Association of Daily Exposure to Air Pollutants with the Risk of Tuberculosis in Xuhui District of Shanghai, China

Xiong, Ying; Yang, Meixia; Wang, Zhengzhong; Jiang, Honglin; Xu, Ning; Tong, Yixin; Yin, Jiangfan; Chen, Yue; Jiang, Qingwu; Zhou, Yibiao

doi:10.3390/ijerph19106085

Cited by 3 publications

(10 citation statements)

References 49 publications

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“…Begg’s test, p = 1. Likewise, Xiong et al 46 reported an association (RR = 3.10, 95% CI: 1.10–8.79) for a 50 µg/m 3 increase in PM 2.5 concentration. The study by Lai et al 32 (RR = 1.39, 95% CI: 0.95–2.03) which was cohort in design did not find a significant association.…”

Section: Resultsmentioning

confidence: 89%

“…3 ) 31 , 34 , 37 . However, Xiong et al 46 (RR = 1.8, 95% CI: 1.11–2.91) reported a significant association for a 5 µg/m 3 increase in NO 2 concentration.…”

Section: Resultsmentioning

confidence: 93%

“…3 ) 31 , 34 , 37 . However, Xiong et al 46 (RR = 1.436, 95% CI: 1.004–2.053) reported a significant association for a 100 µg/m 3 increase in CO concentration.

Figure 3 Forest plot showing the individual and pooled risk ratios and odds ratios for pulmonary tuberculosis incidence for CO and NO 2 .…”

Section: Resultsmentioning

confidence: 94%

“…Most studies were from Asian countries and a total of 437,255 tuberculosis cases were reported across the 22 studies that reported the number of tuberculosis cases over their study periods (1996–2019) 7 , 27 – 46 . Of the 24 studies included in the review, 10 were time series, 5 were cohort studies (3 retrospective, 2 prospective), 5 were ecologic, 2 were case–control studies (1 nested, 1 retrospective), 1 was a retrospective case cross-over and 1 was cross-sectional.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 24 studies included in the review, 10 were time series, 5 were cohort studies (3 retrospective, 2 prospective), 5 were ecologic, 2 were case–control studies (1 nested, 1 retrospective), 1 was a retrospective case cross-over and 1 was cross-sectional. Average male participation was at 64.9% (N = 13 studies) 7 , 27 , 29 – 35 , 37 , 40 , 43 , 46 , mean age of 46.3 years (N = 7 studies) 27 , 30 – 32 , 37 , 40 , 43 and average annual tuberculosis incidence was 45.3 per 100,000 population (N = 10 studies) 7 , 27 , 29 , 32 , 35 , 36 , 45 – 48 . Study and participant characteristics are summarised on Table 1 .…”

Section: Resultsmentioning

confidence: 99%

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A systematic review and meta-analysis on the association between ambient air pollution and pulmonary tuberculosis

Dimala

Kadia

2022

Sci Rep

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There is inconclusive evidence on the association between ambient air pollution and pulmonary tuberculosis (PTB) incidence, tuberculosis-related hospital admission and mortality. This review aimed to assess the extent to which selected air pollutants are associated to PTB incidence, hospital admissions and mortality. This was a systematic review of studies published in English from January 1st, 1946, through May 31st, 2022, that quantitatively assessed the association between PM2.5, PM10, NO2, SO2, CO, O3 and the incidence of, hospital admission or death from PTB. Medline, Embase, Scopus and The Cochrane Library were searched. Extracted data from eligible studies were analysed using STATA software. Random-effect meta-analysis was used to derive pooled adjusted risk and odds ratios. A total of 24 studies (10 time-series, 5 ecologic, 5 cohort, 2 case–control, 1 case cross-over, 1 cross-sectional) mainly from Asian countries were eligible and involved a total of 437,255 tuberculosis cases. For every 10 μg/m3 increment in air pollutant concentration, there was a significant association between exposure to PM2.5 (pooled aRR = 1.12, 95% CI: 1.06–1.19, p < 0.001, N = 6); PM10 (pooled aRR = 1.06, 95% CI: 1.01–1.12, p = 0.022, N = 8); SO2 (pooled aRR = 1.08, 95% CI: 1.04–1.12, p < 0.001, N = 9); and the incidence of PTB. There was no association between exposure to CO (pooled aRR = 1.04, 95% CI: 0.98–1.11, p = 0.211, N = 4); NO2 (pooled aRR = 1.08, 95% CI: 0.99–1.17, p = 0.057, N = 7); O3 (pooled aRR = 1.00, 95% CI: 0.99–1.02, p = 0.910, N = 6) and the incidence of PTB. There was no association between the investigated air pollutants and mortality or hospital admissions due to PTB. Overall quality of evidence was graded as low (GRADE approach). Exposure to PM2.5, PM10 and SO2 air pollutants was found to be associated with an increased incidence of PTB, while exposure to CO, NO2 and O3 was not. There was no observed association between exposure to these air pollutants and hospital admission or mortality due to PTB. The quality of the evidence generated, however, remains low. Addressing the tuberculosis epidemic by 2030 as per the 4th Sustainable Development Goal may require a more rigorous exploration of this association.

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Section: Resultsmentioning

confidence: 89%

“…3 ) 31 , 34 , 37 . However, Xiong et al 46 (RR = 1.8, 95% CI: 1.11–2.91) reported a significant association for a 5 µg/m 3 increase in NO 2 concentration.…”

Section: Resultsmentioning

confidence: 93%

“…3 ) 31 , 34 , 37 . However, Xiong et al 46 (RR = 1.436, 95% CI: 1.004–2.053) reported a significant association for a 100 µg/m 3 increase in CO concentration.

Figure 3 Forest plot showing the individual and pooled risk ratios and odds ratios for pulmonary tuberculosis incidence for CO and NO 2 .…”

Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A systematic review and meta-analysis on the association between ambient air pollution and pulmonary tuberculosis

Dimala

Kadia

2022

Sci Rep

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Particulate matter deposition and its impact on tuberculosis severity: A cross-sectional study in Taipei

Makrufardi,

Chuang,

Suk

et al. 2024

Science of The Total Environment

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Short-term effects of high-resolution (1-km) ambient PM2.5 and PM10 on hospital admission for pulmonary tuberculosis: a case-crossover study in Hainan, China

Zhu,

Gao,

Zhou

et al. 2023

Front. Public Health

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IntroductionThere is limited evidence regarding particulate matter (PM)’s short-term effects on pulmonary tuberculosis (PTB) hospital admission. Our study aimed to determine the short-term associations of the exposure to ambient PM with aerodynamic diameters <2.5 μm (PM2.5) and < 10 μm (PM10) with hospital admission for PTB in Hainan, a tropical province in China.MethodsWe collected individual data on patients hospitalized with PTB, PM2.5, PM10, and meteorological data from 2016 to 2019 in Hainan Province, China. Conditional logistic regression models with a time-stratified case-crossover design were used to assess the short-term effects of PM2.5 and PM10 on hospital admission for PTB at a spatial resolution of 1 km × 1 km. Stratified analyses were performed according to age at admission, sex, marital status, administrative division, and season of admission.ResultsEach interquartile range (IQR) increases in the concentrations of PM2.5 and PM10 were associated with 1.155 (95% confidence interval [CI]: 1.041–1.282) and 1.142 (95% CI: 1.033–1.263) hospital admission risks for PTB at lag 0–8 days, respectively. The stratified analyses showed that the effects of PM2.5 and PM10 were statistically significant for patients aged ≥65 years, males, married, and those residing in prefecture-level cities. Regarding seasonal differences, the associations between PM and hospital admission for PTB were statistically significant in the warm season but not in the cold season. The effect of PM2.5 was consistently stronger than that of PM10 in most subgroups.ConclusionShort-term exposure to PM increases the risk of hospital admission for PTB. The potential impact of PM with smaller aerodynamic diameter is more detrimental. Our findings highlight the importance of reducing ambient PM level to alleviate the burden of PTB.

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Association of Daily Exposure to Air Pollutants with the Risk of Tuberculosis in Xuhui District of Shanghai, China

Cited by 3 publications

References 49 publications

A systematic review and meta-analysis on the association between ambient air pollution and pulmonary tuberculosis

A systematic review and meta-analysis on the association between ambient air pollution and pulmonary tuberculosis

Particulate matter deposition and its impact on tuberculosis severity: A cross-sectional study in Taipei

Short-term effects of high-resolution (1-km) ambient PM2.5 and PM10 on hospital admission for pulmonary tuberculosis: a case-crossover study in Hainan, China

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