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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1993-10-19
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pubmed:abstractText |
It has been reported that parental human leukocyte antigen (HLA) compatibility is associated with certain adverse reproductive outcomes such as multiple spontaneous fetal losses and malformations, particularly among women without a prior livebirth. In order to study the relation between parental HLA compatibility and the risk of SIDS, a population-based case-control study was conducted using 1982-1990 Washington State linked birth and death certificate data. Concordance of parental race/ethnicity combined with prior maternal fetal loss was used as surrogate measures of parental HLA compatibility. The relation was evaluated separately among infants with and without a prior live-born sibling. Among first liveborn infants, those of racially discordant parents were at reduced risk of SIDS compared with those of racially concordant parents (relative risk [RR] = 0.57, 95% confidence interval = 0.34-0.96). Infants of white-minority parents were all at lower risk of SIDS than infants of white-white parents. Infants of racially concordant parents with two or more prior fetal losses were at increased risk of SIDS (RR = 2.44, 1.07-5.56), relative to infants of racially discordant parents. No such associations were observed among infants with prior live-born siblings. In fact, in this latter population, infants of racially concordant parents tended to have a lower risk of SIDS than those of discordant parents. This study suggests that a portion of SIDS cases, particularly among first live-born infants, may be due to parental HLA sharing. However, final determination of the existence of this relationship requires actual HLA typing of parents of both cases and controls.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0269-5022
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
253-62
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8378168-Adult,
pubmed-meshheading:8378168-Case-Control Studies,
pubmed-meshheading:8378168-Continental Population Groups,
pubmed-meshheading:8378168-Female,
pubmed-meshheading:8378168-Fetal Death,
pubmed-meshheading:8378168-HLA Antigens,
pubmed-meshheading:8378168-Humans,
pubmed-meshheading:8378168-Infant, Newborn,
pubmed-meshheading:8378168-Parents,
pubmed-meshheading:8378168-Risk Factors,
pubmed-meshheading:8378168-Sudden Infant Death,
pubmed-meshheading:8378168-Washington
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pubmed:year |
1993
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pubmed:articleTitle |
Concordance of parental race/ethnicity in relation to the risk of sudden infant death syndrome (SIDS).
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pubmed:affiliation |
Department of Epidemiology, School of Public Health and Community Medicine, University of Washington, Seattle.
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pubmed:publicationType |
Journal Article
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