County level incidence rates of chronic lymphocytic leukemia are associated with residential radon levels

Author:

Oancea S Cristina1,Rundquist Bradley C2,Simon Isaac3,Swartz Sami2,Zheng Yun4,Zhou Xudong4,Sens Mary Ann4,Schwartz Gary G1

Affiliation:

1. Department of Population Health, School of Medicine & Health Sciences, University of North Dakota, Grand Forks, ND 58202, USA

2. Department of Geography & Geographic Information Science, University of North Dakota, College of Arts & Sciences, Grand Forks, ND 58202, USA

3. Department of Earth System Science & Policy, University of North Dakota, John D. Odegard School of Aerospace Sciences, Grand Forks, ND, 58202, USA

4. Department of Pathology, University of North Dakota, School of Medicine & Health Sciences, Grand Forks, ND 58202, USA

Abstract

Aim: We previously reported that incidence rates for chronic lymphocytic leukemia (CLL) among US states are significantly correlated with levels of residential radon (RR). Because these correlations could be influenced by confounding and/or misclassification among large geographic units, we reinvestigated them using smaller geographic units that better reflect exposure and disease at the individual level. Methods: We examined the relationships between CLL and RR per county in 478 counties with publicly-available data. Results: After adjustment for ultraviolet radiation, a possible risk factor for CLL, county rates for CLL and RR were significantly correlated among males and females both together and separately (p < 0.0001). Conclusion: CLL is significantly associated with RR at the county level.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

Reference66 articles.

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2. Radon Knowledge and Practices Among Family Physicians in a High Radon State;The Journal of the American Board of Family Medicine;2021-05

3. An overview of the radiation properties of spring water in the rural areas of Central Serbia;International Journal of Environmental Analytical Chemistry;2021-03-03

4. Communicating radon risk via a smartphone app: a pilot intervention study;BMC Public Health;2020-04-22

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