The dynamic impacts of environmental-health and MDR-TB diseases and their influence on environmental sustainability at Chinese hospitals

The purpose of this study is to identify at what extent multidrug-resistant tuberculosis (MDR-TB) diseases effect on environmental health issues in selected provinces of Chinese hospitals. In survival analysis approach, this study employs the Cox proportional hazard model (CPM) to incorporate the du...

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Bibliographic Details
Published in:Environmental science and pollution research international 2022-06, Vol.29 (27), p.40531-40541
Main Authors: Dai, Zong, Sadiq, Misbah, Kannaiah, Desti, Khan, Nasir, Shabbir, Malik Shahzad, Bilal, Kanwal, Tabash, Mosab I.
Format: Article
Language:English
Subjects:
Aquatic Pollution
Atmospheric Protection/Air Quality Control/Air Pollution
Earth and Environmental Science
Ecotoxicology
Environment
Environmental Chemistry
Environmental effects
Environmental Health
Environmental impact
Environmental science
Expenditures
Hospitals
Males
Multidrug resistance
Multidrug resistant organisms
Review Article
Statistical models
Survival analysis
Tuberculosis
Waste Water Technology
Water Management
Water Pollution Control
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Summary:The purpose of this study is to identify at what extent multidrug-resistant tuberculosis (MDR-TB) diseases effect on environmental health issues in selected provinces of Chinese hospitals. In survival analysis approach, this study employs the Cox proportional hazard model (CPM) to incorporate the duration of event, probability of occurrence of an event, and the issue of right censoring. An advantage of using CPM is that one does not need to specify the distribution of baseline hazard H 0 (t) as it considers a common value for all units in population. The results indicate that male and travel expenditures have negative association with the duration of cure. Furthermore, the medical expenditures and the spatial characteristic of time expenditure have positive association with the duration of cure of MDR-TB patients. The inconsistent behavior of males in taking medicines as compared to females and males is also more prone to tuberculosis (TB).
ISSN:0944-1344
1614-7499
DOI:10.1007/s11356-022-19593-1