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Pacific Islands Families Study: risk factors associated with otitis media with effusion among Pacific 2-year-old children.
Int J Pediatr Otorhinolaryngol. 2007 Jul; 71(7):1047-54.IJ

Abstract

OBJECTIVE

This study examined the risk factors associated with middle ear disease in a cohort of Pacific 2-year-old children residing in New Zealand.

METHODS

The data were gathered as part of the Pacific Island Families: first 2 years of life (PIF) study in which 656 2-year-old were screened using tympanometry to identify children at risk for otitis media with effusion (OME) and other otological disorders.

RESULTS

Within this 2-year-old cohort of Pacific children, one set of factors significantly associated with OME was clustered around the respiratory and auditory health of the child over the past year. OME was more likely for children who were regularly suffering from fluid/pus discharge from ears (OR=2.10, 95% CI: 1.01-4.35), children with five or more coughs/colds in the last year (OR=1.90, 95% CI: 1.22-3.00), and children who frequently/constantly snored (OR=2.60, 95% CI: 1.09-6.23) to have OME. Those children who were treated at home for breathing problems were more that two times more likely to have OME (OR=2.61, 95% CI: 1.55-4.42). A second set of factors was clustered around environmental risks that exposed children to a large number of other children. Children who attended a day care centre for more than 20h were five times more likely (OR=5.21, 95% CI: 2.90-9.35) and those who regularly attended church (OR=2.78, 95% CI: 1.05-7.40) were almost three times more likely to have OME.

CONCLUSIONS

These findings portray a child compromised by persistent ear infections and general coughs and colds as being at increased risk of contracting OME. In line with international research these findings raise questions about the negative child health effects associated with the day care environment for young children.

Authors+Show Affiliations

Auckland University of Technology, Auckland, New Zealand. janis.paterson@aut.ac.nzNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17467064

Citation

Paterson, J E., et al. "Pacific Islands Families Study: Risk Factors Associated With Otitis Media With Effusion Among Pacific 2-year-old Children." International Journal of Pediatric Otorhinolaryngology, vol. 71, no. 7, 2007, pp. 1047-54.
Paterson JE, Carter S, Wallace J, et al. Pacific Islands Families Study: risk factors associated with otitis media with effusion among Pacific 2-year-old children. Int J Pediatr Otorhinolaryngol. 2007;71(7):1047-54.
Paterson, J. E., Carter, S., Wallace, J., Ahmad, Z., Garrett, N., & Silva, P. A. (2007). Pacific Islands Families Study: risk factors associated with otitis media with effusion among Pacific 2-year-old children. International Journal of Pediatric Otorhinolaryngology, 71(7), 1047-54.
Paterson JE, et al. Pacific Islands Families Study: Risk Factors Associated With Otitis Media With Effusion Among Pacific 2-year-old Children. Int J Pediatr Otorhinolaryngol. 2007;71(7):1047-54. PubMed PMID: 17467064.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pacific Islands Families Study: risk factors associated with otitis media with effusion among Pacific 2-year-old children. AU - Paterson,J E, AU - Carter,S, AU - Wallace,J, AU - Ahmad,Z, AU - Garrett,N, AU - Silva,P A, Y1 - 2007/04/27/ PY - 2006/11/08/received PY - 2007/03/18/revised PY - 2007/03/19/accepted PY - 2007/5/1/pubmed PY - 2007/9/13/medline PY - 2007/5/1/entrez SP - 1047 EP - 54 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 71 IS - 7 N2 - OBJECTIVE: This study examined the risk factors associated with middle ear disease in a cohort of Pacific 2-year-old children residing in New Zealand. METHODS: The data were gathered as part of the Pacific Island Families: first 2 years of life (PIF) study in which 656 2-year-old were screened using tympanometry to identify children at risk for otitis media with effusion (OME) and other otological disorders. RESULTS: Within this 2-year-old cohort of Pacific children, one set of factors significantly associated with OME was clustered around the respiratory and auditory health of the child over the past year. OME was more likely for children who were regularly suffering from fluid/pus discharge from ears (OR=2.10, 95% CI: 1.01-4.35), children with five or more coughs/colds in the last year (OR=1.90, 95% CI: 1.22-3.00), and children who frequently/constantly snored (OR=2.60, 95% CI: 1.09-6.23) to have OME. Those children who were treated at home for breathing problems were more that two times more likely to have OME (OR=2.61, 95% CI: 1.55-4.42). A second set of factors was clustered around environmental risks that exposed children to a large number of other children. Children who attended a day care centre for more than 20h were five times more likely (OR=5.21, 95% CI: 2.90-9.35) and those who regularly attended church (OR=2.78, 95% CI: 1.05-7.40) were almost three times more likely to have OME. CONCLUSIONS: These findings portray a child compromised by persistent ear infections and general coughs and colds as being at increased risk of contracting OME. In line with international research these findings raise questions about the negative child health effects associated with the day care environment for young children. SN - 0165-5876 UR - https://www.unboundmedicine.com/medline/citation/17467064/Pacific_Islands_Families_Study:_risk_factors_associated_with_otitis_media_with_effusion_among_Pacific_2_year_old_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(07)00117-6 DB - PRIME DP - Unbound Medicine ER -