The Association between Ambient Fine Particulate Matter and Oral Neoplasm among Smokers and Betel Quids Chewers

Abstract The association between fine particulate matter < 2.5 µm (PM2.5) and oral neoplasm has barely been addressed. The purpose of this study is to elucidate the association between PM2.5 and oral neoplasm, including oral potentially malignant disorder (OPMD) and oral cancer (OC), taking into...

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Main Authors: Mei-Sheng Ku, Pallop Siewchaisakul, Amy Ming-Fang Yen, Chen-Yu Liu
Format: Article
Language:English
Published: Springer 2021-07-01
Series:Aerosol and Air Quality Research
Subjects:
Online Access:https://doi.org/10.4209/aaqr.210060
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author Mei-Sheng Ku
Pallop Siewchaisakul
Amy Ming-Fang Yen
Chen-Yu Liu
author_facet Mei-Sheng Ku
Pallop Siewchaisakul
Amy Ming-Fang Yen
Chen-Yu Liu
author_sort Mei-Sheng Ku
collection DOAJ
description Abstract The association between fine particulate matter < 2.5 µm (PM2.5) and oral neoplasm has barely been addressed. The purpose of this study is to elucidate the association between PM2.5 and oral neoplasm, including oral potentially malignant disorder (OPMD) and oral cancer (OC), taking into account the geographical heterogeneity. Data for analysis were derived from nationwide OC screening program, targeting Taiwanese cigarette smokers and/or betel quid chewers, and the Taiwan Air Quality Monitoring Network between 2006 and 2016. Totally 3,864,045 smokers and/or betel quids chewers were enrolled in this study. Among them, 154,030 OPMD cases and 23,286 oral cancers were found during the study period. Information on age, gender, living area, personal oral habits, and monthly PM2.5 concentration in average were collected. We used the Bayesian random-effect logistic regression model to assess the association between PM2.5 and OPMD/OC. After adjusting for sex, age, and behavior of betel quid chewing and cigarette smoking, we found that subjects from areas of higher levels of PM2.5 (≥ 35 µg m−3) had an increased risk of OPMD/OC and OC by 11% (aRR = 1.11; 95% CI: 1.09–1.13) and 55% (aRR = 1.55; 95% CI: 1.49–1.60) respectively, compared to those from areas of lower PM2.5 (< 35 µg m−3). Such effect was further demonstrated in a concentration-dependent manner. Subjects from areas of higher PM2.5 levels were found to have greater risk of OPMD/OC in Taiwan. Future studies are warranted to investigate the effect of personal PM2.5 exposure on OPMD/OC risk.
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spelling doaj-art-36fb5f5f84274293aa834f3f24a9f1452025-02-09T12:21:13ZengSpringerAerosol and Air Quality Research1680-85842071-14092021-07-01211011310.4209/aaqr.210060The Association between Ambient Fine Particulate Matter and Oral Neoplasm among Smokers and Betel Quids ChewersMei-Sheng Ku0Pallop Siewchaisakul1Amy Ming-Fang Yen2Chen-Yu Liu3Institute of Environmental and Occupational Health Science, College of Public Health, National Taiwan UniversitySchool of Oral Hygiene, College of Oral Medicine, Taipei Medical UniversitySchool of Oral Hygiene, College of Oral Medicine, Taipei Medical UniversityInstitute of Environmental and Occupational Health Science, College of Public Health, National Taiwan UniversityAbstract The association between fine particulate matter < 2.5 µm (PM2.5) and oral neoplasm has barely been addressed. The purpose of this study is to elucidate the association between PM2.5 and oral neoplasm, including oral potentially malignant disorder (OPMD) and oral cancer (OC), taking into account the geographical heterogeneity. Data for analysis were derived from nationwide OC screening program, targeting Taiwanese cigarette smokers and/or betel quid chewers, and the Taiwan Air Quality Monitoring Network between 2006 and 2016. Totally 3,864,045 smokers and/or betel quids chewers were enrolled in this study. Among them, 154,030 OPMD cases and 23,286 oral cancers were found during the study period. Information on age, gender, living area, personal oral habits, and monthly PM2.5 concentration in average were collected. We used the Bayesian random-effect logistic regression model to assess the association between PM2.5 and OPMD/OC. After adjusting for sex, age, and behavior of betel quid chewing and cigarette smoking, we found that subjects from areas of higher levels of PM2.5 (≥ 35 µg m−3) had an increased risk of OPMD/OC and OC by 11% (aRR = 1.11; 95% CI: 1.09–1.13) and 55% (aRR = 1.55; 95% CI: 1.49–1.60) respectively, compared to those from areas of lower PM2.5 (< 35 µg m−3). Such effect was further demonstrated in a concentration-dependent manner. Subjects from areas of higher PM2.5 levels were found to have greater risk of OPMD/OC in Taiwan. Future studies are warranted to investigate the effect of personal PM2.5 exposure on OPMD/OC risk.https://doi.org/10.4209/aaqr.210060Particulate matterOral cancerNationwide screening programTaiwan
spellingShingle Mei-Sheng Ku
Pallop Siewchaisakul
Amy Ming-Fang Yen
Chen-Yu Liu
The Association between Ambient Fine Particulate Matter and Oral Neoplasm among Smokers and Betel Quids Chewers
Aerosol and Air Quality Research
Particulate matter
Oral cancer
Nationwide screening program
Taiwan
title The Association between Ambient Fine Particulate Matter and Oral Neoplasm among Smokers and Betel Quids Chewers
title_full The Association between Ambient Fine Particulate Matter and Oral Neoplasm among Smokers and Betel Quids Chewers
title_fullStr The Association between Ambient Fine Particulate Matter and Oral Neoplasm among Smokers and Betel Quids Chewers
title_full_unstemmed The Association between Ambient Fine Particulate Matter and Oral Neoplasm among Smokers and Betel Quids Chewers
title_short The Association between Ambient Fine Particulate Matter and Oral Neoplasm among Smokers and Betel Quids Chewers
title_sort association between ambient fine particulate matter and oral neoplasm among smokers and betel quids chewers
topic Particulate matter
Oral cancer
Nationwide screening program
Taiwan
url https://doi.org/10.4209/aaqr.210060
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