<![CDATA[Background: Pulmonary tuberculosis (TB) remains a public health problem in Indonesia. Environmental factors, particularly the physical condition of the house, are suspected to play a role in the transmission of pulmonary TB. This study aims to analyze the relationship between housing physical conditionsincluding ventilation, humidity, lighting, occupancy density, type of flooring, and type of walls and the incidence of pulmonary TB using a systematic literature review approach. Methods: This study employed a systematic literature review by searching for articles in Google Scholar. A total of 20 articles that met the inclusion and exclusion criteria were reviewed. The selection process was conducted systematically based on PRISMA guidelines, followed by data extraction and descriptive analysis to identify patterns of association among variables. Results: The findings indicate that ventilation, humidity, lighting, and occupancy density are the factors most consistently associated with the incidence of ulmonary TB. Most articles reported significant associations (p < 0.05) between inadequate ventilation, high humidity, poor lighting, and high occupancy density and an increased risk of pulmonary TB. Houses that do not meet health standards contribute to a higher likelihood of transmission within households.Meanwhile, the type of flooring and type of walls generally did not show a significant association with pulmonary TB incidence. However, these factors may still act as supporting risk factors when combined with poor housing conditions and low socioeconomic status. Overall, housing physical conditions play an important role in the transmission of pulmonary TB within residential settings. Keywords: Pulmonary tuberculosis, physical housing conditions, systematic literature review.]]>
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