TY - JOUR
T1 - Association of social deprivation and outdoor air pollution with pulmonary tuberculosis in spatiotemporal analysis
AU - Sohn, Minsung
AU - Kim, Honghyok
AU - Sung, Hyoju
AU - Lee, Younsue
AU - Choi, Hongjo
AU - Chung, Haejoo
N1 - Funding Information:
We wish to thank the study participants for their dedication and this work was supported by the Ministry of Education of the Republic of Korea through the National Research Foundation of Korea (2016S1A3A2923475).
Publisher Copyright:
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2019/11/2
Y1 - 2019/11/2
N2 - 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.
AB - 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.
KW - Social deprivation
KW - outdoor air pollution
KW - spatiotemporal analysis
KW - tuberculosis
UR - http://www.scopus.com/inward/record.url?scp=85060806339&partnerID=8YFLogxK
U2 - 10.1080/09603123.2019.1566522
DO - 10.1080/09603123.2019.1566522
M3 - Article
C2 - 30698032
AN - SCOPUS:85060806339
SN - 0960-3123
VL - 29
SP - 657
EP - 667
JO - International Journal of Environmental Health Research
JF - International Journal of Environmental Health Research
IS - 6
ER -