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Increasing prevalence of recurrent otitis media among children in the United States.
Pediatrics. 1997 Mar; 99(3):E1.Ped

Abstract

BACKGROUND

The number of visits for otitis media, the most common diagnosis among preschool children, has increased during the past decade. This study was undertaken to determine whether there has been a concurrent increase in the prevalence of recurrent otitis media among children in the United States and to identify risk factors or demographic changes to explain the increase.

METHODS

Secondary analyses of cross-sectional data from the Child Health Supplement to the 1981 and 1988 National Health Interview Surveys (n = 5189 [1981] and n = 6209 [1988]) were done to identify temporal changes in the prevalence and any associated risk factors of recurrent otitis media among children <6 years of age.

RESULTS

Recurrent otitis among preschool children increased from 18.7% in 1981 to 26% in 1988 (odds ratio [OR] = 1.6, 95% confidence interval [CI] = 1.4, 1.7). Although the prevalence of recurrent otitis increased with age, the greatest increase in recurrent otitis media occurred in infants (OR = 1.9, CI = 1.3, 2.9). Factors independently associated with recurrent otitis were any allergic condition (OR = 1. 9, CI = 1.7, 2.2); survey year (OR = 1.7, CI = 1.5, 1.9); Black race (OR = .6, CI = .5, .7); Hispanic ethnicity (OR = .8, CI = .6, .9); day care (OR = 1.5, CI = 1.3, 1.7); out-of-home care by an unrelated sitter (OR = 1.3, CI = 1.1, 1.6); and male gender (OR = 1.2, CI = 1. 1, 1.3). From 1981 to 1988, there were significant increases in some risk factors associated with recurrent otitis media, including day care (11% vs 21%) and allergic conditions (14% vs 18%).

CONCLUSIONS

We conclude that there has been a significant increase in the prevalence of recurrent otitis media among children in the United States, particularly in infants. The increased prevalence of recurrent otitis media was associated with an increase in the use of child care and a higher prevalence of allergic conditions among children.

Authors+Show Affiliations

Departments of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

9099766

Citation

Lanphear, B P., et al. "Increasing Prevalence of Recurrent Otitis Media Among Children in the United States." Pediatrics, vol. 99, no. 3, 1997, pp. E1.
Lanphear BP, Byrd RS, Auinger P, et al. Increasing prevalence of recurrent otitis media among children in the United States. Pediatrics. 1997;99(3):E1.
Lanphear, B. P., Byrd, R. S., Auinger, P., & Hall, C. B. (1997). Increasing prevalence of recurrent otitis media among children in the United States. Pediatrics, 99(3), E1.
Lanphear BP, et al. Increasing Prevalence of Recurrent Otitis Media Among Children in the United States. Pediatrics. 1997;99(3):E1. PubMed PMID: 9099766.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Increasing prevalence of recurrent otitis media among children in the United States. AU - Lanphear,B P, AU - Byrd,R S, AU - Auinger,P, AU - Hall,C B, PY - 1997/3/1/pubmed PY - 1997/3/1/medline PY - 1997/3/1/entrez SP - E1 EP - E1 JF - Pediatrics JO - Pediatrics VL - 99 IS - 3 N2 - BACKGROUND: The number of visits for otitis media, the most common diagnosis among preschool children, has increased during the past decade. This study was undertaken to determine whether there has been a concurrent increase in the prevalence of recurrent otitis media among children in the United States and to identify risk factors or demographic changes to explain the increase. METHODS: Secondary analyses of cross-sectional data from the Child Health Supplement to the 1981 and 1988 National Health Interview Surveys (n = 5189 [1981] and n = 6209 [1988]) were done to identify temporal changes in the prevalence and any associated risk factors of recurrent otitis media among children <6 years of age. RESULTS: Recurrent otitis among preschool children increased from 18.7% in 1981 to 26% in 1988 (odds ratio [OR] = 1.6, 95% confidence interval [CI] = 1.4, 1.7). Although the prevalence of recurrent otitis increased with age, the greatest increase in recurrent otitis media occurred in infants (OR = 1.9, CI = 1.3, 2.9). Factors independently associated with recurrent otitis were any allergic condition (OR = 1. 9, CI = 1.7, 2.2); survey year (OR = 1.7, CI = 1.5, 1.9); Black race (OR = .6, CI = .5, .7); Hispanic ethnicity (OR = .8, CI = .6, .9); day care (OR = 1.5, CI = 1.3, 1.7); out-of-home care by an unrelated sitter (OR = 1.3, CI = 1.1, 1.6); and male gender (OR = 1.2, CI = 1. 1, 1.3). From 1981 to 1988, there were significant increases in some risk factors associated with recurrent otitis media, including day care (11% vs 21%) and allergic conditions (14% vs 18%). CONCLUSIONS: We conclude that there has been a significant increase in the prevalence of recurrent otitis media among children in the United States, particularly in infants. The increased prevalence of recurrent otitis media was associated with an increase in the use of child care and a higher prevalence of allergic conditions among children. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/9099766/Increasing_prevalence_of_recurrent_otitis_media_among_children_in_the_United_States_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&amp;pmid=9099766 DB - PRIME DP - Unbound Medicine ER -