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American Journal of Epidemiology Vol. 132, No. 6: 1111-1119
Copyright © 1990 by The Johns Hopkins University School of Hygiene and Public Health


research-article

PERINATAL RISK FACTORS FOR INFLAMMATORY BOWEL DISEASE: A CASE-CONTROL STUDY

ANDERS EKBOM1,, HANS-OLOV ADAMI1, CHARLES G. HELMICK2, ANDERS JONZON3 and MATTHEW M. ZACK2

1Department of Surgery, Unit of Cancer Epidemiology, University Hospital Uppsala, Sweden
2Aging and Statistics Branch, Division of Chronic Disease Control and Community Intervention, Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control Atlanta, GA
3Department of Pediatrics, University Hospital Uppsala, Sweden

Reprint requests to Dr. Anders Ekbom, Department of Surgery, University Hospital, S-75 1 85, Uppsala, Sweden

To examine perinatal risk factors for Crohn's disease and ulcerative colitis, the authors analyzed birth records for 257 known case participants delivered from 1924 through 1957 at the University Hospital in Uppsala County, Sweden, and compared them with records for 514 controls delivered at the hospital. The two groups were matched by date of birth, sex, and either maternal age or parity. Eleven study variables were abstracted from standard forms that recorded health events during the pregnancy and the delivery hospitalization. Participants were more likely than controls to have a recorded health event (odds ratio (OR) = 4.4; 95% confidence interval (Cl) 3.0–6.4). In a multivarlate model, this increased risk was evident for infectious (OR = 3.8; 95% Cl 2.6–5.8) and noninfectious (OR = 3.5; 95% Cl 2.0–6.3) events. Perinatal health events may have contributed to 40% of the inflammatory bowel disease cases in our study. Infants from families with low socioeconomic status had greater risk of inflammatory bowel disease than did infants from families with high socioeconomic status (OR = 3.0, 95% Cl 1.5– 8.1). Perinatal health events and low socioeconomic status independently in creased the risk of inflammatory bowel disease.

colitis, ulcerative; Crohn disease; Crohn disease, etiology; infection; inflammatory bowel diseases; pregnancy complications, Infectious; risk factors; social class


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