We studied the incidence of Parkinson's disease in 586 first-degree re
latives (parents and siblings) of 114 randomly ascertained white patie
nts with idiopathic Parkinson's disease and in 522 first-degree relati
ves of 114 age-matched unrelated white control subjects. Sixteen perce
nt of patients had a family history as compared to 4% of control subje
cts (p < 0.01). The age-specific cumulative incidence was higher in th
e first-degree relatives of patients than in the first-degree relative
s of control subjects (p = 0.007). The age-adjusted odds ratio was 3.5
(95% confidence interval: 1.3-9.4; P = 0.014). These results suggest
that genes contribute to the etiology of Parkinson's disease.