Evidence map›Paper›PMID 41063039›Full record

ArticleBMC public health2025

The impact of prolonged air pollution exposure on urinary tract and male reproductive system infections: insights from a large-scale prospective cohort study.

Luyao Chen, Lewei Guan, Fuchun Zheng, Yuyang Yuan, Sheng Li, Situ Xiong, Yue Gao, Bin Fu, Lizhi Zhou

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Association between long-term PMBMC public health · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Luyao Chen *Department of Urology, Jiangxi Provincial Key Laboratory of Urinary System Diseases, The First Affiliated Hospital , Nanchang University, Nanchang, Jiangxi, China.
Lewei Guan *Huankui Academy, Nanchang University, Nanchang, 330000, China.
Fuchun Zheng *Department of Urology, Jiangxi Provincial Key Laboratory of Urinary System Diseases, The First Affiliated Hospital , Nanchang University, Nanchang, Jiangxi, China.
Yuyang YuanDepartment of Urology, Jiangxi Provincial Key Laboratory of Urinary System Diseases, The First Affiliated Hospital , Nanchang University, Nanchang, Jiangxi, China.
Sheng LiDepartment of Urology, Jiangxi Provincial Key Laboratory of Urinary System Diseases, The First Affiliated Hospital , Nanchang University, Nanchang, Jiangxi, China.
Situ XiongDepartment of Urology, Jiangxi Provincial Key Laboratory of Urinary System Diseases, The First Affiliated Hospital , Nanchang University, Nanchang, Jiangxi, China.
Yue GaoDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Bin FuDepartment of Urology, Jiangxi Provincial Key Laboratory of Urinary System Diseases, The First Affiliated Hospital , Nanchang University, Nanchang, Jiangxi, China. urodoc@ncu.edu.cn.
Lizhi ZhouDepartment of Urology, Jiangxi Provincial Key Laboratory of Urinary System Diseases, The First Affiliated Hospital , Nanchang University, Nanchang, Jiangxi, China. lizhizhou@ncu.edu.cn.

Funding

iangxi Provincial Health Commission Technology Creative Key Project 2025ZD004National Natural Science Foundation of China 82400848National Natural Science Foundation of China 82460547
6 · The paper itself

Abstract

objectiveTo assess the link between long-term air pollution exposure and the risk of urinary tract infections (UTIs) and male reproductive system infections (MRSIs), which significantly impact incidence and quality of life.

methodsThis prospective cohort study included 375,833 participants from the UK Biobank. We used a Cox proportional hazards model, adjusting for covariates, to evaluate the association between exposure to air pollutants (PM2.5, PMcoarse, PM10, NO2, and NOx) and the risk of UTIs and MRSIs. Nonlinear exposure-response relationships were assessed with restricted cubic splines, and subgroup analyses were conducted to examine potential effect modifiers.

resultsOver a median follow-up of 12.4 years, 26,279 new UTIs and 3,545 MRSI cases were detected. It was found that there were significant connections between the likelihood of developing UTIs and being exposed to PM2.5 (hazard ratios (HRs): 1.43, 95% confidence interval (CI): 1.34–1.53), PMcoarse (HR: 1.17, 95% CI: 1.08–1.27), PM10 (HR: 1.24, 95% CI: 1.15–1.34), NO2 (HR: 1.10, 95% CI: 1.08–1.12), and NOx (HR: 1.09, 95% CI: 1.07–1.11). Similar associations were found for MRSIs. Restricted cubic spline analyses revealed non-linear exposure-response relationships for all pollutants. The strength of these connections was validated through sensitivity analyses.

conclusionsLong-term exposure to air pollutants is associated with a higher risk of UTIs and MRSIs, emphasizing the urgent need to improve air quality to mitigate these health risks.

Indexed as

Air PollutionEnvironmental ExposureGenital Diseases, MaleReproductive Tract InfectionsUrinary Tract InfectionsAgedAir PollutantsHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesUnited KingdomAir PollutantsAir pollutionUK biobankUrinary tract infections

Identifiers

PMID41063039
PMCPMC12505862

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.