Nitrates in municipal drinking water and non-hodgkin lymphoma: An ecological cancer case-control study in taiwan

Chih Ching Chang, Shang Shyue Tsai, Trong Neng Wu, Chun Yuh Yang

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


The relationship between nitrate levels in drinking water and increased risk of non-Hodgkin lymphoma (NHL) development has been inconclusive. A matched cancer case-control and a nitrate ecology study was used to investigate the association between mortality attributed to NHL and nitrate exposure from Taiwan's drinking water. All deaths due to NHL in Taiwan residents from 2000 through 2006 were obtained from the Bureau of Vital Statistics of the Taiwan Provincial Department of Health. Controls were deaths from other causes and were pair-matched to the cases by gender, year of birth, and year of death. Each matched control was selected randomly from the set of possible controls for each case. Data on nitrate-nitrogen (NO3-N) levels of drinking water throughout Taiwan were collected from the Taiwan Water Supply Corporation (TWSC). The municipality of residence for cancer cases and controls was presumed to be the source of the subject's nitrate exposure via drinking water. The adjusted odds ratios (OR) for NHL death for those with high nitrate levels in their drinking water, as compared to the lowest tertile, were 1.02 (0.87-1.2) and 1.05 (0.89-1.24), respectively. The results of the present study show that there was no statistically significant association between nitrates in drinking water at levels in this investigation and increased risk of death attributed to NHL.

Original languageEnglish
Pages (from-to)330-338
Number of pages9
JournalJournal of Toxicology and Environmental Health - Part A: Current Issues
Issue number4
Publication statusPublished - 2010 Jan

All Science Journal Classification (ASJC) codes

  • Toxicology
  • Health, Toxicology and Mutagenesis


Dive into the research topics of 'Nitrates in municipal drinking water and non-hodgkin lymphoma: An ecological cancer case-control study in taiwan'. Together they form a unique fingerprint.

Cite this