Long-term air pollution exposure and malignant intracranial tumours of the central nervous system: a pooled analysis of six European cohorts
File(s)Air pollution and CNS tumors.pdf (565.79 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
BACKGROUND: Risk factors for malignant tumours of the central nervous system (CNS) are largely unknown. METHODS: We pooled six European cohorts (N = 302,493) and assessed the association between residential exposure to nitrogen dioxide (NO2), fine particles (PM2.5), black carbon (BC), ozone (O3) and eight elemental components of PM2.5 (copper, iron, potassium, nickel, sulfur, silicon, vanadium, and zinc) and malignant intracranial CNS tumours defined according to the International Classification of Diseases ICD-9/ICD-10 codes 192.1/C70.0, 191.0-191.9/C71.0-C71.9, 192.0/C72.2-C72.5. We applied Cox proportional hazards models adjusting for potential confounders at the individual and area-level. RESULTS: During 5,497,514 person-years of follow-up (average 18.2 years), we observed 623 malignant CNS tumours. The results of the fully adjusted linear analyses showed a hazard ratio (95% confidence interval) of 1.07 (0.95, 1.21) per 10 μg/m³ NO2, 1.17 (0.96, 1.41) per 5 μg/m³ PM2.5, 1.10 (0.97, 1.25) per 0.5 10-5m-1 BC, and 0.99 (0.84, 1.17) per 10 μg/m³ O3. CONCLUSIONS: We observed indications of an association between exposure to NO2, PM2.5, and BC and tumours of the CNS. The PM elements were not consistently associated with CNS tumour incidence.
Date Issued
2023-07-07
Date Acceptance
2023-06-27
Citation
British Journal of Cancer, 2023, 129, pp.656-664
ISSN
0007-0920
Publisher
Springer Nature [academic journals on nature.com]
Start Page
656
End Page
664
Journal / Book Title
British Journal of Cancer
Volume
129
Copyright Statement
© 2023, The Author(s), under exclusive licence to Springer Nature Limited.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/37420001
PII: 10.1038/s41416-023-02348-1
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2023-07-07