Indoor air pollution from solid fuel and tuberculosis: a systematic review and meta-analysis
Abstract
OBJECTIVE: To conduct an updated systematic review and meta-analysis on the association between indoor air pollution and tuberculosis (TB). DESIGN: We searched for English or Chinese articles using PubMed and EMBASE up to 28 February 2013. We aimed to identify randomised controlled trials and observational epidemiological studies that reported the association between domestic use of solid fuel and TB. Two reviewers independently extracted the information from included studies and assessed the risk of bias of these studies using pre-defined criteria. The effect sizes of eligible studies were pooled using a random-effects model; the heterogeneity across studies was quantified using I(2) statistics. RESULTS: We identified 15 studies on solid fuel use and active TB and one on solid fuel use and latent tuberculous infection. The summary odds ratios from case-control and cross-sectional studies were respectively 1.17 (95%CI 0.83 - 1.65) and 1.62 (95%CI 0.89 - 2.93), with substantial between-study heterogeneity (I(2) 56.2% and 80.5%, respectively). Subgroup analysis and meta-regression analysis did not identify any study-level factors that could explain the heterogeneity observed. CONCLUSION: The level of evidence for the association between domestic use of solid fuels and TB was very low. High-quality studies are badly needed to clarify this association and to estimate the magnitude of the problem.
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Cooking location and household density were included as suggested in Lin et al to reduce bias when using primary cooking fuel as a proxy measure for household air pollution exposure.
“we also include cooking location and household density as suggested in Lin et al as a way to reduce bias when using primary cooking fuel as a proxy measure for HAP exposure.18”
From Household air pollution exposure and risk of tuberculosis: a case–control study of women in Lilongwe, Malawi (2024) · cites this paper as [18]
The study's findings align with recent review studies that find no clear relationship between household air pollution exposure from cooking with biomass fuels and tuberculosis risk.
“Our findings align with recent review studies18 37 that find no clear relationship between HAP exposure from cooking with biomass fuels and TB risk.”
From Household air pollution exposure and risk of tuberculosis: a case–control study of women in Lilongwe, Malawi (2024) · cites this paper as [18]
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Respiratory risks from household air pollution in low and middle income countries
Gordon, S. B., Bruce, N. G., Grigg, J., Hibberd, P. L., Kurmi, O. P., Lam, K.-B. H., Mortimer, K., Asante, K. P., Balakrishnan, K., Balmes, J., et al. (2014) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(14)70168-7 · Cited by 953 · see citing works
Elf, J. L., Kinikar, A., Khadse, S., Mave, V., Suryavanshi, N., Gupte, N., Kulkarni, V., Patekar, S., Raichur, P., Paradkar, M., et al. (2019) · Occupational and Environmental Medicine · doi:10.1136/oemed-2018-105122 · Cited by 26 · see citing works
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 · see citing works
- Authors
- Lin, H.-H., Suk, C.-W., Lo, H.-L., Huang, R.-Y., Enarson, D. A., & Chiang, C.-Y.
- Affiliations
- National Taiwan University (TW)
- Wan Fang Hospital (TW)
- Mennonite Christian Hospital (TW)
- International Union Against Tuberculosis and Lung Disease (FR)
- ORCID
- Lin, H-H.
- Venue
- The International Journal of Tuberculosis and Lung Disease
- Published
- 2014-05-01
- Volume
- 18
- Issue
- 5
- Pages
- 613-621
- ISSN
- 1027-3719 (ISSN-L)
- 1815-7920
- OpenAlex
- W2048350162
- Cited by
- 60
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 2 · 2021: 8 · 2020: 5 · 2019: 6 · 2018: 10 · 2017: 6 · 2016: 5 · 2015: 5 · 2014: 3
- FWCI
- 4.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The International Journal of Tuberculosis and Lung Disease (publishedVersion)
- PubMed (publishedVersion)
- Taipei Medical University Repository (submittedVersion)
- 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, solid fuel use, tuberculosis, latent tuberculosis infection, household fuel, active tuberculosis, risk factors
- MeSH terms
- Coal, Cooking, Energy-Generating Resources, Feces, Heating, Housing, Humans, Risk Factors, Tuberculosis, Pulmonary, Wood, Chi-Square Distribution, Odds Ratio, Air Pollution, Indoor, Biomass, Risk Assessment, Inhalation Exposure
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