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From the Departments of Neurology (Dr. Gorell) and Biostatistics and Research Epidemiology (Drs. Johnson, Rybicki, and Peterson), Henry Ford Health System, Detroit, MI; the NIEHS Center in Molecular and Cellular Toxicology with Human Applications (Drs. Gorell and Johnson), Wayne State University, Detroit, MI; and the Toxicology Program, Department of Environmental and Industrial Health, School of Public Health (Dr. Richardson), University of Michigan, Ann Arbor, MI.
Address correspondence and reprint requests to Dr. Jay M. Gorell, Department of Neurology, Henry Ford Hospital and Health Sciences Center, 2799 W. Grand Boulevard, Detroit, MI 48202.
We assessed exposure to pesticides, farming, well water use, and rural living as risk factors for Parkinson's disease (PD) in a population-based case-control study consisting of men and women
50 years of age who had primary medical care at Henry Ford Health System in metropolitan Detroit. Enrolled PD patients (n = 144) and control subjects (n = 464) were frequency-matched for age, race, and sex. When adjusted for these variables and smoking status, there was a significant association of occupational exposure to herbicides (odds ratio [OR], 4.10; 95% CI, 1.37, 12.24) and insecticides (OR, 3.55; 95% CI, 1.75, 7.18) with PD, but no relation was found with fungicide exposure. Farming as an occupation was significantly associated with PD (OR, 2.79; 95% CI, 1.03, 7.55), but there was no increased risk of the disease with rural or farm residence or well water use. The association of occupational exposure to herbicides or insecticides with PD remained after adjustment for farming. The association of farming with PD was maintained after adjustment for occupational herbicide exposure and was of borderline significance after adjustment for occupational insecticide exposure. These results suggest that PD is associated with occupational exposure to herbicides and insecticides and to farming and that the risk of farming cannot be accounted for by pesticide exposure alone.
Supported by grants from the National Institute of Environmental Health Sciences (ES 06418, to J.M.G.), the William T. Gossett Parkinson's Disease Center, and the Louis Hayman Parkinson's Disease Research Fund, both of the Henry Ford Health System.
Received February 26, 1997. Accepted in final form December 29, 1997.
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