Association of social deprivation and outdoor air pollution with pulmonary tuberculosis in spatiotemporal analysis

• Published in: International journal of environmental health research Vol. 29; no. 6; pp. 657 - 667
• Main Authors: Sohn, Minsung, Kim, Honghyok, Sung, Hyoju, Lee, Younsue, Choi, Hongjo, Chung, Haejoo
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 02-11-2019; Taylor & Francis LLC
• Subjects: Air Pollutants - adverse effects; Air Pollutants - analysis; Air pollution; Confidence intervals; Deprivation; Geographic information systems; Humans; Incidence; Inhalation Exposure - adverse effects; Inhalation Exposure - analysis; Mortality; Odds Ratio; outdoor air pollution; Poisson density functions; Pollution; Pollution effects; Regression analysis; Remote sensing; Republic of Korea - epidemiology; Social deprivation; Social Isolation; Socioeconomic Factors; Spatio-Temporal Analysis; spatiotemporal analysis; Statistical analysis; Sulfur; Sulfur dioxide; Sulfur Dioxide - adverse effects; Sulfur Dioxide - analysis; Systems analysis; Tuberculosis; Tuberculosis, Pulmonary - epidemiology; Tuberculosis, Pulmonary - etiology; Tuberculosis, Pulmonary - mortality; Tuberculosis, Pulmonary - psychology; Republic of Korea; spatiotemporal analysis; outdoor air pollution; tuberculosis; Social deprivation
• ISSN: 0960-3123; 1369-1619
• DOI: 10.1080/09603123.2019.1566522

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 (SO
2
) 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.