Evidence map›Paper›PMID 38366656›Full record

ArticleJournal of the National Cancer Institute2024

PM2.5, vegetation density, and childhood cancer: a case-control registry-based study from Texas 1995-2011.

Lindsay A Williams, David Haynes, Jeannette M Sample, Zhanni Lu, Ali Hossaini, Laura A McGuinn, Thanh T Hoang, Philip J Lupo, Michael E Scheurer

Open access · greenAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 3% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Air Pollution and Brain Tumors in Children. A Systematic Review.Current environmental health reports · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
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  7. Ambient Fine Particulate Matter, Residential Greenness, and Childhood Cancer Risk by Trimester of Exposure in Minnesota 2000 to 2014: A Case-Control Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  8. Article
  9. The complexities of PM2.5, greenspace, and childhood cancer.Journal of the National Cancer Institute · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Lindsay A WilliamsDivision of Epidemiology and Clinical Research, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0003-3842-4629
David HaynesInstitute for Health Informatics, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-6858-428X
Jeannette M SampleDivision of Epidemiology and Clinical Research, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Zhanni LuDivision of Epidemiology and Clinical Research, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Ali HossainiInstitute for Health Informatics, University of Minnesota, Minneapolis, MN, USA.
Laura A McGuinnDepartment of Family Medicine, University of Chicago, Chicago, IL, USA.
Thanh T HoangDepartment of Pediatrics, Division of Hematology-Oncology, Baylor College of Medicine, Houston, TX, USA.
Philip J LupoDepartment of Pediatrics, Division of Hematology-Oncology, Baylor College of Medicine, Houston, TX, USA.
Michael E ScheurerDepartment of Pediatrics, Division of Hematology-Oncology, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-8379-6088
University of Minnesota · USBaylor College of Medicine · USUniversity of Chicago · US

Funding

Pilot Program CoreP30ES027792 · NIEHS · UNIVERSITY OF CHICAGO · PI Gokhan M. Mutlu, Gail S Prins · 2017 to 2026
$13.6M
Effects of Urban Chemical and Non-Chemical Stressors on Preadolescent Mental HealthR00ES032480 · NIEHS · UNIVERSITY OF CHICAGO · PI MCGUINN, LAURA A · 2023 to 2025
$746k
National Institutes of Environmental Health Sciences R00ES032480NIEHS NIH HHS P30 ES027792NIEHS NIH HHS R00 ES032480
6 · The paper itself

Abstract

backgroundAir pollution is positively associated with some childhood cancers, whereas greenness is inversely associated with some adult cancers. The interplay between air pollution and greenness in childhood cancer etiology is unclear. We estimated the association between early-life air pollution and greenness exposure and childhood cancer in Texas (1995 to 2011).

methodsWe included 6101 cancer cases and 109 762 controls (aged 0 to 16 years). We linked residential birth address to census tract annual average fine particulate matter <2.5 µg/m³ (PM2.5) and Normalized Difference Vegetation Index (NDVI). We estimated odds ratios (ORs) and 95% confidence intervals (CIs) between PM2.5/NDVI interquartile range increases and cancer. We assessed statistical interaction between PM2.5 and NDVI (likelihood ratio tests).

resultsIncreasing residential early-life PM2.5 exposure was associated with all childhood cancers (OR = 1.10, 95% CI = 1.06 to 1.15), lymphoid leukemias (OR = 1.15, 95% CI = 1.07 to 1.23), Hodgkin lymphomas (OR = 1.27, 95% CI = 1.02 to 1.58), non-Hodgkin lymphomas (OR = 1.24, 95% CI = 1.02 to 1.51), ependymoma (OR = 1.27, 95% CI = 1.01 to 1.60), and others. Increasing NDVI exposure was inversely associated with ependymoma (0- to 4-year-old OR = 0.75, 95% CI = 0.58 to 0.97) and medulloblastoma (OR = 0.75, 95% CI = 0.62 to 0.91) but positively associated with malignant melanoma (OR = 1.75, 95% CI = 1.23 to 2.47) and Langerhans cell histiocytosis (OR = 1.56, 95% CI = 1.07 to 2.28). There was evidence of statistical interaction between NDVI and PM2.5 (P < .04) for all cancers.

conclusionIncreasing early-life exposure to PM2.5 increased the risk of childhood cancers. NDVI decreased the risk of 2 cancers yet increased the risk of others. These findings highlight the complexity between PM2.5 and NDVI in cancer etiology.

Indexed as

Environmental ExposureNeoplasmsParticulate MatterRegistriesAdolescentAir PollutionCase-Control StudiesChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleOdds RatioRisk FactorsParticulate Matter

Identifiers

PMID38366656
PMCPMC12116292
OpenAlexW4391915540

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.