人造夜光与甲状腺癌

A. Tselebis, E. Koukkou, C. Milionis, Lina Zabuliene, A. Pachi, Ioannis Ilias
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引用次数: 0

摘要

背景 近几十年来,甲状腺癌(TC)的发病率有所上升。夜间暴露于室外人造光(ALN)与癌症风险增加有关。目的 调查 ALN 作为一种重要的环境污染物对全球甲状腺癌发病率的影响。方法 评估包括将卫星 ALN 数据与 TC 发病率数据[调整标准化率 (ASR)]结合起来进行分析,同时考虑每个国家的癌症登记质量 (QCR)、人均国内生产总值 (GDP) 和人均医疗支出 (HEP)。结果表明,较高的 ASR 与 ALN 暴露百分比之间存在相关性,尤其是在 GDP 或 HEP 四分位数较高的国家(所有 P <0.05)。在不同质量控制水平(包括高质量和低质量)的国家,ASR 存在显著差异(均为 P <0.05),但在没有登记活动的国家则不存在显著差异。然而,在考虑 GDP/HEP 四分位数或 QCR 水平的同时评估 ASR 与 ALN 暴露百分比时,没有发现显著的关联(所有 P > 0.10)。结论 研究结果表明,较高的 GDP 与不良健康状况之间存在潜在联系,可作为 TC 的风险因素,而不是与 ALN 直接相关。局限性包括使用横截面数据、时间错位以及依赖 ALN 作为社会经济替代物。有人提出,光污染可能与有利于致癌的生活方式有关。此外,较高的 GDP/HEP 可能会提高诊断资源的可及性,从而为 TC 诊断和纳入癌症登记提供潜在便利。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Artificial night light and thyroid cancer
BACKGROUND The occurrence of thyroid cancer (TC) has increased in recent decades. Exposure to outdoor artificial light at night (ALN) is associated with an increased risk of cancer. AIM To investigated the impact of ALN, as a significant environmental pollutant, on TC incidence worldwide. METHODS The assessment involved analyzing satellite ALN data in conjunction with TC incidence data [adjusted standardized rate (ASR)], while considering the quality of cancer registries (QCR), gross domestic product (GDP) per person, and health expenditure per person (HEP) for each country. RESULTS Results indicated a correlation between higher ASR and ALN exposure percentages, particularly in countries with higher GDP or HEP quartiles (all P < 0.05). Significant differences in ASR were observed across QCR levels, both high and low quality (all P < 0.05), but not in countries without registry activity. However, when evaluating ASR against ALN exposure percentages while considering GDP/HEP quartiles or QCR levels, no significant associations were found (all P > 0.10). CONCLUSION The findings suggest a potential link between higher GDP and adverse health conditions, serving as possible risk factors for TC, rather than a direct association with ALN. Limitations include the use of cross-sectional data, temporal misalignment, and reliance on ALN as a socioeconomic proxy. It is proposed that light pollution might be connected to a lifestyle conducive to carcinogenesis. Additionally, the presence of higher GDP/HEP could enhance access to diagnostic resources, potentially facilitating TC diagnosis and inclusion in cancer registries.
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