Relations Between Residential Proximity to EPA-Designated Toxic Release Sites and Diffuse Large B-Cell Lymphoma Incidence. Issue 10 (October 2016) - Bulka, Catherine
Abstract : Objectives: Examining the spatial patterns of diffuse large B-cell lymphoma (DLBCL) incidence and residential proximity to toxic release locations may provide insight regarding environmental and sociodemographic risk factors. Methods: We linked and geocoded cancer incidence data for the period 1999–2008 from the Georgia Comprehensive Cancer Registry with population data from the US Census and the Environmental Protection Agency's Toxics Release Inventory. We conducted cluster analyses and constructed Poisson regression models to assess DLBCL incidence as a function of mean distance to the toxic release sites. Results: In total, 3851 incident DLBCL cases occurred among adults residing in Georgia between 1999 and 2008. Significant focal clustering was observed around 57% of ethylene oxide sites, 5% of benzene sites, 9% of tetrachloroethylene sites, 7% of styrene sites, 10% of formaldehyde sites, 5% of trichloroethylene sites, and 10% of all release sites. Mean distance to sites was significantly associated with DLBCL risk for all chemicals. Conclusions: Proximity to Toxics Release Inventory sites can be linked to increased DLBCL risk as assessed through focal clustering and Poisson regression, and confirmatory studies using geospatial mapping can aid in further specifying risk factors for DLBCL. Abstract : By exploring the spatial patterns of diffuse large B-cell lymphoma (DLBCL) risk and residential proximity to toxic release locations, we sought to provide insight regarding environmental and sociodemographic risk factors for DLBCL in Georgia. We collected DLBCL case data, toxic release data, and population data to determine whether proximity to toxic release sites is associated with DLBCL risk.Supplemental digital content is available in the text.