology Male Metals, Heavy - adverse effects Middle Aged Nickel Oncology Original Paper Public Health Registries Regression analysis Risk Factors Socioeconomic Factors |
| Title | Heavy-metal associated breast cancer and colorectal cancer hot spots and their demographic and socioeconomic characteristics |
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