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      Linking Artificial Light at Night with Human Health via a Multi-Component Framework: A Systematic Evidence Map

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      Environments
      MDPI AG

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          Abstract

          The effects of artificial light at night (ALAN) on human health have drawn increased attention in the last two decades. Numerous studies have discussed the effects of ALAN on human health on diverse topics. A broader scope of how ALAN may affect human health is thus urgently needed. This paper depicts a systematic evidence map in a multi-component framework to link ALAN with human health through a comprehensive literature review of English research articles in the past two decades. A three-phase systematic review was conducted after a generalized search of relevant articles from three publication databases, namely Scopus, the Web of Science, and PubMed. In total, 552 research articles were found in four categories and on numerous topics within our framework. We cataloged the evidence that shows direct and indirect as well as positive and negative effects of ALAN on human physical and mental health. We also summarized the studies that consider ALAN as a social determinant of human health. Based on our framework and the systematic evidence map, we also suggest several promising directions for future studies, including method design, co-exposure and exposome studies, and social and environmental justice.

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          Most cited references179

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          The Uncertain Geographic Context Problem

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              Rotating night shifts and risk of breast cancer in women participating in the nurses' health study.

              Melatonin shows potential oncostatic action, and light exposure during night suppresses melatonin production. There is little information, however, about the direct effect of night work on the risk of cancer. We investigated the effect of night work in breast cancer. We examined the relationship between breast cancer and working on rotating night shifts during 10 years of follow-up in 78 562 women from the Nurses' Health Study. Information was ascertained in 1988 about the total number of years during which the nurses had worked rotating night shifts with at least three nights per month. From June 1988 through May 1998, we documented 2441 incident breast cancer cases. Logistic regression models were used to calculate relative risks (RRs) and 95% confidence intervals (CIs), adjusted for confounding variables and breast cancer risk factors. All statistical tests were two-sided. We observed a moderate increase in breast cancer risk among the women who worked 1-14 years or 15-29 years on rotating night shifts (multivariate adjusted RR = 1.08 [95% CI = 0.99 to 1.18] and RR = 1.08 [95% CI = 0.90 to 1.30], respectively). The risk was further increased among women who worked 30 or more years on the night shift (RR = 1.36; 95% CI = 1.04 to 1.78). The test for trend was statistically significant (P =.02). Women who work on rotating night shifts with at least three nights per month, in addition to days and evenings in that month, appear to have a moderately increased risk of breast cancer after extended periods of working rotating night shifts.
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                Author and article information

                Contributors
                Journal
                Environments
                Environments
                MDPI AG
                2076-3298
                March 2023
                February 25 2023
                : 10
                : 3
                : 39
                Article
                10.3390/environments10030039
                34388cfb-fc52-4802-a90e-682d57b1d09d
                © 2023

                https://creativecommons.org/licenses/by/4.0/

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