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

Ying Xiong, Meixia Yang, Zhengzhong Wang, Honglin Jiang, Ning Xu, Yixin Tong, Jiangfan Yin, Yue Chen, Qingwu Jiang and Yibiao Zhou
Additional contact information
Ying Xiong: School of Public Health, Fudan University, Building 8, 130 Dong’an Road, Shanghai 200032, China
Meixia Yang: Xuhui Center for Disease Control and Prevention, Shanghai 200237, China
Zhengzhong Wang: School of Public Health, Fudan University, Building 8, 130 Dong’an Road, Shanghai 200032, China
Honglin Jiang: School of Public Health, Fudan University, Building 8, 130 Dong’an Road, Shanghai 200032, China
Ning Xu: School of Public Health, Fudan University, Building 8, 130 Dong’an Road, Shanghai 200032, China
Yixin Tong: School of Public Health, Fudan University, Building 8, 130 Dong’an Road, Shanghai 200032, China
Jiangfan Yin: School of Public Health, Fudan University, Building 8, 130 Dong’an Road, Shanghai 200032, China
Yue Chen: School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada
Qingwu Jiang: School of Public Health, Fudan University, Building 8, 130 Dong’an Road, Shanghai 200032, China
Yibiao Zhou: School of Public Health, Fudan University, Building 8, 130 Dong’an Road, Shanghai 200032, China

IJERPH, 2022, vol. 19, issue 10, 1-12

Abstract: Previous studies have suggested that air pollutant exposure is related to tuberculosis (TB) risk, but results have not been consistent. This study evaluated the relation between daily air pollutant exposure and TB incidence in Shanghai from 2014 to 2019. Overall, there were four pollutants that were positively related to the risk of new TB cases. After a 5 μg/m 3 increase, the maximum lag-specific and cumulative relative risk (RR) of SO 2 were 1.081, (95% CI: 1.035–1.129, lag: 3 days) and 1.616 (95% CI: 1.119–2.333, lag: 0–13 days), while for NO 2 , they were 1.061 (95% CI: 1.015–1.11, lag: 4 days) and 1.8 (95% CI: 1.113–2.91, lag: 0–15 days). As for PM 2.5 , with a 50 μg/m 3 increase, the lag-specific and cumulative RR were 1.064 (95% CI: 1–1.132, lag: 6 days) and 3.101 (95% CI: 1.096–8.777, lag: 0–21 days), while for CO, the lag-specific RR was 1.03 (95% CI: 1.005–1.057, lag: 8 days) and the cumulative RR was 1.436 (95% CI: 1.004–2.053, lag: 0–16 days) with a 100 μg/m 3 increase. The associations tended to be stronger in male and elderly patients and differed with seasons. Air pollutant exposure may be a risk factor for TB incidence.

Keywords: air pollutants; time-series analysis; tuberculosis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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