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Male–Female Differences in the Prevalence of Non-Hodgkin Lymphoma and Residential Proximity to Superfund Sites in Kentucky
Non-Hodgkin lymphoma (NHL) is a category of cancers that arise from lymphocytes. Previous work by the authors demonstrated a significant association between residential proximity to Superfund sites in Kentucky and cumulative incidence rates of NHL. In both the U.S. and Kentucky, age-adjusted NHL rat...
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Published in: | Journal of environmental health 2018-10, Vol.81 (3), p.16-25 |
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description | Non-Hodgkin lymphoma (NHL) is a category of cancers that arise from lymphocytes. Previous work by the authors demonstrated a significant association between residential proximity to Superfund sites in Kentucky and cumulative incidence rates of NHL. In both the U.S. and Kentucky, age-adjusted NHL rates in males consistently exceed rates in females, despite NHL often arising later in the lifespan when females outnumber males. The current investigation sought to determine whether the NHL rate difference by sex is associated with proximity to environmental toxicants. Cancer data for a period of 18 years were obtained from the Kentucky Cancer Registry. Superfund geospatial coordinate data were obtained from the U.S. Environmental Protection Agency. Cumulative incidence rates per 100,000 males and females were calculated at the 2010 U.S. Census Bureau tract level, within |
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Brent</creator><creatorcontrib>Stone, Ramona ; Webber, W. Brent</creatorcontrib><description>Non-Hodgkin lymphoma (NHL) is a category of cancers that arise from lymphocytes. Previous work by the authors demonstrated a significant association between residential proximity to Superfund sites in Kentucky and cumulative incidence rates of NHL. In both the U.S. and Kentucky, age-adjusted NHL rates in males consistently exceed rates in females, despite NHL often arising later in the lifespan when females outnumber males. The current investigation sought to determine whether the NHL rate difference by sex is associated with proximity to environmental toxicants. Cancer data for a period of 18 years were obtained from the Kentucky Cancer Registry. Superfund geospatial coordinate data were obtained from the U.S. Environmental Protection Agency. Cumulative incidence rates per 100,000 males and females were calculated at the 2010 U.S. Census Bureau tract level, within <5 km and 5–10 km buffer zones around Superfund sites. Ordinary least squares and geographically weighted regression analyses were conducted. Significant associations existed between residential proximity to Superfund sites and cumulative NHL incidence rates in male and female populations. At all exposures levels, incidence rates were significantly higher for males than females. Possible reasons for this male–female imbalance in outcomes are presented, along with implications for public health.</description><identifier>ISSN: 0022-0892</identifier><language>eng</language><publisher>Denver: National Environmental Health Association</publisher><subject>ADVANCEMENT OF THE SCIENCE ; Age ; Autoimmune diseases ; Body mass index ; Buffer zones ; Cancer ; Cancer therapies ; Cytokines ; Demographic aspects ; Environmental cleanup ; Environmental protection ; Epidemiology ; Females ; Gender differences ; Hazardous waste sites ; Health aspects ; Incidence ; Leukemia ; Life span ; Lymphocytes ; Lymphoma ; Males ; Melanoma ; Non-Hodgkin's lymphomas ; Pollution abatement ; Prevalence studies (Epidemiology) ; Proximity ; Public health ; Regression analysis ; Risk factors ; Sex differences ; Statistics ; Superfund ; Toxicants ; Womens health</subject><ispartof>Journal of environmental health, 2018-10, Vol.81 (3), p.16-25</ispartof><rights>Copyright 2018, National Environmental Health Association (no refunds)</rights><rights>COPYRIGHT 2018 National Environmental Health Association</rights><rights>Copyright National Environmental Health Association Oct 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26508133$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26508133$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,58212,58445</link.rule.ids></links><search><creatorcontrib>Stone, Ramona</creatorcontrib><creatorcontrib>Webber, W. Brent</creatorcontrib><title>Male–Female Differences in the Prevalence of Non-Hodgkin Lymphoma and Residential Proximity to Superfund Sites in Kentucky</title><title>Journal of environmental health</title><description>Non-Hodgkin lymphoma (NHL) is a category of cancers that arise from lymphocytes. Previous work by the authors demonstrated a significant association between residential proximity to Superfund sites in Kentucky and cumulative incidence rates of NHL. In both the U.S. and Kentucky, age-adjusted NHL rates in males consistently exceed rates in females, despite NHL often arising later in the lifespan when females outnumber males. The current investigation sought to determine whether the NHL rate difference by sex is associated with proximity to environmental toxicants. Cancer data for a period of 18 years were obtained from the Kentucky Cancer Registry. Superfund geospatial coordinate data were obtained from the U.S. Environmental Protection Agency. Cumulative incidence rates per 100,000 males and females were calculated at the 2010 U.S. Census Bureau tract level, within <5 km and 5–10 km buffer zones around Superfund sites. Ordinary least squares and geographically weighted regression analyses were conducted. Significant associations existed between residential proximity to Superfund sites and cumulative NHL incidence rates in male and female populations. At all exposures levels, incidence rates were significantly higher for males than females. Possible reasons for this male–female imbalance in outcomes are presented, along with implications for public health.</description><subject>ADVANCEMENT OF THE SCIENCE</subject><subject>Age</subject><subject>Autoimmune diseases</subject><subject>Body mass index</subject><subject>Buffer zones</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Cytokines</subject><subject>Demographic aspects</subject><subject>Environmental cleanup</subject><subject>Environmental protection</subject><subject>Epidemiology</subject><subject>Females</subject><subject>Gender differences</subject><subject>Hazardous waste sites</subject><subject>Health aspects</subject><subject>Incidence</subject><subject>Leukemia</subject><subject>Life span</subject><subject>Lymphocytes</subject><subject>Lymphoma</subject><subject>Males</subject><subject>Melanoma</subject><subject>Non-Hodgkin's lymphomas</subject><subject>Pollution abatement</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Proximity</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Risk factors</subject><subject>Sex differences</subject><subject>Statistics</subject><subject>Superfund</subject><subject>Toxicants</subject><subject>Womens health</subject><issn>0022-0892</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNotj01OwzAQhbMAiVI4ApIlJHaR_JPEzrIqlCLKjyisIyeZNG6TONgOIhIL7sANOQmWwmqe5n3zZuYomGFMaYhFSk-CU2v3GGNCRTQLvh5kA7_fPytovUDXqqrAQFeARapDrgb0bODDW76FdIUedReudbk7eHcztn2tW4lkV6IXsKqEzinZ-BH9qVrlRuQ02g49mGrwyFa5Kfbec0NxGM-C40o2Fs7_6zx4W928Ltfh5un2brnYhDvKEhfSiMsEU2D-4pyzUuYJzQsJXhcsF7jAec5lKUtCcJkLjlMMQvI0KnJJIkzYPLiccnuj3wewLtvrwXR-ZUYJiVPOWZp66mqidv7drAbZuNrqZnBKdzZbxHEimIg59uDFBO6t0ybrjWqlGTOaxFgQxtgf6HFx2Q</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Stone, Ramona</creator><creator>Webber, W. 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Brent</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Male–Female Differences in the Prevalence of Non-Hodgkin Lymphoma and Residential Proximity to Superfund Sites in Kentucky</atitle><jtitle>Journal of environmental health</jtitle><date>2018-10-01</date><risdate>2018</risdate><volume>81</volume><issue>3</issue><spage>16</spage><epage>25</epage><pages>16-25</pages><issn>0022-0892</issn><abstract>Non-Hodgkin lymphoma (NHL) is a category of cancers that arise from lymphocytes. Previous work by the authors demonstrated a significant association between residential proximity to Superfund sites in Kentucky and cumulative incidence rates of NHL. In both the U.S. and Kentucky, age-adjusted NHL rates in males consistently exceed rates in females, despite NHL often arising later in the lifespan when females outnumber males. The current investigation sought to determine whether the NHL rate difference by sex is associated with proximity to environmental toxicants. Cancer data for a period of 18 years were obtained from the Kentucky Cancer Registry. Superfund geospatial coordinate data were obtained from the U.S. Environmental Protection Agency. Cumulative incidence rates per 100,000 males and females were calculated at the 2010 U.S. Census Bureau tract level, within <5 km and 5–10 km buffer zones around Superfund sites. Ordinary least squares and geographically weighted regression analyses were conducted. Significant associations existed between residential proximity to Superfund sites and cumulative NHL incidence rates in male and female populations. At all exposures levels, incidence rates were significantly higher for males than females. Possible reasons for this male–female imbalance in outcomes are presented, along with implications for public health.</abstract><cop>Denver</cop><pub>National Environmental Health Association</pub><tpages>10</tpages></addata></record> |
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subjects | ADVANCEMENT OF THE SCIENCE Age Autoimmune diseases Body mass index Buffer zones Cancer Cancer therapies Cytokines Demographic aspects Environmental cleanup Environmental protection Epidemiology Females Gender differences Hazardous waste sites Health aspects Incidence Leukemia Life span Lymphocytes Lymphoma Males Melanoma Non-Hodgkin's lymphomas Pollution abatement Prevalence studies (Epidemiology) Proximity Public health Regression analysis Risk factors Sex differences Statistics Superfund Toxicants Womens health |
title | Male–Female Differences in the Prevalence of Non-Hodgkin Lymphoma and Residential Proximity to Superfund Sites in Kentucky |
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