title: High Incidence of Breast Cancer in Light-Polluted Areas with Spatial Effects in Korea.
abstract: We have reported a high prevalence of breast cancer in light-polluted areas in Korea. However, it is necessary to analyze the spatial effects of light polluted areas on breast cancer because light pollution levels are correlated with region proximity to central urbanized areas in studied cities. In this study, we applied a spatial regression method (an intrinsic conditional autoregressive [iCAR] model) to analyze the relationship between the incidence of breast cancer and artificial light at night (ALAN) levels in 25 regions including central city, urbanized, and rural areas. By Poisson regression analysis, there was a significant correlation between ALAN, alcohol consumption rates, and the incidence of breast cancer. We also found significant spatial effects between ALAN and the incidence of breast cancer, with an increase in the deviance information criterion (DIC) from 374.3 to 348.6 and an increase in R2 from 0.574 to 0.667. Therefore, spatial analysis (an iCAR model) is more appropriate for assessing ALAN effects on breast cancer. To our knowledge, this study is the first to show spatial effects of light pollution on breast cancer, despite the limitations of an ecological study. We suggest that a decrease in ALAN could reduce breast cancer more than expected because of spatial effects.
authors.affiliation: Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea E-mail : eunil@korea.ac.kr.
authors.forename: Yun Jeong
authors.initials: YJ
authors.lastname: Kim
authors.forename: Man Sik
authors.initials: MS
authors.lastname: Park
authors.forename: Eunil
authors.initials: E
authors.lastname: Lee
authors.forename: Jae Wook
authors.initials: JW
authors.lastname: Choi
mesh_terms: D001943:Breast Neoplasms / Q000453:epidemiology* / Q000209:etiology*; D002940:Circadian Rhythm / Q000502:physiology; D002947:Cities / Q000453:epidemiology; D004787:Environmental Pollution / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D008027:Light / Q000009:adverse effects*; D015995:Prevalence; D056910:Republic of Korea / Q000208:ethnology; D012307:Risk Factors