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Prevalence of self-reported middle ear disease, hearing loss and vertigo in two adult population-based cohorts over a 20-year period in Greenland.

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Related Experiment Video

Updated: Jul 9, 2026

P50 Sensory Gating in Infants
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Published on: December 26, 2013

Acute otitis media and age at onset among children in Greenland.

P Homøe1, R B Christensen, P Bretlau

  • 1Department of Otolaryngology, Head and Neck Surgery, Rigshospitalet, University of Copenhagen, Denmark. rh03259@rh.dk

Acta Oto-Laryngologica
|April 29, 1999
PubMed
Summary
This summary is machine-generated.

Early onset of acute otitis media (AOM) is common in Greenlandic children, with many experiencing recurrent AOM (rAOM) before age one. This increases the risk of chronic otitis media, highlighting a significant public health concern.

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Area of Science:

  • Pediatrics
  • Epidemiology
  • Otolaryngology

Background:

  • Acute otitis media (AOM) is a common childhood illness with varying prevalence globally.
  • Understanding the age of onset and risk factors for recurrent AOM (rAOM) is crucial for effective management and prevention strategies.
  • Greenlandic children may have unique risk factors or disease patterns due to environmental or genetic influences.

Purpose of the Study:

  • To investigate the age at onset of AOM in a cohort of Greenlandic children.
  • To identify risk factors associated with recurrent AOM (rAOM) and chronic otitis media in this population.
  • To compare the incidence and patterns of AOM in Greenlandic children with existing international data.

Main Methods:

  • A survey was conducted on 591 unselected Greenlandic children aged 3, 4, 5, and 8 years.
  • Parental reports of AOM episodes were cross-checked with available medical records (95% availability).
  • AOM was defined by clinical symptoms and otoscopic findings; rAOM was defined as ≥5 episodes since birth.

Main Results:

  • 66% of children experienced at least one AOM episode; 40% had AOM in the first year of life.
  • The median age of the first AOM episode was 10 months, with highest risk between 7-12 months.
  • Children with rAOM had significantly earlier first AOM onset (median 7 months) and a higher risk of chronic otitis media (35% vs 4%).

Conclusions:

  • Early onset of AOM (before 12 months) is frequent in Greenlandic children, exceeding rates in other populations.
  • A significant proportion of children with early-onset AOM develop recurrent AOM (rAOM).
  • Early AOM onset is a strong predictor for rAOM and is associated with a higher incidence of chronic otitis media.