PARKINSONS-DISEASE - A CASE-CONTROL STUDY OF OCCUPATIONAL AND ENVIRONMENTAL RISK-FACTORS

被引:231
作者
HERTZMAN, C
WIENS, M
BOWERING, D
SNOW, B
CALNE, D
机构
[1] SKEENA HLTH UNIT,TERRACE,BC,CANADA
[2] UNIV BRITISH COLUMBIA,DIV NEUROL,VANCOUVER V6T 1W5,BC,CANADA
关键词
environmental exposure; occupational exposure; Parkinson's disease; pesticides; toxins;
D O I
10.1002/ajim.4700170307
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We compared personal histories of 57 cases and 122 age‐matched controls to identify possible environmental determinants of Parkinson's disease (PD). Odds ratios (OR) adjusted for sex, age, and smoking were computed using stepwise logistic regression. We found a statistically significant increased risk for working in orchards (OR = 3.69, p = 0.012, 95% CI = 1.34, 10.27) and a marginally significant increased risk associated with working in planer mills (OR = 4.11, p = 0.065, 95% Cl = 0.91, 18.50). A Fisher's exact test of the association between PD development and (1) paraquat contact, and (2) postural tremor gave statistically significant probability estimates of 0.01 and 0.03, respectively. The relative risk of PD decreased with smoking, an inverse relationship supported by many studies. Copyright © 1990 Wiley Periodicals, Inc., A Wiley Company
引用
收藏
页码:349 / 355
页数:7
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