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Published on: March 25, 2016
Early childhood infections and risk of schizophrenia
Wenbin Liang1, Tanya Chikritzhs
1National Drug Research Institute, Curtin University, GPO Box U1987, Perth, WA 6845, Australia. w.liang@curtin.edu.au
Insights
Early childhood infections, particularly those requiring hospitalization, significantly increase the risk of developing schizophrenia in males. This study highlights a potential link between early infections and later-life mental health outcomes.
Area of Science:
- Neuroscience
- Psychiatry
- Epidemiology
Background:
- The relationship between early life infections and schizophrenia risk remains incompletely understood.
- Investigating environmental factors in schizophrenia etiology is crucial for prevention strategies.
Purpose of the Study:
- To examine the association between hospitalized infections in early childhood (0-3 years) and the subsequent risk of schizophrenia in a male cohort.
- To differentiate the impact of specific infection types, such as intestinal and respiratory infections.
Main Methods:
- Utilized a population-based cohort of males born in Western Australia (1980-1984).
- Linked birth registry records with health data via the Western Australian Data Linkage System for follow-up until 2009.
- Employed stratified analysis and multivariate logistic regression to assess infection-schizophrenia risk associations.
Main Results:
- Males with two or more hospitalizations for infections before age three exhibited an 80% increased risk of schizophrenia.
- This elevated risk persisted when analyses were restricted to intestinal infections (gastroenteritis) and acute respiratory infections.
Conclusions:
- Findings support the hypothesis that early childhood infections may contribute to the development of schizophrenia later in life.
- Early life infections represent a potential modifiable risk factor for schizophrenia.
Abstract:
The association between early childhood infections and the risk of schizophrenia is not clear, and this study aimed to investigate the association between childhood infections and the risk of schizophrenia in a population-based Australia male cohort. A population-based cohort of males born between 1980 and 1984 in Western Australia was identified using birth registry records and followed-up until December 31st, 2009 or death using linked health data available through the Western Australian Data Linkage System. The associations between hospitalized infections occurring during 0-3yr of age and risk of schizophrenia were assessed with stratified analysis and multivariate logistic regression models. Analysis was further repeated to assess the effect of hospitalized intestinal infections (gastroenteritis) and respiratory infections. It was observed that male participants with two or more hospitalizations for infections before the age of three had an 80% higher risk of schizophrenia, and these findings remained when the analysis was limited to intestinal infections and acute respiratory infections. These findings support the hypothesis that infections during early childhood may lead to the onset of schizophrenia in later life.
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