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Occupational Exposure and Risk of Central Nervous System Demyelination
Citation
Valery, PC and Lucas, RM and Williams, DB and Pender, MP and Chapman, C and Coulthard, A and Dear, K and Dwyer, T and Kilpatrick, TJ and McMichael, AJ and van der Mei, I and Taylor, BV and Ponsonby, A-L, Occupational Exposure and Risk of Central Nervous System Demyelination, American Journal of Epidemiology, 177, (9) pp. 954-961. ISSN 0002-9262 (2013) [Refereed Article]
Copyright Statement
Copyright 2013 The Authors.
Abstract
Inconsistent evidence exists regarding the association between work-related factors and risk of multiple sclerosis (MS). We examined the association between occupational exposures and risk of a first clinical diagnosis of central nervous system demyelination (FCD), which is strongly associated with progression to MS, in a matched case-control study of 276 FCD cases and 538 controls conducted in Australia (2003-2006). Using a personal residence and work calendar, information on occupational history and exposure to chemicals and animals was collected through face-to-face interviews. Few case-control differences were noted. Fewer cases had worked as professionals (¡Ý6 years) than controls (adjusted odds ratio (AOR) = 0.60, 95% confidence interval (CI): 0.37, 0.96). After further adjustment for number of children, cases were more likely to have ever been exposed to livestock than controls (AOR = 1.54, 95% CI: 1.03, 2.29). Among women, there was an increase in FCD risk associated with 10 or more years of exposure to livestock (AOR = 2.78, 95% CI: 1.22, 6.33) or 6 or more years of farming (AOR = 2.00, 95% CI: 1.23, 3.25; also adjusted for number of children). Similar findings were not evident among men. Thus, farming and exposure to livestock may be important factors in the development of FCD among women, with this finding further revealed after the confounding effect of parity or number of children is considered.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | confounding, multiple sclerosis, occupational exposure, risk factors |
| Research Division: | Biomedical and Clinical Sciences |
| Research Group: | Neurosciences |
| Research Field: | Central nervous system |
| Objective Division: | Health |
| Objective Group: | Clinical health |
| Objective Field: | Clinical health not elsewhere classified |
| UTAS Author: | van der Mei, I (Professor Ingrid van der Mei) |
| UTAS Author: | Taylor, BV (Professor Bruce Taylor) |
| ID Code: | 84741 |
| Year Published: | 2013 |
| Web of Science® Times Cited: | 11 |
| Deposited By: | Menzies Institute for Medical Research |
| Deposited On: | 2013-05-29 |
| Last Modified: | 2017-11-07 |
| Downloads: | 0 |
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