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Fluoridation and county-level secondary bone cancer among cancer patients 18 years or older in New York State

  • Natalie CrnosijaEmail author
  • Minsig Choi
  • Jaymie R. Meliker
Original Paper

Abstract

The decision whether to fluoridate drinking water continues to be controversial in some communities. Dental and skeletal fluorosis in response to chronic fluoride overexposure are cited as reasons to avoid community water fluoridation in spite of evidence of the oral and skeletal health benefits fluoridation confers. Community fluoridation of ~ 1 mg/L fluoride has not been found to be associated with primary bone cancer but is associated with improved bone strength. No studies have examined fluoride exposure and secondary bone cancer, a common metastasis with significant morbidity. We hypothesize that fluoridation could diminish the likelihood of secondary bone cancer due to its role in bone fortification. We examined the association between community water fluoridation category and prevalence of secondary bone cancer from 2008 to 2010 among cancer patients of 18 years of age or older in counties in New York State. Relative to counties with less than 25% of the water supply fluoridated, we report no association between secondary bone cancer among cancer patients in counties with 25–75% of the water supply fluoridated (β = 0.02, p = 0.96) and among those in counties with > 75% fluoridated (β = 0.02, p = 0.97). We found no evidence of an association between community water fluoridation category and secondary bone cancer from 2008 to 2010 at the county level in New York State.

Keywords

Fluoridation Secondary bone cancer Bone health 

Notes

Acknowledgements

We would like to thank: the New York State Department of Health for granting us access to the Statewide Planning and Research Cooperative System (SPARCS) database and NYS GIS Clearinghouse for their shapefile.

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Copyright information

© Springer Nature B.V. 2018

Authors and Affiliations

  • Natalie Crnosija
    • 1
    Email author
  • Minsig Choi
    • 2
  • Jaymie R. Meliker
    • 1
  1. 1.Stony Brook University Program in Public Health, Health Sciences CenterStony Brook UniversityStony BrookUSA
  2. 2.Stony Brook University Department of Medicine, Oncology Division, Health Sciences CenterStony Brook UniversityStony BrookUSA

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