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Study of Effect of Household Parental Smoking on Development of Acute Otitis Media in Children Under 12 Years.

Abstract

BACKGROUND & AIM

High prevalence of acute otitis media (AOM) in children represents a combination of the factors developing eustachian tube dysfunction and higher susceptibility to upper respiratory tract infections in children. This disease is relatively prevalent in Iran and much cost is spent annually to treat it. This study investigated the effect of household parental smoking on development of AOM in children under 12 years.

METHODS

In this case-control study all patients under the age of 12 years with AOM referring an ENT clinic in Shahrekord, southwest Iran between April 2014 and August 2014 were enrolled by convenience sampling. This study included two groups. Group 1 (G1) was exposed to parental smoking at home and group 2 (G2) was not. For the patients, a questionnaire of demographic data such as age and gender, the disease symptoms, parents' education level, history of respiratory diseases, allergy, surgery (adenoidectomy, tonsillectomy, and tympanostomy), and household smoking was filled out by a specialist through interview.

RESULTS

In this study, 250 children 1-12 years with AOM, 145 in G1 and 105 in G2, were investigated. Clinical symptoms including fever (p=0.001) and hearing loss (p=0.014) were significantly more frequent in the children of G1 than G2, and otalgia, discharge, and tinnitus were similarly frequent in the two groups (p>0.05). Also, eardrum inflammation was more frequent in G1 than G2, with no significant difference (p>0.05). AOM was reported 70.3% in G1, which was higher than 26.7% reported in G2 (p=0.001). Also, asthma, recurrent ear pain, enlargement of the tonsils, and respiratory problems were more frequent in G1 than G2 (p<0.05).

CONCLUSIONS

Parental smoking was a risk factor for AOM and respiratory problems and therefore the parents are recommended to avoid smoking near children to reduce the likelihood of AOM development and exacerbation in children.

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  • Authors+Show Affiliations

    ,

    Department of Otolaryngology, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran. soamani2008@yahoo.com.

    Source

    Global journal of health science 8:5 2015 Sep 02 pg 81-8

    MeSH

    Age Factors
    Case-Control Studies
    Child
    Child, Preschool
    Female
    Humans
    Infant
    Iran
    Male
    Otitis Media
    Parents
    Prevalence
    Respiratory Tract Diseases
    Risk Factors
    Sex Factors
    Smoking
    Socioeconomic Factors
    Tobacco Smoke Pollution

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    26652088

    Citation

    Amani, Soroush, and Parastoo Yarmohammadi. "Study of Effect of Household Parental Smoking On Development of Acute Otitis Media in Children Under 12 Years." Global Journal of Health Science, vol. 8, no. 5, 2015, pp. 81-8.
    Amani S, Yarmohammadi P. Study of Effect of Household Parental Smoking on Development of Acute Otitis Media in Children Under 12 Years. Glob J Health Sci. 2015;8(5):81-8.
    Amani, S., & Yarmohammadi, P. (2015). Study of Effect of Household Parental Smoking on Development of Acute Otitis Media in Children Under 12 Years. Global Journal of Health Science, 8(5), pp. 81-8. doi:10.5539/gjhs.v8n5p81.
    Amani S, Yarmohammadi P. Study of Effect of Household Parental Smoking On Development of Acute Otitis Media in Children Under 12 Years. Glob J Health Sci. 2015 Sep 2;8(5):81-8. PubMed PMID: 26652088.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Study of Effect of Household Parental Smoking on Development of Acute Otitis Media in Children Under 12 Years. AU - Amani,Soroush, AU - Yarmohammadi,Parastoo, Y1 - 2015/09/02/ PY - 2015/06/29/received PY - 2015/07/09/accepted PY - 2015/12/15/entrez PY - 2015/12/15/pubmed PY - 2016/7/13/medline SP - 81 EP - 8 JF - Global journal of health science JO - Glob J Health Sci VL - 8 IS - 5 N2 - BACKGROUND & AIM: High prevalence of acute otitis media (AOM) in children represents a combination of the factors developing eustachian tube dysfunction and higher susceptibility to upper respiratory tract infections in children. This disease is relatively prevalent in Iran and much cost is spent annually to treat it. This study investigated the effect of household parental smoking on development of AOM in children under 12 years. METHODS: In this case-control study all patients under the age of 12 years with AOM referring an ENT clinic in Shahrekord, southwest Iran between April 2014 and August 2014 were enrolled by convenience sampling. This study included two groups. Group 1 (G1) was exposed to parental smoking at home and group 2 (G2) was not. For the patients, a questionnaire of demographic data such as age and gender, the disease symptoms, parents' education level, history of respiratory diseases, allergy, surgery (adenoidectomy, tonsillectomy, and tympanostomy), and household smoking was filled out by a specialist through interview. RESULTS: In this study, 250 children 1-12 years with AOM, 145 in G1 and 105 in G2, were investigated. Clinical symptoms including fever (p=0.001) and hearing loss (p=0.014) were significantly more frequent in the children of G1 than G2, and otalgia, discharge, and tinnitus were similarly frequent in the two groups (p>0.05). Also, eardrum inflammation was more frequent in G1 than G2, with no significant difference (p>0.05). AOM was reported 70.3% in G1, which was higher than 26.7% reported in G2 (p=0.001). Also, asthma, recurrent ear pain, enlargement of the tonsils, and respiratory problems were more frequent in G1 than G2 (p<0.05). CONCLUSIONS: Parental smoking was a risk factor for AOM and respiratory problems and therefore the parents are recommended to avoid smoking near children to reduce the likelihood of AOM development and exacerbation in children. SN - 1916-9736 UR - https://www.unboundmedicine.com/medline/citation/26652088/full_citation L2 - https://dx.doi.org/10.5539/gjhs.v8n5p81 DB - PRIME DP - Unbound Medicine ER -