Evidence map›Paper›PMID 39828205›Full record

ArticleEnvironmental pollution (Barking, Essex : 1987)2025

Carcinogenic air pollutants and breast cancer risk in the Arkansas rural community health study: A nested case-control study.

Edgar T Ellis, Sean G Young, Rachel Carroll, Shelbie D Stahr, Gail A Runnells, Elizabeth A Grasmuck, L Joseph Su, Yong-Moon Mark Park, Ping-Ching Hsu

Abstract read
In one paragraph

Article in Environmental pollution (Barking, Essex : 1987), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

9 authors.

Edgar T EllisDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA.
Sean G YoungPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX, 75390, USA.
Rachel CarrollAmerican Institutes for Research, Arlington, VA, 22202, USA.
Shelbie D StahrDepartment of Environmental Health Sciences, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA.
Gail A RunnellsTranslational Research Institute, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA.
Elizabeth A GrasmuckDepartment of Pathology, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA.
L Joseph SuPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX, 75390, USA.
Yong-Moon Mark ParkDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA; Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA. Electronic address: ypark@uams.edu.
Ping-Ching HsuDepartment of Environmental Health Sciences, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA; Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA. Electronic address: PHsu@uams.edu.

Funding

Expanding Translational Research in ArkansasUL1TR003107 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2019 to 2023
$21.6M
Promoting scientific and workforce diversity by enriching the Arkansas Rural Community Health Study (ARCH) among Mother-Daughter PairsU24ES037082 · NIEHS · UNIV OF ARKANSAS FOR MED SCIS · PI HSU, PING-CHING · 2025 to 2025
$394k
NCATS NIH HHS UL1 TR003107NIEHS NIH HHS U24 ES037082
6 · The paper itself

Abstract

backgroundPrevious epidemiological studies on the associations between hazardous air pollutants (HAPs) and breast cancer (BC) have largely neglected rural, medically underserved areas in the United States, which differ in exposures and disparities compared to urban areas.

objectivesWe aimed to examine the associations between carcinogenic HAPs and BC risk in a rural population.

methodsUsing a nested case-control design, 574 cases and 2295 incidence density-sampled controls matched 1:4 on index age and race were included from the Arkansas Rural Community Health study. Twelve census-tract level HAPs from the 2005 National Air Toxics Assessment were geocoded to participants' baseline addresses and categorized into tertiles based on the control distributions. Multivariable conditional logistic regression analysis was used to estimate associations for BC and subgroups. Additionally, weighted quantile sum (WQS) regression was used to assess the effects of pollutant mixtures.

resultsAdjusted models resulted in significantly increased risk of BC for moderate PAH (OR

conclusionThis study highlights significant associations between specific HAPs, particularly PAHs and chromium, and increased BC risk in a rural population, emphasizing the need for targeted public health interventions and regulatory efforts to mitigate exposure in medically underserved areas.

Indexed as

Air PollutantsBreast NeoplasmsEnvironmental ExposureAdultAgedAir PollutionArkansasCase-Control StudiesFemaleHumansMiddle AgedPolycyclic Aromatic HydrocarbonsRural PopulationAir PollutantsPolycyclic Aromatic HydrocarbonsBreast cancerHazardous air pollutantsRural populationUnderlying susceptibility

Identifiers

PMID39828205
PMCPMC12347715

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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.