Pukander J
Int J Pediatr Otorhinolaryngol. 1982 Oct;4(4):325-32. doi: 10.1016/0165-5876(82)90045-3.
The occurrence of acute otitis media (AOM) and factors predisposing to the disease among children were studied in a small rural community in Finland. The annual incidence of AOM was 13.5% among children under 16 years of age and 28.7% under the age of 5. The highest incidences were found during the second and third years of life, with a subsequent decrease in incidences, but with the exception of peaks at the ages of 4 and 7 years. The following factors were found to predispose a child to AOM: atopic diathesis, attending a day-care center, a lack or short duration of breast-feeding, frequent respiratory infections, and housing in the center of a community, especially in an apartment. The smoking habits and otitis history of the parents did not significantly affect the occurrence of AOM in children.
在芬兰的一个小型乡村社区，对儿童急性中耳炎（AOM）的发病情况及其易患因素进行了研究。16岁以下儿童AOM的年发病率为13.5%，5岁以下儿童为28.7%。发病率最高出现在生命的第二年和第三年，随后发病率下降，但4岁和7岁时出现高峰。发现以下因素会使儿童易患AOM：特应性素质、上日托中心、母乳喂养不足或时间短、频繁呼吸道感染以及居住在社区中心，尤其是公寓。父母的吸烟习惯和中耳炎病史对儿童AOM的发病没有显著影响。
