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Global prostate cancer risk associated with microplastic exposure: a statistical and machine learning analysis

Elewa AMT, Snousy MG, Alghamdi FM, Abd-Elmougod GA, El Shahawy AA, Mohamed AF, Negm A, Saqr AM et al.

Frontiers in public health, 2026

Abstract

Introduction: Prostate cancer is one of the most commonly diagnosed malignancies among men worldwide, with higher reported incidence in many high-income countries. Environmental factors are receiving increasing attention as potential contributors to cancer development. Microplastics, which are found in air, water, food, and personal care items, are one possible risk factor.

Methodology: Data from 22 nations were investigated to examine whether an association exists between exposure to microplastics and the rate of prostate cancer. Data on exposure were combined from several sources, such as stool particles, breathed air, drinking water, seafood intake, and personal care products. Statistical and machine learning methods, such as K-means clustering, principal component analysis, and random forest modeling, were applied to find the most important exposure variables linked to cancer risk.

Results: Stool microplastic concentrations and heavy metal burden showed the strongest model-based associations with prostate cancer incidence. Countries with higher external exposure indicators did not consistently show higher reported prostate cancer incidence. This pattern suggests that external exposure metrics alone may be insufficient to explain country-level variation. Internal retention and tissue-response pathways remain plausible hypotheses, but they require direct validation using individual-level and tissue-based data.

Discussion: The findings support the need to integrate exposure…

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