Objectives
Exposure to air pollution has destructive health consequences and a potential role in ovarian cancer etiology. We conducted a systematic review of the studies assessing the associations between ovarian malignancy and exposure to air pollutants.
Content
The included studies were categorized based on types of measured ambient air pollutants, including particulate matter (five studies), gases (two studies), air pollutant mixtures (eight studies), and traffic indicators for air pollution (only one study). Because of the heterogeneity of quantitative data of the reviewed studies, we qualitatively reviewed the air pollution role in ovarian cancer risk with representing incidence and/or the mortality rate of ovarian cancer in related with air pollution. Nine studies were ecological study design. Except for one, all studies confirmed a positive correlation between exposure to ambient air pollution (AAP) and increased ovarian cancer risks.
Summary
We concluded that prolonged air pollution exposure through possible mechanisms, estrogen-like effects, and genetic mutations might affect ovarian tumorigenesis. This research surveyed the limitations of the previous studies, including issues with ambient air pollution surveillance and assessing the exposure, determining the air pollution sources, data analysis approaches, and study designs.
Outlook
Finally, the authors provide suggestions for future environmental epidemiological inquiries on the impact of exposure to ambient air pollution on ovarian malignancy.
The survival of COVID-19 in different environments may be affected by a variety of weather, pollution, and seasonal parameters. Therefore, the present study aims to conduct an ecological investigation on COVID-19 average growth rate of daily cases and deaths influenced by environmental factors (temperature, humidity, and air pollution) using a sample size of adjusted cumulative incidence of daily cases and deaths based on five 60-day periods. Research data was gathered on official websites, including information on COVID-19, meteorological data, and air pollution indicators from December 31, 2019, to October 12, 2020, from 210 countries. Spearman correlation and generalized additive model (GAM) were used to analyze the data. During the observed period, the COVID-19 average growth rate of daily cases (r = −0.08, P =0.151) and deaths (r= −0.09, P = 0.207) were not correlated with humidity. Also, there was a negative relationship between the COVID-19 average growth rate of new cases and deaths with the Air Quality Index (AQI) and wind (new cases and wind: r=−0.25, P= 0.04). Furthermore, the data related to the first and second 60 day of the adjusted cumulative incidence of COVID-19 daily cases and deaths were not associated with humidity and Air Quality Index (AQI). The result of GAM showed the effect of AQI on the average growth rate of COVID-19 new cases and deaths. This study provides evidence for a positive relationship between COVID-19 daily cases, deaths, and AQI.
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