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Research ArticleOriginal Articles
Open Access

Risk factors of multiple sclerosis in Aseer region, Kingdom of Saudi Arabia A case-control study

Aesha F. Siddiqui, Abdullah A. Alsabaani, Ahmed Y. Abouelyazid and Yasser I. Wassel
Neurosciences Journal January 2021, 26 (1) 69-76; DOI: https://doi.org/10.17712/nsj.2021.1.20200107
Aesha F. Siddiqui
From the Department of Family and Community Medicine (Siddiqui), from the Department of Family and Community Medicine (Alsabaani), King Khalid University, Abha; from the Department of Preventive Medicine (Abouelyazid), from the Department of Neurology (Wassel), Armed Forced Hospital Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia; and from the Department of Public Health (Abouelyazid, Wassel), Faculty of Medicine, Mansoura University, Egypt
DFM, MD
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  • For correspondence: [email protected]
Abdullah A. Alsabaani
From the Department of Family and Community Medicine (Siddiqui), from the Department of Family and Community Medicine (Alsabaani), King Khalid University, Abha; from the Department of Preventive Medicine (Abouelyazid), from the Department of Neurology (Wassel), Armed Forced Hospital Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia; and from the Department of Public Health (Abouelyazid, Wassel), Faculty of Medicine, Mansoura University, Egypt
MPH, PhD
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Ahmed Y. Abouelyazid
From the Department of Family and Community Medicine (Siddiqui), from the Department of Family and Community Medicine (Alsabaani), King Khalid University, Abha; from the Department of Preventive Medicine (Abouelyazid), from the Department of Neurology (Wassel), Armed Forced Hospital Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia; and from the Department of Public Health (Abouelyazid, Wassel), Faculty of Medicine, Mansoura University, Egypt
PhD
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Yasser I. Wassel
From the Department of Family and Community Medicine (Siddiqui), from the Department of Family and Community Medicine (Alsabaani), King Khalid University, Abha; from the Department of Preventive Medicine (Abouelyazid), from the Department of Neurology (Wassel), Armed Forced Hospital Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia; and from the Department of Public Health (Abouelyazid, Wassel), Faculty of Medicine, Mansoura University, Egypt
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Article Figures & Data

Tables

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    Table 1

    Relationship of socio-demographic factors with multiple sclerosis.

    Risk factorCasesControlc2OR (CI)P-value
    Gender
     Male32 (39.0)54 (65.9)11.83.01 (1.59:5.69)0.001
     Female50 (61.0)28 (34.1)
    Body mass index
     Non-obese39 (47.5)35 (42.6)0.3940.82 (0.44:1.52)0.319
     Obese43 (52.5)47 (57.4)
    Marital status
     Married58 (70.7)48 (58.5)2.660.58 (0.30:1.11)0.07
     Single24 (29.3)34 (41.5)
    Left handedness
     Yes4 (4.9)20 (24.4)*6.29 [2.04:19.35]<0.05
     No78 (95.1)62 (75.6)
    • Values are presented as numbers and percentages (%).

    • ↵* Fisher’s exact test, CI - confidence interval, OR: odds ratio

    • View popup
    Table 2

    Association of environmental risk factors with multiple sclerosis.

    VariablesCasesControlχ2OR [95% CI]P-value
    Low sunlight exposure (<15 min/ day)
     Yes64 (78.0)34 (41.5)22.82.02 [2.53: 9.9]0.000
     No18 (22.0)48 (58.5)
    Cigarette Smoking
     Yes14 (17.1)29 (35.4)7.12.68 [1.27: 5.52]0.008
     No68 (82.9)53 (64.6)
    Animal exposure
     Yes4 (4.9)3 (3.7)*1.3 [0.29: 6.2]0.699
     No78 (95.1)79 (96.3)
    • ↵* Fisher’s exact test, OR - odds ratio

    • View popup
    Table 3

    Relationship of family history and autoimmune diseases with multiple sclerosis.

    Risk FactorCasesControlsχ2OR [95% CI]P-value
    Parental consanguinity
     Yes40 (48.8)25 (30.5)5.7342.17 [1.14: 4.11]0.017
     No42 (51.2)57 (69.5)
    Family history
     Yes4 (4.9)0 (0.0)*2.1 [1.7: 2.4]0.06
     No78 (95.1)82 (100)
    Previous Vitamin D deficiency
     Yes50 (61.0)46 (56.1)0.41.2 [0.65: 2.27]0.52
     No32 (39.0)36 (43.9)
    Autoimmune disease Type 1 Diabetes
     Yes10 (12.2)2 (2.4)*5.56 [1.18: 26.2]0.03
     No72 (87.8)80 (97.6)
    Psoriasis
     Yes11 (13.4)4 (4.9 )*3.02 [0.92: 9.92]0.01
     No71 (86.6)87 (95.1)
    Celiac disease
     Yes11 (13.4)1 (1.2)*12.5 [1.58: 99.6]0.003
     No71 (86.6)81 (98.8)
    • ↵* Fisher’s exact test, OR - odds ratio

    • View popup
    Table 4

    Association of childhood risk factors with multiple sclerosis.

    Childhood factorCasesControlsχ2P-valueOdds ratio [95%CI]
    Only fed breast milk
     Yes72 (87.8)82 (100)*0.0010.46 [0.39: 0.55]
     No10 (13.0)0 (0.0)
    Complete childhood vaccination
     Yes56 (71.8)34 (41.5)14.90.0003.59 [1.85: 6.95]
     No22 (28.2)48 (58.5)
    Chicken pox
     Yes23 (28.0)2 (2.4)*<0.0115.59 [3.55: 68.7]
     No59 (72.0)80 (97.6)
    • ↵* Fisher’s exact test

    • View popup
    Table 5

    Multiple logistic regression analysis for risk factors of multiple sclerosis.

    VariablesCasesControlsSig.AOR95% CI
    LowerUpper
    Chicken pox infection in childhood
     Yes23 (28.0)2 (2.4)<0.0010.045Reference
     No59 (72.0)80 (97.6)0.0150.135
    Sun exposure <15 mins.
     Yes64 (78.0)34 (41.5)<0.05Reference
     No18 (22.0)48 (58.5)0.2710.1210.609
    • Sig - significance, AOR - adjusted odds ratio, CI - confidence interval

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Neurosciences Journal: 26 (1)
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Risk factors of multiple sclerosis in Aseer region, Kingdom of Saudi Arabia A case-control study
Aesha F. Siddiqui, Abdullah A. Alsabaani, Ahmed Y. Abouelyazid, Yasser I. Wassel
Neurosciences Journal Jan 2021, 26 (1) 69-76; DOI: 10.17712/nsj.2021.1.20200107

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Risk factors of multiple sclerosis in Aseer region, Kingdom of Saudi Arabia A case-control study
Aesha F. Siddiqui, Abdullah A. Alsabaani, Ahmed Y. Abouelyazid, Yasser I. Wassel
Neurosciences Journal Jan 2021, 26 (1) 69-76; DOI: 10.17712/nsj.2021.1.20200107
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