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Parkinson's Risk Factors Vary Among Ethnic Groups

ST. PAUL, MN -- January 22, 1998 -- Ethnic and cultural origin appear to
play a key role in who will develop Parkinson's disease and why, according to a
study published in this month's issue of Neurology.

The study looked at the environmental risk factors for PD among a
multi-ethnic urban community that included whites, African-Americans and
Hispanics. Among
the findings was that African-Americans who had lived in rural areas (farms
in the area) and drank well water for the longest period of their lives had
an increased risk for PD, while Hispanics who had lived in rural areas had
an  decreased risk of PD. Gardening resulted in an increased PD risk in
whites and Hispanics, but not African-Americans.

"Both genetic and environmental risk factors have been implicated in the
etiology of Parkinson's disease," explained study co-author Karen Marder, MD,
MPH, a neurologist at the Columbia University College of Physicians and
Surgeons and the Sergievsky Center, New York, N.Y. "It is possible that
different ethnic groups have genetic factors that make them more or less
vulnerable to
environmental factors."

In earlier research, PD has been associated with rural living, exposure to
pesticides and herbicides and well water in highly-industrialised countries like
the United States. The study found these same risk factors were also
associated with PD in African-Americans. In developing countries, urban
rather than rural living may be a risk factor as seen in the Hispanic patients.
<snip>
"This is the first study to examine environmental risk factors in a
multi-ethnic community," Marder said. "In future studies, analysis should
include
classification by ethnic group to see whether the same risk factors have
different effects."

Judith Richards
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