The distribution of selenium and cancer mortality in the continental United States.

An hypothesis was proposed that selenium concentration in the environment, as measured by the uptake of this element by forage crops, exerted an apparent effect on cancer incidence, such that cancer mortality in the continental United States was lower where the selenium concentration was high than where the concentration was low. The purpose of the present study is to test this hypothesis for statistical significance and to discover whether the apparent pattern of cancer mortality in relation to selenium distribution holds true with respect to all ages. Two main types of statistical analyses were employed: analysis of variance and trend analysis, both applied to all age groups and both sexes. Data presented in this paper show that significant interactions exist between selenium distribution and sex in relation to deaths caused by cancer of the digestive organs, respiratory organs, and the breast. Geographic variations in selenium may be viewed as variations in the intake of this element in the diet. A significant interaction may thus suggest that the particular cancer in question has in its origin a dietary factor that includes some measure of selenium intake. A discussion involving contributions from various disciplines is presented to explain the significant results reported in this paper. This paper shows that a pattern exists between the geographical distribution of selenium using forage crops as a guide for dietary intake and cancer mortality (ICD 140-209,150-159,160-163, and 174) such that an inverse relationship exists between selenium concentration in an area and cancer mortality in the same area.