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Occup Environ Med 64:666-672 doi:10.1136/oem.2006.027003
  • Original article

Environmental risk factors for Parkinson’s disease and parkinsonism: the Geoparkinson study

Table 4 Adjusted results† (Parkinson’s disease only vs controls)
OR (95% CI)
Ever used tobacco containing product‡ 0.48 (0.40 to 0.58)
Ever consumed beer, wine or spirits regularly 0.92 (0.74 to 1.15)
House with water supply from river or well‡§ 1.23 (1.00 to 1.52)
Ever been knocked unconscious‡ 1.52 (1.23 to 1.88)
Knocked unconscious:
    Once vs never 1.28 (1.01 to 1.62)
    More than once vs never 2.56 (1.78 to 3.69)
Ever had a general anaesthetic for an operation 0.74 (0.61 to 0.91)
Ever been treated by doctor after exposure to gas/smoke 1.24 (0.60 to 2.57)
Ever taken sleeping pills for >1 year 1.38 (1.10 to 1.75)
Ever taken medicines for anxiety for >1 year 2.00 (1.55 to 2.57)
Ever taken medicines for depression for >1 year 1.90 (1.44 to 2.51)
First-degree family history of Parkinson’s disease‡ 4.63 (3.21 to 6.69)
Any exposure to solvents 1.06 (0.86 to 1.30)
Any exposure to pesticides 1.25 (0.97 to 1.61)
Any exposure to iron 1.07 (0.82 to 1.40)
Any exposure to manganese 0.98 (0.73 to 1.31)
Any exposure to copper 1.01 (0.73 to 1.39)
Average annual intensity of exposure to:
    Solvents:
        Low exposure* vs no exposure 1.21 (0.93 to 1.57)
        High exposure* vs no exposure 0.94 (0.72 to 1.21)
    Pesticides:
        Low exposure* vs no exposure 1.09 (0.77 to 1.55)
        High exposure* vs no exposure 1.39 (1.02 to 1.89)
    Iron:
        Low exposure* vs no exposure 1.05 (0.73 to 1.51)
        High exposure* vs no exposure 1.10 (0.77 to 1.59)
    Manganese:
        Low exposure* vs no exposure 1.10 (0.75 to 1.62)
        High exposure* vs no exposure 0.88 (0.59 to 1.30)
    Copper:
        Low exposure* vs no exposure 1.09 (0.71 to 1.69)
        High exposure* vs no exposure 0.94 (0.61 to 1.43)
  • *Cut-off point for low/high exposure taken to be median value of those exposed.

  • †Logistic regression adjusting for age, sex, country, ever used tobacco-containing product, ever knocked unconscious and first-degree family history of Parkinson’s disease.

  • ‡Odds ratios derived from a single logistic regression model with these factors as the only covariates.

  • §Excluding Malta water supply data.

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