Document Detail

Early otitis media among Minnesota American Indians: the Little Ears Study.
MedLine Citation:
PMID:  17194873     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We examined relationships between otitis media risk factors, sociodemographic characteristics, and maternal knowledge and attitudes and early onset of otitis media.
METHODS: Pregnant women from Minnesota American Indian reservations and an urban clinic were enrolled in our study between 1998 and 2001. Follow-up was performed on enrollees' infants until the children were 2 years old. Research nurses collected data by ear examination, from interviews and questionnaires given to enrolled mothers, and otitis media episodes that were abstracted from medical records.
RESULTS: Sixty-three percent of infants had experienced an otitis media episode by 6 months of age. Logistic regression analyses showed that maternal otitis media history, infant history of upper respiratory infection, and compliance with study visits were significantly related to early otitis media onset. Although high percentages of infants were exposed to cigarette smoke and other children and were formula fed, these factors were not related to otitis media. Mothers' prenatal awareness of otitis media risks associated with environmental tobacco smoke exposure and formula feeding did not predict their postpartum behaviors.
CONCLUSIONS: We found that infant history of upper respiratory infection and maternal otitis media history are risk factors for early otitis media in American Indian infants. Mothers' prepartum knowledge and attitudes regarding otitis media did not predict their postpartum avoidance of risk behaviors.
Kathleen A Daly; Phyllis L Pirie; Kristine L Rhodes; Lisa L Hunter; Cynthia S Davey
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2006-12-28
Journal Detail:
Title:  American journal of public health     Volume:  97     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-24     Completed Date:  2007-02-01     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  317-22     Citation Subset:  AIM; IM    
Department of Otolaryngology and the Otitis Media Research Center, School of Medicine, University of Minnesota, Minneapolis, USA.
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MeSH Terms
Family Characteristics / ethnology*
Health Knowledge, Attitudes, Practice*
Indians, North American / statistics & numerical data*
Infant Care*
Infant, Newborn
Logistic Models
Maternal Behavior / ethnology*
Minnesota / epidemiology
Mother-Child Relations / ethnology
Otitis Media / epidemiology,  ethnology*
Risk Assessment
Risk Factors
Smoking / adverse effects,  ethnology
Grant Support
R01 DC002963-03/DC/NIDCD NIH HHS; R01 DC002963-04/DC/NIDCD NIH HHS; R01 DC002963-05/DC/NIDCD NIH HHS; R01 DC02963/DC/NIDCD NIH HHS

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