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Germ Cell Testicular Cancer Incidence, Latitude and Sunlight Associations in the United States and Australia
Journal article   Open access   Peer reviewed

Germ Cell Testicular Cancer Incidence, Latitude and Sunlight Associations in the United States and Australia

Robert J Biggar, Peter D Baade, Jiandong Sun, Lindsay E Brandon and Michael G Kimlin
Photochemistry and Photobiology, Vol.92(5), pp.735-741
2016
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PDF - Author's Accepted Version262.97 kBDownloadView
Accepted VersionPDF - Author Accepted Version Open Access
url
https://doi.org/10.1111/php.12617View
Published Version

Abstract

International patterns suggest germ cell testicular cancer (GCTC) incidence may be lower in lower latitudes. To investigate this possibility, we examined GCTC incidence by latitude (population-centroid in 2000) for men >15 years within two reasonably homogeneous countries, the United States (US) and Australia. In the US, we examined age-adjusted incidence/latitude trends using data from states (2001-2010) and local-area registries (1980-2011). In Australia, we evaluated incidence/latitude trends in 61 Statistical Divisions (2000-2009). In White US men (68,566 cases), state incidences increased by latitude, rising 5.74% (4.45-7.05%) per 5°North latitude increment. Similar trends were found for seminoma and non-seminoma subtypes (p<0.001). In Black US men (2,256 cases), the association was also seen (4.9%; 0.2 to 9.7%). In local US data, similar increases in incidence with latitude were present in each of the last three decades. In Australia (6,042 cases), the incidence increased by 4.43% (95% CI: 1.54-7.39%) per 5°South, and trends for subtypes were similar. Thus, we found that incidence of GCTC in both White and Black men increased significantly with distance from the equator, approximately 1% per degree within the range of latitudes studied.

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