ORIGINAL RESEARCH
Effects of Meteorological Factors
and Air Pollutants on Tuberculosis Incidence:
A Distribution Lag Non-Linear Analysis
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1
The Key Laboratory of Model Animals and Stem Cell Biology in Hunan Province, School of Medicine,
Hunan Normal University, Changsha 410013, China
2
Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University),
Changsha, Hunan 410013, P.R. China
These authors had equal contribution to this work
Submission date: 2024-03-17
Final revision date: 2024-04-18
Acceptance date: 2024-05-13
Online publication date: 2024-09-03
Publication date: 2025-01-28
Corresponding author
Lianhong Zou
Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University),
Changsha, Hunan 410013, P.R. China
Junhua Zhou
The Key Laboratory of Model Animals and Stem Cell Biology in Hunan Province, School of Medicine,
Hunan Normal University, Changsha 410013, China
Pol. J. Environ. Stud. 2025;34(3):3269-3283
KEYWORDS
TOPICS
ABSTRACT
(1) Background: Tuberculosis (TB) is a public health problem worldwide, and the influence
of meteorological and air pollutants on the incidence of tuberculosis has been attracting interest
from researchers. We will identify meteorological factors and air pollution factors that may affect
the incidence of pulmonary tuberculosis (PTB); (2) Methods: We collected data on the daily incidence
of pulmonary tuberculosis, meteorological data, and air pollutant concentrations in Changde City
from January 1, 2010, to December 31, 2021. We analyzed the association between the incidence of
PTB and meteorological factors and air pollutants and further explored the distributed lag non-linear
effect of meteorological factors and air pollutants on the incidence of PTB using a distributed lag
non-linear model (3). Results: The incidence of tuberculosis was positively correlated with mean air
temperature, maximum air temperature, minimum air temperature, sunshine hours, PM2.5, PM10, and O3,
and negatively correlated with mean air pressure, relative humidity, precipitation, CO, and SO2, but not
significantly correlated with mean wind speed and NO2 (4). Conclusions: Meteorology and air pollutants
have certain effects on the incidence of pulmonary tuberculosis, and the impact will also have a lag
effect.
CONFLICT OF INTEREST
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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