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
Objectives: To determine the risk of otitis media (OM) associated with passive smoking in young children, and any competing effect between passive smoking and childcare attendance.Design, participants and setting:Prospective cohort study of 100 Aboriginal and 180 non-Aboriginal children born in Kalg...
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| Format: | Journal Article |
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Australian Medical Association
2008
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| Online Access: | http://www.mja.com.au/public/issues/188_10_190508/jac10619_fm.html http://hdl.handle.net/20.500.11937/12469 |
| _version_ | 1848748085057945600 |
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| author | Jacoby, P. Coates, H. Arumugaswamy, A. Elsbury, D. Stokes, A. Monck, R. Finucane, J. Weeks, S. Lehmann, Deborah |
| author_facet | Jacoby, P. Coates, H. Arumugaswamy, A. Elsbury, D. Stokes, A. Monck, R. Finucane, J. Weeks, S. Lehmann, Deborah |
| author_sort | Jacoby, P. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objectives: To determine the risk of otitis media (OM) associated with passive smoking in young children, and any competing effect between passive smoking and childcare attendance.Design, participants and setting:Prospective cohort study of 100 Aboriginal and 180 non-Aboriginal children born in Kalgoorlie Regional Hospital between 1 April 1999 and 31 January 2003. These children underwent routine clinical examinations by an ear, nose and throat specialist up to three times before the age of 2 years, and tympanometry at routine field follow-up visits from the age of 4 months. Childrens' mothers were interviewed at 1-3 weeks postpartum to provide sociodemographic data. Main outcome measures: Associations between OM and exposure to environmental tobacco smoke (ETS) and childcare attendance. Results: 82 Aboriginal and 157 non-Aboriginal children attended for routine clinical examinations. OM was diagnosed at least once in 74% of Aboriginal children and 45% of non-Aboriginal children; 64% of Aboriginal children and 40% of non-Aboriginal children were exposed to ETS. Exposure to ETS increased the risk of specialist-diagnosed OM in Aboriginal children (OR, 3.54; 95% CI, 1.68?7.47); few attended childcare. Non-Aboriginal children exposed to ETS but not attending childcare were at increased risk of OM (OR, 1.91; 95% CI, 1.07?3.42) while those attending childcare had no increased smoking-related risk. Tympanometry was performed on 87 Aboriginal and 168 non-Aboriginal children; a type B tympanogram (suggesting fluid in the middle ear) was also associated with passive smoking in Aboriginal children. Conclusions: Reducing the exposure of children to ETS is a public health priority, especially for the Aboriginal population. A smoke-free environment will help reduce the burden of OM. |
| first_indexed | 2025-11-14T06:59:26Z |
| format | Journal Article |
| id | curtin-20.500.11937-12469 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:59:26Z |
| publishDate | 2008 |
| publisher | Australian Medical Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-124692017-01-30T11:30:57Z 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 Jacoby, P. Coates, H. Arumugaswamy, A. Elsbury, D. Stokes, A. Monck, R. Finucane, J. Weeks, S. Lehmann, Deborah Objectives: To determine the risk of otitis media (OM) associated with passive smoking in young children, and any competing effect between passive smoking and childcare attendance.Design, participants and setting:Prospective cohort study of 100 Aboriginal and 180 non-Aboriginal children born in Kalgoorlie Regional Hospital between 1 April 1999 and 31 January 2003. These children underwent routine clinical examinations by an ear, nose and throat specialist up to three times before the age of 2 years, and tympanometry at routine field follow-up visits from the age of 4 months. Childrens' mothers were interviewed at 1-3 weeks postpartum to provide sociodemographic data. Main outcome measures: Associations between OM and exposure to environmental tobacco smoke (ETS) and childcare attendance. Results: 82 Aboriginal and 157 non-Aboriginal children attended for routine clinical examinations. OM was diagnosed at least once in 74% of Aboriginal children and 45% of non-Aboriginal children; 64% of Aboriginal children and 40% of non-Aboriginal children were exposed to ETS. Exposure to ETS increased the risk of specialist-diagnosed OM in Aboriginal children (OR, 3.54; 95% CI, 1.68?7.47); few attended childcare. Non-Aboriginal children exposed to ETS but not attending childcare were at increased risk of OM (OR, 1.91; 95% CI, 1.07?3.42) while those attending childcare had no increased smoking-related risk. Tympanometry was performed on 87 Aboriginal and 168 non-Aboriginal children; a type B tympanogram (suggesting fluid in the middle ear) was also associated with passive smoking in Aboriginal children. Conclusions: Reducing the exposure of children to ETS is a public health priority, especially for the Aboriginal population. A smoke-free environment will help reduce the burden of OM. 2008 Journal Article http://hdl.handle.net/20.500.11937/12469 http://www.mja.com.au/public/issues/188_10_190508/jac10619_fm.html Australian Medical Association restricted |
| spellingShingle | Jacoby, P. Coates, H. Arumugaswamy, A. Elsbury, D. Stokes, A. Monck, R. Finucane, J. Weeks, S. Lehmann, Deborah 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 |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | effect of passive smoking on the risk of otitis media in aboriginal and non-aboriginal children in the kalgoorlie-boulder region of western australia |
| url | http://www.mja.com.au/public/issues/188_10_190508/jac10619_fm.html http://hdl.handle.net/20.500.11937/12469 |