The relationship between frequent otitis media (OM) and developmental delay remains unresolved. Investigators have found a relationship between persistent OM and conductive hearing loss (Zakzouk, al-Muhaimeed 1996; Terris, et al.1995) which may have a long-term impact on hearing (Gravel, Wallace 2000) and auditory processing (Gravel, Wallace, Ruben 1996). Studies have questioned the relationship between OM and speech-language delay (Paradise, et al. 2000). This led to press reports that there is no impact (Reuters, 10/3/2000). These apparently contradictory findings may be due to mediating variables, e.g., language stimulation (Roberts, Burchinal, Zeisel 1998). We will present data on the relationship of OM and developmental delay in a homogeneously low socioeconomic status referred pediatric population. Charts were reviewed for 267 children referred by their pediatrician for developmental/mental status evaluation during 1998-99. All were patients of the New York Children's Health Project, one of the nation's largest providers of pediatric care to homeless and medically underserved children. Nearly all patients experienced domestic violence, hunger, unstable housing, and other psychosocial risk factors. Referral criteria were consistent. Nearly 2/3 (62.2%) of these referred patients were <60 months of age; 29.2% were <36 months. OM prevalence was 45.3% compared with 27% in the Project's general population and 17% nationally (CDC). For children <36 months, OM prevalence was 61.5%. There was a significant relationship between OM and diagnosed developmental delay (p<0.05). We conclude that the impact of OM on early development is likely to be most serious among children who are additionally at risk for delay.
Learning Objectives: Participants will become more aware of the cumulative impact of psychosocial risk factors on the development of young children in poverty. Participants will become better informed about the potential negative impact of frequent otitis media on the development of high risk young children.
Keywords: Children's Health, Communication
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.