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Journal of Clinical and
            Translational Research                                                Household arsenic and bladder cancer




            Table 2. Questionnaire data from 25 patients with urothelial carcinoma and 25 controls with benign urologic disease
            Category                   Responses     UCC, n (%)  Benign, n (%)      Odds ratio        p‑value
                                                                               (95% confidence interval)
            Industrial occupation      Respondents      22           24           0.85 (0.29 – 2.92)   >0.99
                                          Yes         11 (50.0)    13 (54.2)
                                          No          11 (50.0)    11 (45.8)
            Applied pesticides to crops  Respondents    22           24            0.2 (0.4 – 1.12)    0.07
                                          Yes          2 (9.1)     8 (33.3)
                                          No          20 (90.9)    16 (66.6)
            Weedkiller use at home     Respondents      23           24           0.17 (0.05 – 0.66)   0.008*
                                          Yes         9 (39.1)     19 (79.2)
                                          No          14 (60.9)    5 (20.8)
            Drive-by traffic near home  Respondents     22           24           0.50 (0.16 – 1.72)   0.37
                                      Moderate/heavy  10 (45.5)    15 (62.5)
                                        Minimal       12 (55.5)    9 (37.5)
            Treated lumber porch or deck  Respondents   22           24           1.02 (0.33 – 3.03)   >0.99
                                          Yes         12 (55.5)    13 (54.2)
                                          No          10 (45.5)    11 (45.8)
            Swims in a pool            Respondents      22           23           1.05 (0.33 – 3.03)   >0.99
                                          Yes          2 (9.1)      2 (8.7)
                                          No          20 (90.9)    21 (91.3)
            Wood-burning fireplace     Respondents      22           24           0.47 (0.14 – 1.65)   0.24
                                          Yes         7 (31.8)     12 (50.0)
                                          No          15 (68.2)    12 (50.0)
            Tobacco smoking            Respondents      22           24           1.68 (0.49 – 5.04)   0.56
                                        Former        12 (54.5)    10 (41.7)
                                         Never        10 (45.5)    14 (58.3)
            Well water for drinking (any)  Respondents  25           24           0.61 (0.17 – 2.36)   0.52
                                          Yes         5 (20.0)     7 (29.2)
                                          No          20 (80.0)    17 (70.8)
            Water filtration           Respondents      22           24           1.68 (0.49 – 5.04)   0.56
                                          No          12 (54.5)    10 (41.7)
                                          Yes         10 (45.5)    14 (58.3)
            Note: *Indicates statistical significance (p<0.05).
            Abbreviation: UCC: Urothelial cell carcinoma.


            or smoking status (former versus never). Only one subject   3.3. Acrolein metabolites in urine
            from each group had worked as a hairdresser or owned a   Urinary concentrations of the acrolein metabolite 3-HPMA
            swimming pool (both controls). Observably, fewer UCC   did not differ between patients with UCC (median:
            cases reported a history of applying pesticides to crops   193 nmol/mg creat, range: 65 – 899 nmoL/mg creat) and
            (9.1%) compared to control patients (33.3%), but this   those with benign urologic disease (median: 195 nmoL/mg
            difference did not reach significance (p=0.074;  Table 2).
            Contrary to our hypotheses, UCC patients reported less   creat, range: 53 – 1,059 nmoL/mg creat) (p=0.44; Figure 1).
            herbicide use at home than control patients (OR: 0.17; 95%   When unadjusted urinary 3-HPMA concentrations
            CI: 0.05 – 0.66).                                  were assessed for possible genotoxicity, 9 of 25 UCC



            Volume 11 Issue 3 (2025)                        91                            doi: 10.36922/jctr.24.00065
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