Evidence map›Paper›PMID 37821066›Full record

ArticleEnvironmental research2023

Understanding the role of environmental and socioeconomic factors in the geographic variation of breast cancer risk in the US-wide Sister Study.

Rachel Carroll, Jennifer L Ish, Dale P Sandler, Alexandra J White, Shanshan Zhao

Open access · greenAbstract read
In one paragraph

Article in Environmental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 83% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 0 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Rachel CarrollBiostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, 111 TW Alexander Dr, Durham, NC, 27709, USA; Human Services Division, American Institutes for Research, 400 Crystal Drive 10th Floor, Arlington, VA, 22202, USA.
Jennifer L IshEpidemiology Branch, National Institute of Environmental Health Sciences, 111 TW Alexander Dr, Durham, NC, 27709, USA.
Dale P SandlerEpidemiology Branch, National Institute of Environmental Health Sciences, 111 TW Alexander Dr, Durham, NC, 27709, USA.
Alexandra J WhiteEpidemiology Branch, National Institute of Environmental Health Sciences, 111 TW Alexander Dr, Durham, NC, 27709, USA. Electronic address: alexandra.white@nih.gov.
Shanshan ZhaoBiostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, 111 TW Alexander Dr, Durham, NC, 27709, USA.
National Institute of Environmental Health Sciences · USAmerican Institutes for Research · US

Funding

Environment and Cancer EpidemiologyZIAES103332 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI WHITE, ALEXANDRA · 2019 to 2025
$8.9M
Application of Statistical Methods in Epidemiology StudiesZIAES103308 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI ZHAO, SHANSHAN · 2015 to 2025
$2.2M
Intramural NIH HHS Z99 ES999999Intramural NIH HHS ZIA ES103308Intramural NIH HHS ZIA ES103332
6 · The paper itself

Abstract

objectiveTo describe the geographic pattern of breast cancer incidence in a nationwide prospective cohort and investigate whether environmental exposures and/or neighborhood socioeconomic status explain observed geographic disparities.

methodsUsing accelerated failure time models with a spatial random effect term, we mapped the health region-level association between residential location and breast cancer incidence for 44,707 participants in the Sister Study after controlling for established individual-level breast cancer risk factors. We performed a variable selection process to select environmental exposures [i.e., ambient nitrogen dioxide (NO

resultsWe observed a spatial patterning in the incidence of overall breast cancer (Moran's I = 16.7, p < 0.05) and ER+ breast cancer (Moran's I = 13.2, p < 0.05), with a lower risk observed in the South and Southeast and a greater risk in the Northwest and certain areas of the Midwest and Northeast. NO

conclusionsOur findings provide additional evidence for a role of environmental exposures in breast cancer incidence and suggest that geographic-based risk factors may vary according to breast cancer subtype. Our findings support the need for additional research to quantify the relative contributions of geographic-based risk factors for breast cancer.

Indexed as

Breast NeoplasmsFemaleHumansNitrogen DioxideParticulate MatterProspective StudiesSocioeconomic FactorsUltraviolet RaysNitrogen DioxideParticulate MatterBreast cancerGeographic risk factorsSpatial epidemiology

Identifiers

PMID37821066
PMCPMC10841999
OpenAlexW4387454918

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.