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

P.A. Jacoby, Harvey Coates, A. Arumugaswamy, D. Elsbury, A. Stokes, R. Monck, J.M. Finucane, S.A. Weeks, Deborah Lehmann

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

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 I 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.
Original languageEnglish
Pages (from-to)599-603
JournalMedical Journal of Australia
Volume188
Issue number10
Publication statusPublished - 2008

Fingerprint

Western Australia
Tobacco Smoke Pollution
Otitis Media
Smoke
Tobacco
Acoustic Impedance Tests
Environmental Exposure
Health Priorities
Personal Autonomy
Middle Ear
Pharynx
Nose
Postpartum Period
Ear

Cite this

Jacoby, P.A. ; Coates, Harvey ; Arumugaswamy, A. ; Elsbury, D. ; Stokes, A. ; Monck, R. ; Finucane, J.M. ; Weeks, S.A. ; 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. In: Medical Journal of Australia. 2008 ; Vol. 188, No. 10. pp. 599-603.
@article{a9c7c0a9ceef4726bea105801ac912f0,
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",
abstract = "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 I 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.",
author = "P.A. Jacoby and Harvey Coates and A. Arumugaswamy and D. Elsbury and A. Stokes and R. Monck and J.M. Finucane and S.A. Weeks and Deborah Lehmann",
year = "2008",
language = "English",
volume = "188",
pages = "599--603",
journal = "Medical Journal Australia",
issn = "0025-729X",
publisher = "Australasian Medical Publishing Co. Ltd",
number = "10",

}

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.A.; Coates, Harvey; Arumugaswamy, A.; Elsbury, D.; Stokes, A.; Monck, R.; Finucane, J.M.; Weeks, S.A.; Lehmann, Deborah.

In: Medical Journal of Australia, Vol. 188, No. 10, 2008, p. 599-603.

Research output: Contribution to journalArticle

TY - JOUR

T1 - 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

AU - Jacoby, P.A.

AU - Coates, Harvey

AU - Arumugaswamy, A.

AU - Elsbury, D.

AU - Stokes, A.

AU - Monck, R.

AU - Finucane, J.M.

AU - Weeks, S.A.

AU - Lehmann, Deborah

PY - 2008

Y1 - 2008

N2 - 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 I 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.

AB - 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 I 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.

M3 - Article

VL - 188

SP - 599

EP - 603

JO - Medical Journal Australia

JF - Medical Journal Australia

SN - 0025-729X

IS - 10

ER -