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Published on: December 10, 2013
Respiratory infections in schoolchildren: co-morbidity and risk factors
G Karevold1, E Kvestad, P Nafstad
1Faculty Division of Akershus University Hospital, University of Oslo, Norway. gunnhild@karevold.no
Insights
Common airway infections like otitis media and tonsillopharyngitis affect school children, with home dampness and atopic disease as key risk factors. These findings support the view of the respiratory tract as a single interconnected unit.
Area of Science:
- Pediatric infectious diseases
- Environmental health
- Epidemiology
Background:
- Respiratory tract infections are prevalent in school-aged children.
- Understanding co-morbidity and risk factors is crucial for effective public health interventions.
Purpose of the Study:
- To investigate the co-morbidity and identify risk factors for common airway infections in school children.
- To examine the relationship between environmental and constitutional factors and these infections.
Main Methods:
- A population-based sample of 10-year-old children in Oslo, Norway, was analyzed.
- Logistic regression was used to assess co-morbidity and risk factors for otitis media, tonsillopharyngitis, and lower respiratory infections over the past 12 months.
Main Results:
- Airway infections were common, with significant co-morbidity observed between different types of infections.
- Home dampness emerged as a risk factor for all studied infections.
- Atopic disease and African or Asian ethnicities were also identified as significant risk factors, particularly for lower airway infections.
Conclusions:
- Respiratory tract infections are frequent in 10-year-old children, exhibiting substantial co-morbidity.
- Environmental (e.g., home dampness) and constitutional (e.g., atopic disease, ethnicity) factors are positively associated with these infections.
- The findings support the concept of the entire respiratory tract functioning as a single unit.
Aims:
To assess co-morbidity and risk factors for otitis media, tonsillopharyngitis, and lower respiratory infections in school children.
Methods:
Logistic regression analysis of co-morbidity and risk factors for airway infections in a population based sample of 10 year old children living in Oslo, Norway.
Main Outcome Measures:
otitis media, tonsillopharyngitis, and lower respiratory infections in past 12 months.
Results:
Airway infections in 10 year old children were common, and significant co-morbidity was found between the various airway infections. Home dampness was a risk factor for all infections, adjusted odds ratios ranging from 1.2 (95% CI 1.0 to 1.5) to 1.4 (95% CI 1.1 to 1.6) for otitis media and tonsillopharyngitis respectively. Atopic disease was a constitutional risk factor, particularly strong for lower airway infections (adjusted odds ratio 2.4, 95% CI 1.8 to 3.1). African or Asian ethnicities were associated with the airway infections, adjusted odds ratios ranging from 1.2 (95% CI 0.9 to 1.7) to 1.7 (95% CI 1.2 to 2.3).
Conclusions:
Respiratory tract infections were common in 10 year old children. There was substantial co-morbidity between upper and lower airway infections. Environmental and constitutional factors were identified and positively associated with the infections. Results support the hypothesis of 1957 that the whole respiratory tract is one unit.
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