Exposure to air pollution and risk of ovarian cancer: a review

Author:

Dehghani Samaneh1,Moshfeghinia Reza23,Ramezani Mahsan4,Vali Mohebat5,Oskoei Vahide1,Amiri-Ardekani Ehsan267,Hopke Philip89

Affiliation:

1. Department of Environmental Health Engineering , School of Public Health, Tehran University of Medical Sciences , Tehran , Iran

2. Student Research Committee, Shiraz University of Medical Sciences , Shiraz , Iran

3. MPH Department , Medical School, Shiraz University of Medical Sciences , Shiraz , Iran

4. Assistant Professor of Emergency Medicine, Neyshabur University of Medical Sciences , Neyshabur , Iran

5. Department of Epidemiology , School of Health, Shiraz University of Medical Sciences , Shiraz , Iran

6. Student Association of Indigenous Knowledge, Shiraz University of Medical Sciences , Shiraz , Iran

7. Department of Phytopharmaceutical (Traditional Pharmacy) , School of Pharmacy, Shiraz University of Medical Sciences , Shiraz , Iran

8. Department of Public Health Sciences , University of Rochester School of Medicine and Dentistry , Rochester , NY , USA

9. Institute for a Sustainable Environment, Clarkson University , Potsdam , NY , USA

Abstract

Abstract Objectives Exposure to air pollution has destructive health consequences and a potential role in ovarian cancer etiology. We conducted a systematic review of the studies assessing the associations between ovarian malignancy and exposure to air pollutants. Content The included studies were categorized based on types of measured ambient air pollutants, including particulate matter (five studies), gases (two studies), air pollutant mixtures (eight studies), and traffic indicators for air pollution (only one study). Because of the heterogeneity of quantitative data of the reviewed studies, we qualitatively reviewed the air pollution role in ovarian cancer risk with representing incidence and/or the mortality rate of ovarian cancer in related with air pollution. Nine studies were ecological study design. Except for one, all studies confirmed a positive correlation between exposure to ambient air pollution (AAP) and increased ovarian cancer risks. Summary We concluded that prolonged air pollution exposure through possible mechanisms, estrogen-like effects, and genetic mutations might affect ovarian tumorigenesis. This research surveyed the limitations of the previous studies, including issues with ambient air pollution surveillance and assessing the exposure, determining the air pollution sources, data analysis approaches, and study designs. Outlook Finally, the authors provide suggestions for future environmental epidemiological inquiries on the impact of exposure to ambient air pollution on ovarian malignancy.

Publisher

Walter de Gruyter GmbH

Subject

Public Health, Environmental and Occupational Health,Pollution,Health (social science)

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