The age-range of risk of developing multiple sclerosis - Evidence from a migrant population in Australia

被引:141
作者
Hammond, SR
English, DR
McLeod, JG [1 ]
机构
[1] Univ Sydney, Dept Med, Sydney, NSW 2006, Australia
[2] Univ Western Australia, Dept Publ Hlth, Nedlands, WA 6009, Australia
关键词
multiple sclerosis; migration studies; prevalence; age-risk; case-control study;
D O I
10.1093/brain/123.5.968
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The prevalence of multiple sclerosis in the Australian-born population in five different regions of Australia has a strong correlation with latitude, the disease becoming increasingly prevalent with increasing south latitude. In this study, the prevalence in the migrant population from the UK and Ireland (UKI) in the different regions also showed a significant correlation with latitude, but this relationship was strongly influenced by the high prevalence in Hobart. Except for Hobart, the prevalence in migrants was considerably less than that in their countries of origin. The prevalence of multiple sclerosis among those migrating before the age of 15 years from the high-risk UKI to lower-risk Australia was not significantly different to that among those migrating at or after that age, and this finding was confirmed in a case-control study which demonstrated little association between age at migration and risk of developing multiple sclerosis, These findings suggest that the risk from environmental factors in multiple sclerosis may operate over a period of many years and not only in childhood and early adult life.
引用
收藏
页码:968 / 974
页数:7
相关论文
共 37 条
[1]  
ACHESON ED, 1985, MCALPINES MULTIPLE S, P3
[2]   MULTIPLE SCLEROSIS AMONG ORIENTALS AND CAUCASIANS IN HAWAII [J].
ALTER, M ;
OKIHIRO, M ;
ROWLEY, W ;
MORRIS, T .
NEUROLOGY, 1971, 21 (02) :122-&
[3]   MIGRATION AND RISK OF MULTIPLE-SCLEROSIS [J].
ALTER, M ;
KAHANA, E ;
LOEWENSON, R .
NEUROLOGY, 1978, 28 (11) :1089-1093
[4]   RISK OF MULTIPLE SCLEROSIS RELATED TO AGE AT IMMIGRATION TO ISRAEL [J].
ALTER, M ;
LEIBOWITZ, U ;
SPEER, J .
ARCHIVES OF NEUROLOGY, 1966, 15 (03) :234-+
[5]  
BEEBE GW, 1967, NEUROLOGY, V17, P1
[6]  
Breslow NE, 1980, STAT METHODS CANC RE, V1, DOI DOI 10.1097/00002030-199912240-00009
[7]   MOTOR-NEURON DISEASE AND MULTIPLE-SCLEROSIS MORTALITY IN AUSTRALIA, NEW-ZEALAND AND SOUTH-AFRICA COMPARED WITH ENGLAND AND WALES [J].
DEAN, G ;
ELIAN, M .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1993, 56 (06) :633-637
[8]   RISK OF MULTIPLE SCLEROSIS ACCORDING TO AGE AT IMMIGRATION TO SOUTH AFRICA [J].
DEAN, G ;
KURTZKE, JF .
BMJ-BRITISH MEDICAL JOURNAL, 1971, 3 (5777) :725-+
[9]   Age at immigration to England of Asian and Caribbean immigrants and the risk of developing multiple sclerosis [J].
Dean, G ;
Elian, M .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1997, 63 (05) :565-568
[10]   MULTIPLE-SCLEROSIS AND AGE AT MIGRATION [J].
DETELS, R ;
VISSCHER, BR ;
HAILE, RW ;
MALMGREN, RM ;
DUDLEY, JP ;
COULSON, AH .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1978, 108 (05) :386-393