Abstract
This study aimed to determine the spatial effects of traffic- and industrial-related pollution on the mortality for lung cancer (LC). We conducted a retrospective cohort study by using the data from LC registry in Jiading District for the period from 2002 to 2012. Standard parametric model with Weibull distribution was used for spatial survival analysis. Shorter distance to highway (adjusted odds ratio (aOR) = 1.15, 95% confidence interval (CI): 1.03–1.30) and higher factory density (aOR = 1.20, 95% CI: 1.05–1.37) were significantly associated with an increased risk of LC death, and there was a spatial difference in the associations between northern and southern areas of Jiading District. The risk was high in suburbs as compared with urban areas. Traffic- and industrial-related pollution were significantly associated with an increased risk of LC death, which showed a spatial variation. Further studies are needed to better understand the current LC status in the suburbs and to reduce health disparities.
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31 July 2021
Missing e-mail address of the co-corresponding Author.
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Acknowledgements
We gratefully acknowledge the participants for their continuous and enthusiastic participation in the investigation. Also, we appreciate doctors and nurses involved in this study for their technical support.
Availability of data and materials
The data that support the findings of this study are available from Jiading District Center for Disease Control and Prevention, Shanghai, but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of Jiading District Center for Disease Control and Prevention, Shanghai.
Funding
This work was supported by the Jiading District, Shanghai, Epidemiology of Chronic Diseases Foundation (grant number GW01).
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YBZ and YQS are the project leader and contributed equally to all aspects of this work. NZ is the first authors, who contributed to data assembly and analysis and drafted the manuscript of the present paper. YJW contributed to the methodology; HJY, YYZ1, FX, HLJ, YYZ2, YX, ZZW, YC, and QWJ contributed equally to data collection. All authors read and approved the final manuscript.
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Zhang, N., Wang, Y., Yu, H. et al. Distance to highway and factory density related to lung cancer death and associated spatial heterogeneity in effects in Jiading District, Shanghai. Environ Sci Pollut Res 28, 64536–64551 (2021). https://doi.org/10.1007/s11356-021-15438-5
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DOI: https://doi.org/10.1007/s11356-021-15438-5