Table 4.
Associations of gaseous and particulate matter air pollutants and risk of death following breast cancer diagnosis among CA MEC breast cancer cases by ERPR status, 1993–2013a.
| 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 | NOxb | ER+/PR+ | 569 | 1.27 | (0.97–1.66) | 0.08 | 214 | 1.53 | (0.98–2.39) | 0.06 | 144 | 1.35 | (0.78–2.33) | 0.28 | 211 | 1.05 | (0.67–1.64) | 0.85 |
| ER-PR- | 189 | 1.20 | (0.72–1.99) | 0.48 | 106 | 1.58 | (0.81–3.09) | 0.18 | – | – | – | – | 48 | 1.30 | (0.32–5.28) | 0.71 | ||
| Pheterogenerity | 0.84 | 0.92 | – | 0.74 | ||||||||||||||
| NO2b | ER+/PR+ | 584 | 1.20 | (0.87–1.64) | 0.26 | 220 | 1.34 | (0.79–2.26) | 0.28 | 148 | 1.25 | (0.65–2.42) | 0.51 | 216 | 1.10 | (0.65–1.85) | 0.73 | |
| ER-PR- | 196 | 1.21 | (0.67–2.15) | 0.53 | 109 | 1.95 | (0.89–4.28) | 0.10 | – | – | – | – | 51 | 1.67 | (0.31–9.03) | 0.55 | ||
| Pheterogenerity | 0.98 | 0.41 | – | 0.64 | ||||||||||||||
| Kriging | NOxb | ER+/PR+ | 647 | 1.14 | (0.89–1.47) | 0.31 | 238 | 1.31 | (0.86–2.02) | 0.21 | 166 | 1.33 | (0.79–2.24) | 0.29 | 243 | 0.98 | (0.65–1.49) | 0.93 |
| ER-PR- | 213 | 1.40 | (0.89–2.20) | 0.15 | 120 | 1.76 | (0.93–3.31) | 0.08 | 41 | 2.64 | (0.42–16.76) | 0.30 | 52 | 0.87 | (0.27–2.78) | 0.81 | ||
| Pheterogenerity | 0.40 | 0.40 | 0.38 | 0.86 | ||||||||||||||
| N02b | ER+/PR+ | 659 | 1.08 | (0.80–1.45) | 0.63 | 243 | 1.28 | (0.76–2.14) | 0.35 | 166 | 1.36 | (0.73–2.55) | 0.33 | 250 | 0.89 | (0.55–1.44) | 0.64 | |
| ER-PR- | 215 | 1.81 | (1.04–3.15) | 0.04 | 122 | 2.63 | (1.19–5.83) | 0.02 | 41 | 1.79 | (0.21–15.2) | 0.59 | 52 | 1.49 | (0.33–6.83) | 0.61 | ||
| Pheterogenerity | 0.11 | 0.14 | 0.81 | 0.53 | ||||||||||||||
| PM2.5b | ER+/PR+ | 657 | 1.03 | (0.78–1.36) | 0.84 | 241 | 1.05 | (0.65–1.72) | 0.83 | 166 | 1.12 | (0.64–1.97) | 0.69 | 250 | 0.98 | (0.63–1.51) | 0.91 | |
| ER-PR- | 215 | 1.41 | (0.86–2.30) | 0.17 | 121 | 1.76 | (0.88–3.52) | 0.11 | 41 | 1.30 | (0.20–8.43) | 0.78 | 53 | 1.22 | (0.33–4.58) | 0.77 | ||
| Pheterogenerity | 0.20 | 0.18 | 0.72 | 0.72 | ||||||||||||||
| PM10b | ER+/PR+ | 659 | 1.09 | (0.92–1.29) | 0.33 | 243 | 1.12 | (0.83–1.52) | 0.46 | 166 | 1.12 | (0.80–1.58) | 0.51 | 250 | 1.07 | (0.81–1.40) | 0.65 | |
| ER-PR- | 216 | 1.32 | (0.96–1.81) | 0.09 | 122 | 1.47 | (0.95–2.28) | 0.09 | 41 | 0.65 | (0.20–2.08) | 0.46 | 53 | 1.37 | (0.57–3.31) | 0.48 | ||
| Pheterogenerity | 0.15 | 0.19 | 0.39 | 0.63 | ||||||||||||||
Adjusted for race/ethnicity, marital 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
Kriging and LUR per 50 ppb NOX; 20 ppb Kriging and LUR NO2; Kriging per PM10 and PM2.5