Study on the impact of common air pollution indicators on tuberculosis incidence in high-TB-burden countries worldwide

Datos Bibliográficos

ID22084114
AutoresMinli Chang (Xinjiang Medical University), Zhifei Chen (0000-0002-3475-6979, Xinjiang Medical University), Xiaodie Chen (0000-0002-0782-2707, Xinjiang Medical University), Xilong Du (0000-0001-9152-5344, Xinjiang Medical University), Nana Zhang (0009-0007-3480-0953, Xinjiang Medical University), Dongmei Lu (People's Hospital of Xinjiang Uygur Autonomous Region), Liping Zhang (0000-0003-1903-6612, Xinjiang Medical University), Yanling Zheng (0000-0001-9003-3153, Xinjiang Medical University, autor de correspondencia)
Año2025
Volumen13
Páginas1628290-1628290
Fecha de publicación2025-11-03
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1628290
PMID41256266
OpenAlexW4415783325
IdiomaEN
Referencias citadas43

Objective To explore the effect of air pollution on tuberculosis (TB) in multiple countries and to provide a scientific reference for air pollution treatment and tuberculosis prevention and control. Methods Spearman’s correlation analysis and generalized additive models of air pollution indicators and the annual incidence of tuberculosis in the top 20 countries with global tuberculosis incidence in 2021 were conducted to investigate the association effect between air pollution and tuberculosis incidence globally from 1990 to 2020. Results The severity of the global TB epidemic in 2021 varied widely among countries, and Spearman’s correlation analyses showed a positive correlation between TB incidence and Household air pollution (HAP; r HAP = 0.476) and negative correlations between NO 2 , O 3 , PM, and Gross domestic product (GDP) and TB incidence (r NO2 = −0.622, r O3 = −0.419, r PM = −0.323, and r GDP = −0.477). By examining the effects of influencing factor interactions on the development of tuberculosis, it was found that at HAP < 0.2, TB incidence tended to increase with increasing NO 2 , and the risk of TB incidence increased at lower NO 2 (2–6 ppb) and O 3 < 40 μg / m 3 . Conclusion There is a synergistic amplification of the increase in TB incidence by HAP, O 3 , GDP, and NO 2 , with low NO 2 concentrations, low HAP, and high O 3 conditions favouring TB. The incidence of TB is adversely affected by air pollution to varying degrees across countries; therefore, countries can target preventive measures to reduce the risk of TB

Air pollutants · Air pollution · Public health · Tuberculosis · Air Quality and Health Impacts · Indoor Air Quality and Microbial Exposure · Tuberculosis Research and Epidemiology