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Table 1 Characteristics of the included studies

From: Human exposure to pesticides and thyroid cancer: a worldwide systematic review of the literatures

No.

Country/Year

Study design/ Sample size

Population

Pesticide name (Type)

Exposure assessment

Outcome

Ref.

    

Risk > 1

   

1

USA/2011

Cohort/53662

Pesticide applicators with thyroid cancer

Atrazine (OCP)a

Questionnaire/ Lifetime days

According to the exposed cases, there was a significant risk in the Q2b (RRc=4.55, 1.27-16.24) and Q4d (RR=4.84, 1.31-17.93) of intensity-weighted lifetime days.

[20]

2

China/2019

Case/186

Control/186

Patients with thyroid cancer

pentachlorobenzene, α-HCHe, HCBf, β-HCH, γ-HCH, δ-HCH, heptachlor, aldrin, oxy-chlordane, cis-heptachlor epoxide, trans-heptachlor epoxide, trans-chlordane,o,p′-DDEg, cis-chlordane, endosulfan I, trans-nonachlor, dieldrin, p,p′-DDE, o,p′-DDDh, endrin, endosulfan II, cis-nonachlor,p,p′-DDD, o,p′-DDTi, p,p′-DDT, Mirex (OCP)

Structured interview and serum sampling

Exposure to OCPs was significantly and positively associated with thyroid cancer in Chinese adults (ORj=1.97, 1.07−3.63).

[1]

3

Norway/2018

Case/108

Control/216

Patients with thyroid cancer

DDT metabolites (p,p′-DDE, p,p′-DDT, o,p′-DDT), Chlordane metabolite (trans-Nonachlor) (OCP)

Blood sampling

Chlordane metabolites (OR=1.78, 1.09–2.93) were positively associated with thyroid cancer.

[22]

4

USA/2015

Cohort/29325

Women pesticide applicators

Malathion (OP)k

Questionnaire

There was association between Malathion and increased risk of thyroid cancer (RRl=2.04, 1.14 -3.63).

[17]

5

USA/2021

Cohort/53096

Male pesticide applicators

Lindane and Atrazine (OCP), Carbaryl (Carbamate)

Telephone interview

Increased risk of thyroid cancer was associated with use of lindane (HRm = 1.74, 1.06–2.84).

[2]

    

            Risk < 1

   

6

USA/2021

Case/250

Control/250

Incident female papillary thyroid cancer (PTC) cases

OCPs: HCB, β-HCH, Oxychlordane, trans-Nonachlor, p,p’-DDE, o,p’-DDT, p,p’-DDT, Mirex

structured interview and serum sampling

OCPs were not positively associated with papillary thyroid cancer (PTC).

[3]

7

Norway/2018

Case/108

Control/216

Patients with thyroid cancer

OCPs: DDT metabolites (p,p′-DDE, p,p′-DDT, o,p′-DDT), Chlordane metabolite (trans-Nonachlor)

Blood sampling

Increasing concentration of DDT metabolites (OR=0.80, 0.66–0.98) was inversely related to the thyroid cancer.

[22]

8

Norway/2005

Cohort/523121

Patients with thyroid cancer

Mancozeb (Carbamate)

Agricultural censuses

Exposure was not associated with thyroid cancer (RR=0.87, 0.69-1.19).

[21]

9

USA/2021

Cohort/53096

Male pesticide applicators

Lindane and Atrazine (OCP), Carbaryl (Carbamate)

Telephone interview

Increased risk of thyroid cancer had an inverse association with carbaryl (HR = 0.20, 0.08–0.53).

[2]

  1. Note:aOCP Organochlorine Pesticide, bQ2 Second quartile, cRR Risk Ratio, dQ4 Fourth quartile, eHCH Hexachlorocyclohexane, fHCB Hexachlorobenzene, gDDE Dichlorodiphenyldichloroethylene, hDDD Dichlorodiphenyldichloroethane, iDDT Dichlorodiphenyltrichloroethane, jOR Odds Ratio, kOP Organophosphate, lRisk Ratio, mHR Hazard Ratio