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Medical History and Multiple Sclerosis: A Population-Based Incident Case-Control Study Publisher Pubmed



Abdollahpour I1 ; Lizarraga AA2 ; Nedjat S3 ; Mansournia MA4 ; Weinstockguttman B5
Authors
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Authors Affiliations
  1. 1. Department of Epidemiology, School of Public Health, Arak University of Medical Sciences, Markazi, Arak, 3818146851, Iran
  2. 2. Jacobs School of Medicine and Biomedical Science, University at Buffalo, Buffalo, NY, United States
  3. 3. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Knowledge Utilization Research Center, Tehran University of Medical Science, Tehran, Iran
  4. 4. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Neurology, Jacobs School of Medicine and Biomedical Science, University of Buffalo, Buffalo, NY, United States

Source: Neuroepidemiology Published:2019


Abstract

Background: Consistent evidence regarding the potential role of medical history in multiple sclerosis (MS) etiology is lacking. Objective: The association of medical history variables, that is, head injury and 9 autoimmune diseases with MS onset was investigated. Methods: This was a population-based incident case-control study in Iran with 547 incident cases and 1,057 general population controls (August 7, 2013 - February 17, 2015). Multiple logistic regression models were used for estimating the adjusted ORs. Results: Lifetime history of head trauma was not significantly associated with risk of MS after adjustment for well-known confounders (OR 1.24 [0.93-1.66, p = 0.14]). Similarly, there was no statistically significant association between cumulative numbers of head injury and MS (OR 1.02 [0.90-1.15, p = 0.79]). A history of autoimmune disease did not increase the risk of MS (p > 0.1). Similarly, the cumulative number of autoimmune diseases is not significantly associated with the risk of MS (p > 0.70). Conclusion: Lifetime histories of head trauma as well as 9 investigated autoimmune diseases are not associated with increased risk of MS. © 2018 S. Karger AG, Basel.
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