Table 3.
Associations of gaseous and particulate matter air pollutants and risk of death following breast cancer diagnosis among CA MEC breast cancer cases by race/ethnicity, 1993–2013a,b.
| All-cause mortality | Breast cancer mortality | CVD mortality | Non-breast cancer and non-CVD mortality | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Deaths | HR | 95% CI | p-value | Deaths | HR | 95% CI | p-value | Deaths | HR | 95% CI | p-value | Deaths | HR | 95% CI | p-value | |||
| LUR | NOxc | African Americans | 419 | 1.42 | (1.04–1.94) | 0.03 | 193 | 1.41 | (0.88–2.25) | 0.15 | 106 | 3.62 | (1.91–6.86) | <0.0001 | 120 | 0.83 | (0.40–1.72) | 0.62 |
| European Americans | 198 | 1.35 | (0.80–2.30) | 0.26 | 66 | 1.94 | (0.63–6.02) | 0.25 | 52 | 0.51 | (0.09–2.72) | 0.43 | 80 | 2.66 | (1.0–7.07) | 0.05 | ||
| Japanese Americans | 80 | 1.91 | (0.63–5.83) | 0.25 | – | – | – | – | – | – | – | – | – | – | – | – | ||
| Latina Americans | 282 | 1.05 | (0.71–1.54) | 0.82 | 126 | 1.46 | (0.79–2.71) | 0.23 | 61 | 1.14 | (0.43–2.97) | 0.79 | 95 | 0.51 | (0.25–1.05) | 0.07 | ||
| Pheterogenerity | 0.46 | 0.82 | 0.02 | 0.02 | ||||||||||||||
| NO2c | African Americans | 437 | 1.33 | (0.91–1.95) | 0.14 | 199 | 1.73 | (0.97–3.08) | 0.07 | 110 | 3.34 | (1.50–7.44) | 0.003 | 128 | 0.53 | (0.23–1.21) | 0.13 | |
| European Americans | 203 | 1.30 | (0.72–2.34) | 0.39 | 69 | 2.23 | (0.66–7.53) | 0.20 | 53 | 0.88 | (0.16–5.00) | 0.89 | 81 | 1.71 | (0.60–4.87) | 0.32 | ||
| Japanese Americans | 80 | 3.18 | (0.90–11.20) | 0.07 | – | – | – | – | – | – | – | – | – | – | – | – | ||
| Latina Americans | 283 | 1.02 | (0.63–1.65) | 0.92 | 127 | 1.17 | (0.56–2.44) | 0.68 | 61 | 1.00 | (0.30–3.30) | 1.00 | 95 | 0.68 | (0.28–1.64) | 0.39 | ||
| Pheterogenerity | 0.25 | 0.50 | 0.14 | 0.21 | ||||||||||||||
| Kriging | NOxc | African Americans | 491 | 1.18 | (0.90–1.56) | 0.24 | 220 | 1.24 | (0.82–1.88) | 0.32 | 124 | 2.16 | (1.21–3.84) | 0.01 | 147 | 0.74 | (0.42–1.29) | 0.28 |
| European Americans | 224 | 1.68 | (1.01–2.80) | 0.04 | 76 | 3.98 | (1.31–12.04) | 0.01 | 60 | 0.88 | (0.23–3.36) | 0.86 | 88 | 2.25 | (0.86–5.85) | 0.10 | ||
| Japanese Americans | 82 | 0.92 | (0.26–3.28) | 0.89 | – | – | – | – | – | – | – | – | – | – | – | – | ||
| Latina Americans | 296 | 1.14 | (0.76–1.72) | 0.52 | 131 | 1.67 | (0.87–3.19) | 0.12 | 63 | 0.96 | (0.33–2.79) | 0.93 | 102 | 0.74 | (0.36–1.51) | 0.41 | ||
| Pheterogenerity | 0.91 | 0.42 | 0.09 | 0.73 | ||||||||||||||
| NO2c | African Americans | 506 | 1.30 | (0.91–1.86) | 0.15 | 227 | 1.52 | (0.87–2.65) | 0.14 | 124 | 3.39 | (1.59–7.23) | 0.002 | 155 | 0.56 | (0.28–1.10) | 0.09 | |
| European Americans | 224 | 1.87 | (1.05–3.34) | 0.03 | 76 | 4.90 | (1.36–17.71) | 0.02 | 60 | 0.85 | (0.21–3.43) | 0.82 | 88 | 2.69 | (0.94–7.73) | 0.07 | ||
| Japanese Americans | 83 | 0.88 | (0.24–3.26) | 0.84 | – | – | – | – | – | – | – | – | – | – | – | – | ||
| Latina Americans | 296 | 1.19 | (0.73–1.95) | 0.49 | 131 | 1.61 | (0.75–3.47) | 0.22 | 63 | 1.05 | (0.29–3.85) | 0.94 | 102 | 0.85 | (0.35–2.03) | 0.71 | ||
| Pheterogenerity | 0.59 | 0.25 | 0.12 | 0.05 | ||||||||||||||
| PM2.5c | African Americans | 504 | 1.35 | (0.99–1.85) | 0.06 | 225 | 1.33 | (0.80–2.20) | 0.27 | 124 | 2.10 | (1.13–3.91) | 0.02 | 155 | 0.92 | (0.51–1.65) | 0.78 | |
| European Americans | 225 | 1.33 | (0.77–2.30) | 0.30 | 76 | 2.21 | (0.63–7.82) | 0.22 | 60 | 0.78 | (0.20–3.02) | 0.72 | 89 | 1.79 | (0.69–4.65) | 0.23 | ||
| Japanese Americans | 83 | 0.57 | (0.15–2.20) | 0.42 | – | – | – | – | – | – | – | – | – | – | – | – | ||
| Latina Americans | 295 | 0.94 | (0.60–1.47) | 0.78 | 130 | 1.17 | (0.59–2.33) | 0.66 | 63 | 0.93 | (0.29–3.02) | 0.91 | 102 | 0.62 | (0.28–1.36) | 0.23 | ||
| Pheterogenerity | 0.23 | 0.87 | 0.11 | 0.63 | ||||||||||||||
| PM10c | African Americans | 506 | 1.25 | (1.03–1.52) | 0.02 | 227 | 1.33 | (0.97–1.83) | 0.08 | 124 | 1.55 | (1.04–2.29) | 0.03 | 155 | 0.97 | (0.68–1.37) | 0.85 | |
| European Americans | 225 | 1.23 | (0.83–1.81) | 0.31 | 76 | 1.51 | (0.63–3.64) | 0.36 | 60 | 1.05 | (0.38–2.93) | 0.93 | 89 | 1.29 | (0.67–2.46) | 0.45 | ||
| Japanese Americans | 83 | 0.85 | (0.34–2.12) | 0.73 | – | – | – | – | – | – | – | – | – | – | – | – | ||
| Latina Americans | 296 | 0.98 | (0.73–1.30) | 0.87 | 131 | 1.11 | (0.72–1.73) | 0.64 | 63 | 1.24 | (0.54–2.82) | 0.61 | 102 | 0.79 | (0.47–1.33) | 0.36 | ||
| Pheterogenerity | 0.21 | 0.52 | 0.34 | 0.66 | ||||||||||||||
African American (n = 1117), European American (n = 573), Japanese American (n = 370), and Latina American (n = 958) breast cancer cases. Native Hawaiian (n = 11) breast cancer cases were not included.
Adjusted for marital status, ERPR status, stage, grade, histology, tumor size, chemotherapy, hormone treatment, radiation, surgery, nSES at diagnosis and current nSES, BMI, smoking, alcohol, diabetes, CVD risk, and age at first live birth; age at diagnosis as a stratum variable
LUR and kriging per 50 ppb NOX; 20 ppb Kriging and LUR NO2; Kriging per 10ug/m3 PM10 and PM2.5