Karunanayake Chandima P, Albritton William, Rennie Donna C, Lawson Joshua A, McCallum Laura, Gardipy P Jenny, Seeseequasis Jeremy, Naytowhow Arnold, Hagel Louise, McMullin Kathleen, Ramsden Vivian, Abonyi Sylvia, Episkenew Jo-Ann, Dosman James A, Pahwa Punam, Project Research Team The First Nations Lung Health, Study Team The Saskatchewan Rural Health
Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, Canada S7N 2Z4.
Department of Microbiology & Immunology, University of Saskatchewan, Room 2D01, Health Sciences Building, 107 Wiggins Road, Saskatoon, SK, Canada S7N 5E5.
Int J Pediatr. 2016;2016:1523897. doi: 10.1155/2016/1523897. Epub 2016 Feb 10.
Background. Ear infections in children are a major health problem and may be associated with hearing impairment and delayed language development. Objective. To determine the prevalence and the associated risk factors of ear infections in children 6-17 years old residing on two reserves and rural areas in the province of Saskatchewan. Methodology. Data were provided from two rural cross-sectional children studies. Outcome variable of interest was presence/absence of an ear infection. Logistic regression analysis was conducted to examine the relationship between ear infection and the other covariates. Results. The prevalence of ear infection was 57.8% for rural Caucasian children and 43.6% for First Nations children living on-reserve. First Nations children had a lower risk of ear infection. Ear infection prevalence was positively associated with younger age; first born in the family; self-reported physician-diagnosed tonsillitis; self-reported physician-diagnosed asthma; and any respiratory related allergy. Protective effect of breastfeeding longer than three months was observed on the prevalence of ear infection. Conclusions. While ear infection is a prevalent condition of childhood, First Nations children were less likely to have a history of ear infections when compared to their rural Caucasian counterparts.
背景。儿童耳部感染是一个主要的健康问题，可能与听力障碍和语言发育迟缓有关。目的。确定居住在萨斯喀彻温省两个保留地和农村地区的6至17岁儿童耳部感染的患病率及相关危险因素。方法。数据来自两项农村儿童横断面研究。感兴趣的结果变量是耳部感染的有无。进行逻辑回归分析以检验耳部感染与其他协变量之间的关系。结果。农村白人儿童耳部感染的患病率为57.8%，居住在保留地的原住民儿童为43.6%。原住民儿童耳部感染的风险较低。耳部感染患病率与年龄较小、家庭中头胎出生、自我报告经医生诊断的扁桃体炎、自我报告经医生诊断的哮喘以及任何呼吸道相关过敏呈正相关。观察到母乳喂养超过三个月对耳部感染患病率有保护作用。结论。虽然耳部感染是儿童期的一种常见病症，但与农村白人儿童相比，原住民儿童耳部感染病史的可能性较小。
