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Association between exposure to environmental heavy metals and gastrointestinal and urinary cancer mortality

Bibliographic Data

ID24147201
AuthorsMarcel Jhonnata Ferreira Carvalho (0000-0002-8053-1797, Universidade Federal da Bahia), Gustavo Fonseca (0000-0001-8625-4279, Universidade Federal de São Paulo), Antenor Vieira Borges Neto (0000-0002-3238-5916, Universidade Federal da Bahia), Kleper de Oliveira Rocha (0000-0001-7887-9113, Universidade Estadual Paulista (Unesp)), Carolina Letícia Zilli Vieira (0000-0003-2399-5189, Harvard University), Daniel Araki Ribeiro (0000-0001-5057-4983, Universidade Federal de São Paulo), Jean Nunes dos Santos (0000-0001-7225-5879, Universidade Federal da Bahia), Paulo R Cury (0000-0001-8907-0483, Universidade Federal da Bahia)
Year2026
Volume31
Issuesuppl 1
Publication date2026-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCiência & Saúde Coletiva (JOURNAL)
Journal identifiersISSN: 1413-8123 • E-ISSN: 1678-4561
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1413-8123202631.12942024
OpenAlexW7213954098
SCIELO_PIDS1413-81232026000903008
LanguageEN
References cited29

Environmental exposure to heavy metals has been associated with cancer. Nonetheless, the effects of exposure to combined heavy metals on cancer mortality of urinary and gastrointestinal systems have not been examined. This study assessed the long-term association between environmental exposure to multiple heavy metals and cancer mortality rates in the digestive and urinary tracts. The death rates/100,000 inhabitants over 41 years were collected from Santo Amaro, the exposed town with a former lead smelter, and Ribeira do Pombal, the reference town, in Bahia, Brazil. The exposure duration, age and gender were considered predictors. The overall accuracy of the models ranged from 84 to 97%. For the population above 80 years, the probability of total mortality went from 20% in the first 6 years of exposure to over 70% after 20 years. The same trend was observed for the urinary system. For the digestive system, the mortality in the elders started after 15 years of exposure and peaked with a 30% probability after 35 years. In conclusion, environmental exposure to multiple heavy metals was linked to cancer-related deaths in the gastrointestinal and urinary tracts of the elderly population.

Cancer · Heavy metals · Mortality rate · Population · Urinary system · Urine · Chromium effects and bioremediation · Heavy Metal Exposure and Toxicity · Heavy metals in environment

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Highly citedNo
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