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

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Abstract

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 H0 (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).

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Notes

  1. The standard definitions are extracted from World Health organization (2010).

  2. The standard definitions are extracted from World Health organization (2010).

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Dr Zong has completed the data analysis part, Dr Desti completed the Introduction section, Dr. Misbah completed the Literature review section, Mr Nasir wrote Methodology section, Mr Malik Shahzad interpreted the Data analysis section, Miss Kanwal wrote conclusion, and Dr. Mosab wrote abstract parts and format the paper as per journal requirements.

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Correspondence to Malik Shahzad Shabbir.

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Dai, Z., Sadiq, M., Kannaiah, D. et al. The dynamic impacts of environmental-health and MDR-TB diseases and their influence on environmental sustainability at Chinese hospitals. Environ Sci Pollut Res 29, 40531–40541 (2022). https://doi.org/10.1007/s11356-022-19593-1

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