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Ear-Rational Behavior: A Survey Study of Q-tip (Cotton Swab) Habits and Health Perceptions
Brandon Weissman1, Shafayath Chowdhury2, Michael D Mattin3
1Otolaryngology, Lake Erie College of Osteopathic Medicine, Elmira, USA.
Despite warnings, nearly all young adults use cotton swabs for ear cleaning, with many experiencing complications. Most users plan to continue, highlighting a knowledge-behavior gap for ear safety.
Area of Science:
- Otolaryngology
- Public Health
- Consumer Behavior
Background:
- Cotton swabs (Q-tips) carry warnings against insertion into the ear canal.
- Despite warnings, widespread use of cotton swabs for ear cleaning persists.
- This study examines cotton swab use among social media-engaged adults.
Purpose of the Study:
- Investigate the prevalence of cotton swab use for ear care.
- Understand user motivations and safety perceptions.
- Identify associated complications and continued usage intentions.
Main Methods:
- Cross-sectional survey conducted via Google Forms on Instagram.
- 17-item questionnaire for adults aged 18+.
- 229 eligible responses analyzed.
Main Results:
- 95.6% of respondents use cotton swabs for ear care, with 14.4% using them daily.
- Despite awareness of medical advice against use, 38.4% intend to continue.
- 31.9% reported complications like ear discomfort, cerumen impaction, and hearing loss.
Conclusions:
- Cotton swab use is nearly universal in this demographic, despite awareness of risks.
- A significant knowledge-behavior gap exists regarding ear safety.
- Targeted public health campaigns via social media are needed to promote safe ear care alternatives.
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