Longitudinal analysis of ear infection and hearing impairment: findings from 6-year prospective cohorts of Australian children
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Yiengprugsawan, Vasoontara; Hogan, Anthony; Strazdins, Lyndall
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BACKGROUND Middle ear infection is common in childhood. Despite its prevalence, there is little longitudinal evidence about the impact of ear infection, particularly its association to hearing loss. By using 6-year prospective data, we investigate the onset and impact over time of ear infection in Australian children. METHODS We analyse 4 waves of the Longitudinal Study of Australian Children (LSAC) survey collected in 2004, 2006, 2008, and 2010. There are two age cohorts in this study (B...[Show more]
dc.contributor.author | Yiengprugsawan, Vasoontara | |
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dc.contributor.author | Hogan, Anthony | |
dc.contributor.author | Strazdins, Lyndall | |
dc.date.accessioned | 2015-12-08T03:13:39Z | |
dc.date.available | 2015-12-08T03:13:39Z | |
dc.identifier.issn | 1471-2431 | |
dc.identifier.uri | http://hdl.handle.net/1885/28556 | |
dc.description.abstract | BACKGROUND Middle ear infection is common in childhood. Despite its prevalence, there is little longitudinal evidence about the impact of ear infection, particularly its association to hearing loss. By using 6-year prospective data, we investigate the onset and impact over time of ear infection in Australian children. METHODS We analyse 4 waves of the Longitudinal Study of Australian Children (LSAC) survey collected in 2004, 2006, 2008, and 2010. There are two age cohorts in this study (B cohort aged 0/1 to 6/7 years N=4242 and K cohort aged 4/5 to 10/11 years N=4169). Exposure was parent-reported ear infection and outcome was parent-reported hearing problems. We modelled ear infection onset and subsequent impact on hearing using multivariate logistic regressions, reporting Adjusted Odds Ratios (AOR) and Confidence Intervals (95% CI). Separate analyses were reported for indigenous and non-indigenous children. RESULTS Associations of ear infections between waves were found to be very strong both among both indigenous and non-indigenous children in the two cohorts. Reported ear infections at earlier wave were also associated with hearing problems in subsequent wave. For example, reported ear infections at age 4/5 years among the K cohort were found to be predictors of hearing problems at age 8/9 years (AOR 4.0, 95% CI 2.2-7.3 among non-indigenous children and AOR 7.7 95% CI 1.0-59.4 among indigenous children). Number of repeated ear infections during the 6-year follow-up revealed strong dose-response relationships with subsequent hearing problems among non-indigenous children (AORs ranged from 4.4 to 31.7 in the B cohort and 4.4 to 51.0 in the K cohort) but not statistically significant among indigenous children partly due to small sample. CONCLUSIONS This study revealed the longitudinal impact of ear infections on hearing problems in both indigenous and non-indigenous children. These findings highlight the need for special attention and follow-up on children with repeated ear infections. | |
dc.description.sponsorship | This study is supported by an unconditional grant from the GlaxoSmithKline. We used confidentialised unit record from Growing Up in Australia – the Longitudinal Study of Australian Children (LSAC); a partnership between the Australian Government Department of Families, Housing, Community Services, and Indigenous Affairs (FaHCSIA), the Australian Institute of Family Studies (AIFS) and the Australian Bureau of Statistics (ABS). The findings and views reported in this paper are those of the authors and should not be attributed to FaHCSIA, AIFS or the ABS. | |
dc.publisher | BioMed Central | |
dc.rights | © 2013 Yiengprugsawan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. | |
dc.source | BMC Pediatrics | |
dc.source.uri | http://www.biomedcentral.com/1471-2431/13/28 | |
dc.subject | australia | |
dc.subject | child | |
dc.subject | child, preschool | |
dc.subject | female | |
dc.subject | health surveys | |
dc.subject | hearing loss | |
dc.subject | humans | |
dc.subject | infant | |
dc.subject | logistic models | |
dc.subject | longitudinal studies | |
dc.subject | male | |
dc.subject | multivariate analysis | |
dc.subject | oceanic ancestry group | |
dc.subject | otitis media | |
dc.subject | prospective studies | |
dc.subject | recurrence | |
dc.title | Longitudinal analysis of ear infection and hearing impairment: findings from 6-year prospective cohorts of Australian children | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 13 | |
dc.date.issued | 2013-02-21 | |
local.identifier.absfor | 119999 | |
local.identifier.ariespublication | u4226546xPUB73 | |
local.publisher.url | http://www.biomedcentral.com/ | |
local.type.status | Published Version | |
local.contributor.affiliation | Yiengprugsawan, Vasoontara, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Natl Centre for Epidemiology & Population Health, The Australian National University | |
local.contributor.affiliation | Hogan, Edward Anthony, College of Arts and Social Sciences, CASS Research School of Social Sciences, School of Sociology, The Australian National University | |
local.contributor.affiliation | Strazdins, Lyndall, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Natl Centre for Epidemiology & Population Health, The Australian National University | |
local.identifier.essn | 1471-2431 | |
local.bibliographicCitation.issue | 1 | |
local.bibliographicCitation.startpage | 28 | |
local.bibliographicCitation.lastpage | 13 | |
local.identifier.doi | 10.1186/1471-2431-13-28 | |
local.identifier.absseo | 920499 | |
dc.date.updated | 2015-12-08T07:52:55Z | |
local.identifier.scopusID | 2-s2.0-84874013041 | |
local.identifier.thomsonID | 000317135800001 | |
Collections | ANU Research Publications |
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