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Long‐term exposure to indoor air pollution and risk of tuberculosis
Open accessAbstract
Indoor air pollution (IAP) is a recognized risk factor for various diseases. This paper examines the role of indoor solid fuel exposure in the risk of mycobacterium tuberculosis (TB) in Delhi Metropolitan, India. Using a cross-sectional design, subjects were screened for a history of active TB and lifelong exposure to IAP sources, such as solid fuel burning and kerosene. The TB prevalence rate in the study area was 1117 per 100 000 population. Every year, increase in solid fuel exposure was associated with a three percent higher likelihood of a history of active TB. Subjects exposed to solid fuel and kerosene use for both heating home and cooking showed significant associations with TB. Age, household expenditure (a proxy of income), lung function, and smoking also showed significant associations with TB. Smokers and solid fuel-exposed subjects were four times more likely to have a history of active TB than non-smoker and unexposed subjects. These finding calls strategies to mitigate solid fuel exposure, such as use of clean cookstove and ventilation, to mitigate the risk of TB which aligns with the United Nations' goal of "End TB by 2030."
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The relationship between kerosene use and tuberculosis is consistent with Pokhrel et al, Patel et al and Elf et al, who find increased tuberculosis risk for those who use kerosene as a lighting source.
“This relationship is consistent with Pokhrel et al, Patel et al and Elf et al who find increased TB risk for those who use kerosene as a lighting source.15 17 20”
From Household air pollution exposure and risk of tuberculosis: a case–control study of women in Lilongwe, Malawi (2024) · cites this paper as [17]
The Results (Univariate analysis; page not available) report higher TB frequency among people with lifetime kerosene exposure (OR 1.88). But the Methods (Study definitions; page not available) define kerosene exposure through cooking and heating, not lighting. The paper therefore supports the kerosene–TB association, but not the claim about kerosene as a lighting source. (LLM, conf=0.88)
Experimental — accuracy not yet measuredRecent studies point specifically to the use of kerosene as a risk factor for tuberculosis.
“While the general relationship between HAP and TB remains unclear, recent studies point specifically to the use of kerosene as a risk factor for TB.”
From Household air pollution exposure and risk of tuberculosis: a case–control study of women in Lilongwe, Malawi (2024) · cites this paper as [17]
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Cited by
Sorted by citations
Jagger, P., McCord, R., Gallerani, A., Hoffman, I., Jumbe, C., Pedit, J., Phiri, S., Krysiak, R., & Maleta, K. (2024) · BMJ Public Health · doi:10.1136/bmjph-2023-000176 · Cited by 8
Metadata
- Authors
- Patel, V., Foster, A., Salem, A., Kumar, A., Kumar, V., Biswas, B., Mirsaeidi, M., & Kumar, N.
- Affiliations
- University of Miami (US)
- Brown University (US)
- Society for Environmental Health New Delhi India
- University of Burdwan (IN)
- Corresponding author
- Kumar, Naresh
- Venue
- Indoor Air
- Publisher
- Wiley
- Published
- 2020-10-23
- Volume
- 31
- Issue
- 3
- Pages
- 628-638
- ISSN
- 0905-6947 (ISSN-L)
- 1600-0668
- PMC
- PMC9580027
- OpenAlex
- W3090197400
- Cited by
- 27
- References
- 1
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 2 · 2023: 6 · 2022: 2 · 2021: 3
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Indoor Air (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Brown University
- University of Miami
- National Institutes of Health
- National Eye Institute (R01EY026174)
- National Institute of Environmental Health Sciences (ES014004-01A2, R21ES014004, ES014004)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD046571)
- Topics
- Physical Sciences › Environmental Science › Pollution › Energy and Environment Impacts
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
- Keywords
- indoor air pollution, tuberculosis, solid fuel cooking, Mycobacterium tuberculosis, active tuberculosis, smoking, household expenditure, lung function, clean cookstoves, ventilation, Delhi
- MeSH terms
- Cooking, Cross-Sectional Studies, Heating, Humans, India, Kerosene, Risk Factors, Tuberculosis, Ventilation, Case-Control Studies, Air Pollution, Indoor, Inhalation Exposure
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