Air Pollution and Breast Cancer Incidence in a United States-Wide Prospective Cohort Study: Examining Sensitive Periods of Exposure
Division
GME Corporate
Hospital
GME Corporate
Document Type
Manuscript
Publication Date
11-26-2025
Keywords
Air pollution, Breast cancer, Distributed lag non-linear models, Windows of susceptibility
Disciplines
Epidemiology | Neoplasms | Public Health
Abstract
BACKGROUND: Mounting evidence supports that air pollution is related to a higher breast cancer risk, yet the importance of exposure timing in this relationship remains unclear.
METHODS: In the Sister Study, a United States-wide prospective cohort (n = 50,884, 2003-2009), we estimated time-varying annual concentrations of nitrogen dioxide (NO
RESULTS: We found limited evidence that air pollutant exposure during the time of a woman's first birth, most recent birth, or menopause transition was associated with heightened risk for breast cancer. When examining exposure flexibly over the long-term, a 10-ppb increase in NO
CONCLUSIONS: We identified unique periods of susceptibility to NO
Publisher or Conference
Environment International
Recommended Citation
Ish JL, Ou JY, Rector-Houze AM, et al. Air pollution and breast cancer incidence in a United States-wide prospective cohort study: Examining sensitive periods of exposure. Environ Int. Published online November 26, 2025. doi:10.1016/j.envint.2025.109966