“…These factors include elevation [ 15 ], climate [ 16 ], air pollution [ 11 ], the national economic level [ 17 ], unemployment rate [ 10 ], poverty [ 18 ], and social instability [ 19 ]. Compared to individual studies [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 ], ecological studies on TB prevalence are relatively insufficient [ 10 , 11 , 15 , 16 , 17 , 18 , 19 ], especially in China. These ecological studies primarily investigated the effects of certain factors on TB prevalence and did not systematically address the comprehensive effects of these factors.…”