Thirty-six cases of patients with clinically diagnosed Alzheimer's dis
ease (CDAD) were identified from the dementia clinic of the Burke Reha
bilitation Center. Controls were identified from the rehabilitative un
its of the same facility. Controls were matched for age within 5 years
, sex, race, marital status, status at time of surrogate interview (ca
se alive or dead), and the absence of dementia. Birth in an urban vers
us a rural environment (OR = 16), childhood in an urban versus a rural
environment (OR = 9.5), and adult life in an urban versus a rural env
ironment (OR = 16) were associated with an increased risk to develop C
DAD. The daily or weekly use of beef/pork (OR = 4) and saccharin (OR =
2.25) were associated with an increased risk to develop CDAD as was t
he ownership of a pet rabbit (OR = 2). Further, a history of other can
cers (OR = 3) in cases with CDAD was associated with an increased risk
to develop CDAD. Type A personality characteristics were found to be
associated with an increased risk ('ate fast' (OR = 3.5), 'not relaxed
and easy-going' (OR = 2.25), 'always rushed' (OR = 2.00) to develop C
DAD as was a history of depression (OR = 2). Due to the small sample s
ize, statistically meaningful confidence intervals could not be calcul
ated and our results must be confirmed in larger samples of case contr
ol pairs.