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Table 1.

Baseline characteristics of thyroid cancer and control group.

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Table 2.

Quartiles of Plasma metal.

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Table 2 Expand

Fig 1.

Spearman correlation analysis of Plasma metals.

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Fig 2.

Positive WQS weight distribution map.

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Fig 3.

Negative WQS weight distribution map.

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Fig 4.

BKMR analysis of metal mixture effects on thyroid cancer risk.

a. Cumulative effect of metal mixture; b. Single metal combined effect; c. Single variable exposure-response function for each metal; d. Bivariate exposure-response function associated with mixed metal exposure and thyroid cancer.

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Fig 4 Expand

Fig 5.

Forest diagram of the relationship between metal-to-metal interactions and thyroid cancer.

* P < 0.05, ** P < 0.01, and *** P < 0.001.

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Fig 5 Expand

Fig 6.

Pathway analysis of the mediating effect of metals on the risk of thyroid cancer.

a. Analysis of the mediating effect pathway between Sn and thyroid cancer; b. Analysis of the mediating effect pathway between Cd and thyroid cancer; c. Analysis of the mediating effect pathway between Ni and thyroid cancer; d. Analysis of the mediating effect pathway betweenAs and thyroid cancer. Notes: ACME, average causal mediation effects (indirect effect); ADE, average direct effects. * P < 0.05, ** P < 0.01, and *** P < 0.001.

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Fig 6 Expand