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Ear Infection and Its Associated Risk Factors in First Nations and Rural School-Aged Canadian Children
Chandima P Karunanayake1, William Albritton2, Donna C Rennie3
1Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, Canada S7N 2Z4.
International Journal of Pediatrics
|March 16, 2016
Summary
Ear infections are common in children, but First Nations children showed a lower prevalence compared to rural Caucasian children. Breastfeeding over three months was found to be protective against ear infections.
Area of Science:
- Pediatrics
- Epidemiology
- Public Health
Background:
- Ear infections (otitis media) are a significant childhood health concern.
- Potential links exist between ear infections, hearing impairment, and delayed language development.
Purpose of the Study:
- To determine the prevalence of ear infections in children aged 6-17 years.
- To identify associated risk factors for ear infections in specific populations.
Main Methods:
- Utilized data from two cross-sectional rural children studies.
- Employed logistic regression analysis to assess risk factors and prevalence.
- Defined outcome as the presence or absence of an ear infection.
Main Results:
- Prevalence was 57.8% in rural Caucasian children and 43.6% in on-reserve First Nations children.
- First Nations children exhibited a lower risk of ear infection.
- Factors associated with increased risk included younger age, being firstborn, physician-diagnosed tonsillitis, asthma, and respiratory allergies.
- Breastfeeding longer than three months demonstrated a protective effect.
Conclusions:
- Ear infections are highly prevalent in childhood.
- First Nations children demonstrated a lower likelihood of ear infection history compared to rural Caucasian children.
- Identified key risk factors and a protective factor (breastfeeding) for childhood ear infections.
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