%0 Journal Article
%T Ear Infection and Its Associated Risk Factors, Comorbidity, and Health Service Use in Australian Children
%A Vasoontara Yiengprugsawan
%A Anthony Hogan
%J International Journal of Pediatrics
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/963132
%X This study investigates and identifies risk factors, comorbidity, and health service use related to ear infection in Australian children. Two cross-sectional analyses of the Longitudinal Study of Australian Children (LSAC) involved 4,983 children aged 4 to 5 years in 2004 and aged 10 to 11 years in 2010. Odds ratios (ORs) were analysed using bivariate logistic regression. The prevalence of parent-reported ear infection was 7.9% (394) among children aged 4 to 5 years and 3.3% (139) at 10 to 11 years. Our study found that risk factors associated with ear infection were indigenous status, not being breastfed, mother or father smoking at least once a day, and fatherĄ¯s school completion at year 9 or lower. By age 10 to 11 years significantly reported comorbidities were tonsillitis (OR 4.67; ), headache (OR 2.13; ), and asthma (OR 1.67; ) and ear infection was found to be associated with the use of pediatrician (OR 1.83; ), other specialist (OR 2.12; ), and early intervention services (OR 3.08; ). This empirical evidence can be used to inform the development of intervention and management programs for ear infection. 1. Introduction Middle ear infection is a common, yet treatable disease and is a major cause of morbidity in children. If left untreated, long-term consequences of persistent severe ear infection can arise including speech development disorders [1], academic and educational development [2, 3], and lower overall quality of life [4, 5]. Subsequent hearing loss is one of the long-term implications of ear infection found to be associated with behavioural disorders and subsequent risks for longer-term mental health problems in children [6, 7]. Increased knowledge of the risk factors associated with ear infection is important in identifying children at risk for recurrent and persistent episodes [8]. Reviews of several European countries, the United States, Canada, and Australia have shown risk factors for ear infection to be childcare arrangement, breastfeeding, birth weight, socioeconomic status, and air pollution [9¨C11]. In a study of a birth cohort in Canada, the strongest risk factors for ear infection were being male, of Aboriginal status, and the childĄ¯s mother aged less than 20 years [12]. A recent study in Australia has shown poor living conditions, exposure to cigarette smoke, and lack of access to medical care are all major risk factors for ear infection [13]. Ear infections are often mild and frequently resolve themselves within a short period of time. However, the frequency of infection and its associated comorbidity (e.g., fevers and
%U http://www.hindawi.com/journals/ijpedi/2013/963132/