塞尔维亚水的物理化学性质和余氯浓度的区域差异及癌症发病率

IF 4.9 Q2 ENGINEERING, ENVIRONMENTAL

Groundwater for Sustainable Development Pub Date : 2025-06-03 DOI:10.1016/j.gsd.2025.101473

Ana Cirovic , Nemanja Stojilovic , Riccardo Mazzoli , Aleksandar Cirovic , Tommaso Filippini

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引用次数: 0

摘要

个人通过在居住地的日常活动接触到当地水源。塞尔维亚由26个区组成，人口约为680万。不同地区的个体所接触到的理化水质是不同的。水的物理化学性质的不规则可能与恶性疾病有关。本研究旨在调查塞尔维亚不符合物理化学性质和余氯标准的水的百分比与最常见恶性肿瘤的标准化发病率之间的关系。2013年，塞尔维亚76,758个水样中有18.9%不符合标准（科卢巴拉为0%，巴纳特中部为97.4%），2021年，93,144个水样中有16.5%不符合标准（Macva为0.9%，北巴纳特为97.8%）。从公共供水系统和供水设施取得的不合格物化水样的百分比与男性和女性的结肠癌和直肠癌、任何类型的男性和女性的卵巢癌的标准化发病率之间存在显著的正相关关系。然而，在男性中没有观察到白血病和胰腺癌的显著相关性，在两性中没有观察到脑肿瘤或肺癌的显著相关性。男性膀胱癌与暴露于超过推荐浓度的余氯有关。研究结果表明，接触不符合适当物理化学标准的水可能会增加患各种癌症的风险，而高于建议标准的余氯似乎与膀胱癌发病率增加有关。

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Regional variations in water physicochemical properties and residual chlorine concentrations and incidence of cancer in Serbia

Individuals are exposed to local water sources through routine activities in their place of residence. Serbia consists of 26 districts with a population of approximately 6.8 million inhabitants. Individuals in different districts are exposed to varying physicochemical water quality. Irregularities in physicochemical water properties may be linked to malignant diseases. This study aimed to investigate the association between the percentage of water which does not meet the standards for both physicochemical properties and residual chlorine, and standardized incidence of most common malignancies in Serbia. In 2013, 18.9 % of 76,758 water samples in Serbia were non-compliant (0 % in Kolubara, 97.4 % in Middle Banat), and in 2021, 16.5 % of 93,144 samples failed standards (0.9 % in Macva, 97.8 % in North Banat). A significant positive correlation was observed between the percentage of unsatisfactory physicochemical water samples from public water supply systems and water facilities and the standardized incidence of colon and rectal cancer in males and females, any cancer type in both sexes, and ovarian cancer in females. However, no significant correlation was observed for leukemia and pancreatic in males, brain tumors or lung cancer in both sexes. Bladder cancer in males was associated with exposure to residual chlorine which surpass recommended concentrations. Study findings suggest that exposure to water that does not meet adequate physicochemical standards may be associated with an increased risk of various cancer types, while residual chlorine above recommended standards seems associated with increased incidence of bladder cancer.

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来源期刊

Groundwater for Sustainable Development Social Sciences-Geography, Planning and Development

CiteScore

11.50

自引率

10.20%

发文量

152

期刊介绍： Groundwater for Sustainable Development is directed to different stakeholders and professionals, including government and non-governmental organizations, international funding agencies, universities, public water institutions, public health and other public/private sector professionals, and other relevant institutions. It is aimed at professionals, academics and students in the fields of disciplines such as: groundwater and its connection to surface hydrology and environment, soil sciences, engineering, ecology, microbiology, atmospheric sciences, analytical chemistry, hydro-engineering, water technology, environmental ethics, economics, public health, policy, as well as social sciences, legal disciplines, or any other area connected with water issues. The objectives of this journal are to facilitate: • The improvement of effective and sustainable management of water resources across the globe. • The improvement of human access to groundwater resources in adequate quantity and good quality. • The meeting of the increasing demand for drinking and irrigation water needed for food security to contribute to a social and economically sound human development. • The creation of a global inter- and multidisciplinary platform and forum to improve our understanding of groundwater resources and to advocate their effective and sustainable management and protection against contamination. • Interdisciplinary information exchange and to stimulate scientific research in the fields of groundwater related sciences and social and health sciences required to achieve the United Nations Millennium Development Goals for sustainable development.