Short-Term Effect of Air Pollution on Tuberculosis Based on Kriged Data: A Time-Series Analysis
| Autor: | Shiquan Deng, Wenwen Yang, Feifei Liu, Xiangyu Li, Zhongmin Zhu, Tianhao Zhang, Yuanan Lu, Suyang Liu, Hao Xiang, Shuqiong Huang, Liqiao Tian |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
China
Ozone Health Toxicology and Mutagenesis infectious disease air pollution Nitrogen Dioxide Air pollution lcsh:Medicine 010501 environmental sciences medicine.disease_cause 01 natural sciences Article Toxicology Poisson regression 03 medical and health sciences chemistry.chemical_compound symbols.namesake 0302 clinical medicine medicine Humans Sulfur Dioxide Nitrogen dioxide kriging 030212 general & internal medicine 0105 earth and related environmental sciences Pollutant Air Pollutants Incidence (epidemiology) time-series lcsh:R Public Health Environmental and Occupational Health Seasonality Particulates medicine.disease chemistry tuberculosis symbols Environmental science Particulate Matter |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 5 International Journal of Environmental Research and Public Health, Vol 17, Iss 5, p 1522 (2020) |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Tuberculosis (TB) has a very high mortality rate worldwide. However, only a few studies have examined the associations between short-term exposure to air pollution and TB incidence. Our objectives were to estimate associations between short-term exposure to air pollutants and TB incidence in Wuhan city, China, during the 2015&ndash 2016 period. We applied a generalized additive model to access the short-term association of air pollution with TB. Daily exposure to each air pollutant in Wuhan was determined using ordinary kriging. The air pollutants included in the analysis were particulate matter (PM) with an aerodynamic diameter less than or equal to 2.5 micrometers (PM2.5), PM with an aerodynamic diameter less than or equal to 10 micrometers (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), and ground-level ozone (O3). Daily incident cases of TB were obtained from the Hubei Provincial Center for Disease Control and Prevention (Hubei CDC). Both single- and multiple-pollutant models were used to examine the associations between air pollution and TB. Seasonal variation was assessed by splitting the all-year data into warm (May&ndash October) and cold (November&ndash April) seasons. In the single-pollutant model, for a 10 &mu g/m3 increase in PM2.5, PM10, and O3 at lag 7, the associated TB risk increased by 17.03% (95% CI: 6.39, 28.74), 11.08% (95% CI: 6.39, 28.74), and 16.15% (95% CI: 1.88, 32.42), respectively. In the multi-pollutant model, the effect of PM2.5 on TB remained statistically significant, while the effects of other pollutants were attenuated. The seasonal analysis showed that there was not much difference regarding the impact of air pollution on TB between the warm season and the cold season. Our study reveals that the mechanism linking air pollution and TB is still complex. Further research is warranted to explore the interaction of air pollution and TB. |
| Databáze: | OpenAIRE |
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