{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:45:56Z","timestamp":1790808356224,"version":"4.1.0"},"reference-count":63,"publisher":"American Chemical Society (ACS)","issue":"13","license":[{"start":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T00:00:00Z","timestamp":1624233600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Water chlorination can lead to the formation of disinfection byproducts, including trihalomethanes (THMs). However, few epidemiologic studies have explored associations between THM exposure and mortality. This study included 6720 adults aged \u226540 years from the National Health and Nutrition Examination Survey 1999\u20132012 who had blood THM concentrations quantified. A higher risk of all-cause mortality was found across increasing quartile concentrations of blood chloroform (TCM) and total THMs (TTHMs; sum of all four THMs) (both p for trend = 0.02). Adults in the highest quartile of TCM and TTHM concentrations had hazard ratios (HRs) of 1.35 (95% confidence intervals: 1.05\u20131.74) and 1.37 (1.05\u20131.79), respectively, for all-cause mortality, compared with adults in the lowest quartile. When cause-specific mortality was evaluated, a positive relationship was found between blood bromodichloromethane (BDCM), dibromochloromethane (DBCM), bromoform (TBM), total brominated THMs (Br-THMs; sum of BDCM, DBCM, and TBM), and TTHM concentrations and risk of cancer death and between blood TCM and TTHMs and risk of other cause (noncancer\/nonheart disease) mortality. Our findings suggest that higher exposure to Br-THMs was associated with increased cancer mortality risk, whereas TCM was associated with a greater risk of noncancer\/nonheart disease mortality.<\/jats:p>","DOI":"10.1021\/acs.est.1c00862","type":"journal-article","created":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T15:50:59Z","timestamp":1624290659000},"page":"9043-9051","source":"Crossref","is-referenced-by-count":29,"title":["Association\nof Blood Trihalomethane Concentrations\nwith Risk of All-Cause and Cause-Specific Mortality in U.S. Adults:\nA Prospective Cohort Study"],"prefix":"10.1021","volume":"55","author":[{"given":"Yang","family":"Sun","sequence":"first","affiliation":[{"name":"Harvard T.H. Chan School of Public Health , , , ,","place":["Boston, Massachusetts, United States, 02115"]},{"name":"Harvard T.H. Chan School of Public Health , , , ,","place":["Boston, Massachusetts, United States, 02115"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Chen","sequence":"additional","affiliation":[{"name":"University of Michigan , , , ,","place":["Ann Arbor, Michigan, United States, 48109"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicente","family":"Mustieles","sequence":"additional","affiliation":[{"name":"University of Granada, Center for Biomedical Research (CIBM) , ,","place":["Granada, Spain, 18010"]},{"name":"Instituto de Investigacio\u0301n Biosanitaria Ibs GRANADA , ,","place":["Granada, Spain, 18012"]},{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP) , ,","place":["Madrid, Spain, 28029"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Wang","sequence":"additional","affiliation":[{"name":"Baylor University , , , ,","place":["Waco, Texas, United States, 76706"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Harvard T.H. Chan School of Public Health , , , ,","place":["Boston, Massachusetts, United States, 02115"]},{"name":"Harvard T.H. Chan School of Public Health , , , ,","place":["Boston, Massachusetts, United States, 02115"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4324-2408","authenticated-orcid":true,"given":"Yi-Xin","family":"Wang","sequence":"additional","affiliation":[{"name":"Harvard T.H. Chan School of Public Health , , , ,","place":["Boston, Massachusetts, United States, 02115"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3884-1492","authenticated-orcid":true,"given":"Carmen","family":"Messerlian","sequence":"additional","affiliation":[{"name":"Harvard T.H. Chan School of Public Health , , , ,","place":["Boston, Massachusetts, United States, 02115"]},{"name":"Harvard T.H. 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