Association of juvenile idiopathic arthritis with maternal infection: a case control study
Anna Sutton1, Sabah M Quraishi2, Susan Shenoi3
1Department of Epidemiology, University of Washington School of Public Health, UW Box # 351619, 3980 15th Ave NE, Seattle, WA, 98195, USA. asutton6@uw.edu.
Insights
Maternal infection does not increase the risk of Juvenile Idiopathic Arthritis (JIA). Further research is needed to explore potential sex-specific differences in this association.
Area of Science:
- Pediatric Rheumatology
- Immunology
- Epidemiology
Background:
- Maternal infections are suspected risk factors for childhood autoimmune diseases.
- Limited research exists on the link between maternal infection and Juvenile Idiopathic Arthritis (JIA).
Purpose of the Study:
- To investigate the association between maternal infection during pregnancy and the development of Juvenile Idiopathic Arthritis (JIA) in offspring.
Main Methods:
- A case-control study utilized a database of 1290 JIA cases and 6072 matched controls.
- Maternal infection data were sourced from Washington State birth records.
- Logistic regression analysis calculated adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs).
Main Results:
- No significant association was found between maternal infection and JIA (OR = 1.02, 95% CI: 0.8-1.3).
- Specific JIA categories, including persistent oligoarticular, RF negative polyarticular, and enthesitis-related JIA, showed no association with maternal infection.
- Sex-stratified analysis indicated a potential, though not statistically significant, increased association between maternal infection and JIA in females.
Conclusions:
- The study did not find evidence that maternal infection increases the risk of Juvenile Idiopathic Arthritis (JIA).
- Suggestive sex-specific differences warrant further investigation in larger cohorts.
Objective:
Maternal infection has been posited as a risk factor for childhood autoimmune disease such as type I diabetes. Given that similar studies in JIA are scant, our objective was to evaluate the association between Juvenile Idiopathic Arthritis (JIA) and maternal infection.
Methods:
This case-control study used an existing database that included 1290 JIA cases and 6072 controls matched on birth year. Maternal infection information was obtained from Washington State birth records. JIA diagnosis and categories were confirmed through chart review. Logistic regression was used to calculate adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs).
Results:
JIA was not associated with maternal infection (OR = 1.02, 95%CI: 0.8-1.3). There was no association between JIA and maternal infection for persistent oligoarticular, RF negative polyarticular, or enthesitis-related JIA. There was suggestive evidence of an increased association of maternal infection with JIA in females in sex-stratified analysis.
Conclusions:
We did not observe an increased risk of JIA in children exposed to maternal infection. Suggestive evidence of differential sex-specific results warrants further study.
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