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DOI: 10.1055/s-0041-1735395
Association of Passive Smoking with Otitis Media among School Children of Eastern Nepal
Funding This research received no specific grant from any funding agency, commercial or not-for-profit sectors.
Abstract
Introduction Otitis media (OM) and otitis media with effusion are commonly presenting conditions in an otolaryngology clinic. Exposure to passive smoking is thought to increase the risk of OM through an effect on mucociliary clearance, decreased ciliary beat frequency, or mucous hypersecretion. Awareness among parents plays a key role in the primary prevention of the disease.
Objective We aimed to identify the association of passive smoking with OM among school-going children of the eastern region of Nepal.
Methods A community-based cross-sectional study was done among 663 school-going children, selected by stratified random sampling using a questionnaire. Data regarding age, gender, type of school, otological symptoms, smoking status of parents and family members, otoscopic findings, pure tone audiometry, and impedance audiometry were recorded.
Results Six-hundred and sixty-three students were included in the study. OM was confirmed in 103 students (15.5%). Smoking history was present in at least one of the family members in 177 out of 663 students (26.69%) and with positive smoking history in any member of the family, OM was seen in 65 (36.7%) students (p ≤ 0.001), which suggested significant association. OM was seen in 38 students (7.8%) when there was no exposure to passive smoking.
Conclusions There is a high prevalence of OM (15.5%) in school-going children. The study shows significant association between passive smoking and OM in children.
Publikationsverlauf
Artikel online veröffentlicht:
24. September 2021
© 2021. Indian Society of Otology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Paradise JL, Rockette HE, Colborn DK. et al. Otitis media in 2253 Pittsburgh-area infants: prevalence and risk factors during the first two years of life. Pediatrics 1997; 99 (03) 318-333
- 2 Maharjan M, Bhandari S, Singh I, Mishra SC. Prevalence of otitis media in school going children in Eastern Nepal. Kathmandu Univ Med J (KUMJ 2006; 4 (04) 479-482 (KUMJ)
- 3 Teele DW, Klein JO, Rosner B. Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective, cohort study. J Infect Dis 1989; 160 (01) 83-94
- 4 Maw AR, Bawden R. Factors affecting resolution of otitis media with effusion in children. Clin Otolaryngol Allied Sci 1994; 19 (02) 125-130
- 5 DiFranza JR, Aligne CA, Weitzman M. Prenatal and postnatal environmental tobacco smoke exposure and children’s health. Pediatrics 2004; 113 (04) (Suppl 1007-1015
- 6 Lanari M, Giovannini M, Giuffré L. et al. Investigators R.A.DA.R. Study Group. Prevalence of respiratory syncytial virus infection in Italian infants hospitalized for acute lower respiratory tract infections, and association between respiratory syncytial virus infection risk factors and disease severity. Pediatr Pulmonol 2002; 33 (06) 458-465
- 7 Yolton K, Dietrich K, Auinger P, Lanphear BP, Hornung R. Exposure to environmental tobacco smoke and cognitive abilities among U.S. children and adolescents. Environ Health Perspect 2005; 113 (01) 98-103
- 8 Carter BD, Abnet CC, Feskanich D. et al. Smoking and mortality–beyond established causes. N Engl J Med 2015; 372 (07) 631-640
- 9 Qureishi A, Lee Y, Belfield K, Birchall JP, Daniel M. Update on otitis media - prevention and treatment. Infect Drug Resist 2014; 7: 15-24
- 10 Brennan-Jones CG, Whitehouse AJ, Park J. et al. Prevalence and risk factors for parent-reported recurrent otitis media during early childhood in the Western Australian Pregnancy Cohort (Raine) Study. J Paediatr Child Health 2015; 51 (04) 403-409
- 11 Little P, Bridges A, Guragain R, Friedman D, Prasad R, Weir N. Hearing impairment and ear pathology in Nepal. J Laryngol Otol 1993; 107 (05) 395-400
- 12 Adhikari P. Pattern of ear diseases in rural school children: experiences of free health camps in Nepal. Int J Pediatr Otorhinolaryngol 2009; 73 (09) 1278-1280
- 13 Kitchens GG. Relationship of environmental tobacco smoke to otitis media in young children. Laryngoscope 1995; 105 (5 Pt 2, Suppl 69) 1-13
- 14 Simões EA, Kiio F, Carosone-Link PJ, Ndegwa SN, Ayugi J, Macharia IM. Otitis media and its sequelae in Kenyan schoolchildren. J Pediatric Infect Dis Soc 2016; 5 (04) 375-384
- 15 Muftah S, Mackenzie I, Faragher B, Brabin B. Prevalence of chronic suppurative otitis media (CSOM) and associated hearing impairment among school-aged children in Yemen. Oman Med J 2015; 30 (05) 358-365
- 16 Shaheen MM, Raquib A, Ahmad SM. Prevalence and associated socio-demographic factors of chronic suppurative otitis media among rural primary school children of Bangladesh. Int J Pediatr Otorhinolaryngol 2012; 76 (08) 1201-1204
- 17 Jacoby PA, Coates HL, Arumugaswamy A. et al. The effect of passive smoking on the risk of otitis media in Aboriginal and non-Aboriginal children in the Kalgoorlie-Boulder region of Western Australia. Med J Aust 2008; 188 (10) 599-603
- 18 Pukander J, Luotonen J, Timonen M, Karma P. Risk factors affecting the occurrence of acute otitis media among 2-3-year-old urban children. Acta Otolaryngol 1985; 100 (3-4) 260-265
- 19 Kero P, Piekkala P. Factors affecting the occurrence of acute otitis media during the first year of life. Acta Paediatr Scand 1987; 76 (04) 618-623