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Table 2 Multivariable Cox proportional hazards regression on the association between childhood and adolescence factors and multiple sclerosis

From: Childhood and adolescence factors and multiple sclerosis: results from the German National Cohort (NAKO)

Variable

Multivariable Cox proportional hazards modela

HRb

95% CIb

Sex

 Female

Ref

 

 Male

0.48

0.41 – 0.56

Number of siblings

 Only child

Ref

 

 1-2 sibling(s)

0.93

0.73 – 1.17

 ≥ 3 siblings

0.81

0.61 – 1.09

Premature birth (> 4 weeks before due date)

 No

Ref

 

 Yes

0.94

0.61 – 1.47

Cesarean section

 No

Ref

 

 Yes

1.10

0.80 – 1.52

Birth weight

 Low

0.99

0.74 – 1.33

 Average

Ref

 

 High

1.14

0.90 – 1.45

Ever breastfed

 No

Ref

 

 Yes, ≤ 4 months

1.02

0.79 – 1.31

 Yes, > 4 months

0.88

0.69 – 1.11

Contact with pets and/or livestock during childhood

 No

Ref

 

 Yes

1.04

0.69 – 1.58

Attended daycare

 No

Ref

 

 Yes, 1st attendance at age 3-6 years

0.93

0.77 – 1.12

 Yes, 1st attendance at age 1- < 3 year(s)

0.77

0.58 – 1.03

 Yes, 1st attendance at age < 1 year

0.97

0.63 – 1.50

Weight at the age of 10 years compared to peers

 Lower

0.86

0.70 – 1.05

 Average

Ref

 

 Higher

0.93

0.73 – 1.19

BMIb at the age of 18 years (kg/m2)

 Underweight (< 18.5)

1.12

0.89 – 1.42

 Normal weight (18.5 - < 25)

Ref

 

 Overweight (25 - < 30)

2.03

1.41 – 2.94

 Obesity (≥ 30)

1.89

1.02 – 3.48

Childhood Traumac (per 5 units)

1.08

0.95 – 1.24

  1. aAdjusted for education and migration status, stratified by birth year (categorized as: < 1955, 1955–1964, 1965–1974, 1975–1984, ≥ 1985)
  2. bHR Hazard Ratio, CI Confidence Interval, BMI Body Mass Index
  3. cAssessed with the Childhood Trauma Screener (5 – 25 points)