Document Type
Journal Article
Publication Date
1-1-2015
Journal
International Journal of Environmental Research and Public Health
Volume
12
Issue
12
Inclusive Pages
15498-15515
DOI
10.3390/ijerph121214990
Abstract
High levels (> 200 µg/L) of inorganic arsenic in drinking water are known to be a cause of human lung cancer, but the evidence at lower levels is uncertain. We have sought the epidemiological studies that have examined the dose-response relationship between arsenic levels in drinking water and the risk of lung cancer over a range that includes both high and low levels of arsenic. Regression analysis, based on six studies identified from an electronic search, examined the relationship between the log of the relative risk and the log of the arsenic exposure over a range of 1-1000 µg/L. The best-fitting continuous meta-regression model was sought and found to be a no-constant linear-quadratic analysis where both the risk and the exposure had been logarithmically transformed. This yielded both a statistically significant positive coefficient for the quadratic term and a statistically significant negative coefficient for the linear term. Sub-analyses by study design yielded results that were similar for both ecological studies and non-ecological studies. Statistically significant X-intercepts consistently found no increased level of risk at approximately 100-150 µg/L arsenic.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
APA Citation
Lamm, S. H., Ferdosi, H., Dissen, E. K., Li, J., & Ahn, J. (2015). A Systematic Review and Meta-Regression Analysis of Lung Cancer Risk and Inorganic Arsenic in Drinking Water.. International Journal of Environmental Research and Public Health, 12 (12). http://dx.doi.org/10.3390/ijerph121214990
Peer Reviewed
1
Open Access
1
Included in
Biostatistics Commons, Environmental Health Commons, Epidemiology Commons, Toxicology Commons
Comments
(This article belongs to the Special Issue Arsenic in Drinking Water: Current Perspectives and Future Directions) - From the Publisher'd page.
Reproduced with permission of MDPI-Open Access Publishing. International Journal of Environmental Research and Public Health