Association of social deprivation and outdoor air pollution with pulmonary tuberculosis in spatiotemporal analysis
The objective of this study was to identify the association between social deprivation, outdoor air pollution, and tuberculosis (TB) incidence rate or mortality rate. The study sample comprised 25 districts in Seoul, Korea. We used two public data derived from the Community Health Survey
and Seoul Statistics. The geographic information system analysis and random effects Poisson regression were applied to explore the association of social deprivation and air pollution with TB incidence and mortality. An 1 ppb increase in sulfur dioxide (SO2) concentration was significantly
associated with the risk of TB incidence (risk ratio [RR] = 1.046, 95% confidence interval [CI]: 1.028, 1.065). An 1 unit increase in the deprivation index was significantly related to a6% increase in the mortality of TB (RR = 1.063, 95% CI: 1.031, 1.097). : Our results
imply that social deprivation and air pollution may affect the different TB outcomes. Effective policy-making for TB control should reflect the differing outcomes between TB incidence and mortality.
Keywords: Social deprivation; outdoor air pollution; spatiotemporal analysis; tuberculosis
Document Type: Research Article
Affiliations: 1: Department of Public Health Sciences, Graduate School of Korea University, BK21Plus Program in Public Health Sciences, Seoul, Republic of Korea 2: Policy Development and Research, The Korea National Enterprise for Clinical Trials, Seoul, Republic of Korea 3: Department of Research and Development, The Korean Institute of Tuberculosis, Osong, Republic of Korea
Publication date: 02 November 2019
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