PMID- 38533017 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240328 IS - 2405-8440 (Print) IS - 2405-8440 (Electronic) IS - 2405-8440 (Linking) VI - 10 IP - 6 DP - 2024 Mar 30 TI - Associations between mixed exposure to phthalates and latent tuberculosis infection among the general U.S. population from NHANES 2011-2012. PG - e27958 LID - 10.1016/j.heliyon.2024.e27958 [doi] LID - e27958 AB - BACKGROUND: People are constantly exposed to phthalates, but few reliable studies have focused on the connection between phthalate exposure and latent tuberculosis infection (LTBI). METHODS: Data were obtained from the National Health and Nutrition Examination Survey (NHANES) database (2011-2012). The LTBI was assessed by QuantiFERON(R)-TB Gold-In-Tube (QFT) or tuberculin skin testing (TST). The odds ratios (ORs) and 95% confidence intervals (CIs) per log10 unit change in the concentration of phthalate metabolites were calculated using crude and adjusted logistic regression models. The relationships between mixed phthalate concentrations and LTBI were assessed using Bayesian kernel machine regression (BKMR) models. RESULTS: According to the results of the multivariable logistic regression, in a fully adjusted model, only monobenzyl phthalate (MBZP) was negatively associated with LTBI in Q3 (OR (95% CI): 0.485 (0.286,0.823), P = 0.007). According to the restricted cubic spline (RCS) model, there was a linear dose‒response association between all 11 phthalate metabolites and LTBI (p for nonlinearity >0.05). We found a significant positive correlation between mixed phthalate metabolites and LTBI by using fully adjusted BKMR model. CONCLUSIONS: Our analysis demonstrated that LTBI in the general U.S. population is linearly linked with exposure to single or combined phthalates. CI - (c) 2024 The Authors. FAU - Ran, Bi AU - Ran B AD - Department of Respiratory and Critical Care Medicine, West China Hospital and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy of China, Sichuan University. Guoxuexiang 37, Chengdu, Sichuan, 610041, China. FAU - Qin, Jiangyue AU - Qin J AD - Department of Respiratory and Critical Care Medicine, West China Hospital and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy of China, Sichuan University. Guoxuexiang 37, Chengdu, Sichuan, 610041, China. AD - General Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China. FAU - Wu, Yanqiu AU - Wu Y AD - Department of Respiratory and Critical Care Medicine, West China Hospital and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy of China, Sichuan University. Guoxuexiang 37, Chengdu, Sichuan, 610041, China. FAU - Wen, Fuqiang AU - Wen F AD - Department of Respiratory and Critical Care Medicine, West China Hospital and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy of China, Sichuan University. Guoxuexiang 37, Chengdu, Sichuan, 610041, China. LA - eng PT - Journal Article DEP - 20240315 PL - England TA - Heliyon JT - Heliyon JID - 101672560 PMC - PMC10963332 OTO - NOTNLM OT - Bayesian kernel machine regression (BKMR) OT - Latent tuberculosis infection OT - Multivariable logistic regression OT - NHANES OT - Phthalate metabolites OT - Restricted cubic spline (RCS) COIS- The authors declare the following financial interests/personal relationships which may be considered as potential competing interests:Fuqiang Wen reports financial support was provided by 10.13039/501100013365West China Hospital of 10.13039/501100004912Sichuan University. EDAT- 2024/03/27 06:44 MHDA- 2024/03/27 06:45 PMCR- 2024/03/15 CRDT- 2024/03/27 03:50 PHST- 2023/09/26 00:00 [received] PHST- 2024/02/17 00:00 [revised] PHST- 2024/03/08 00:00 [accepted] PHST- 2024/03/27 06:45 [medline] PHST- 2024/03/27 06:44 [pubmed] PHST- 2024/03/27 03:50 [entrez] PHST- 2024/03/15 00:00 [pmc-release] AID - S2405-8440(24)03989-6 [pii] AID - e27958 [pii] AID - 10.1016/j.heliyon.2024.e27958 [doi] PST - epublish SO - Heliyon. 2024 Mar 15;10(6):e27958. doi: 10.1016/j.heliyon.2024.e27958. eCollection 2024 Mar 30.