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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Katheeen A. Daly, PhD1, Lisa L Hunter, PhD1, Cynthia Davey, MS2, Phyllis L. Pirie, PhD3, Kristine Rhodes, MPH3, Lois Anderson, MPH1, Carol Clay, BSN4, Ronda Stock, BSN5, and Susan Walline, RN6. (1) Department of Otolaryngology, Otitis Media Research Center, University of Minnesota, MMC 396, 420 Delaware St. SE, Minneapolis, MN 55455, 612-625-3259, dalyx002@umn.edu, (2) Division of Biostatistics, University of Minnesota, MMC 303, 420 Delaware St SE, Minneapolis, MN 55455, (3) School of Public Health, University of Minnesota, 1300 S. 2nd St, Suite 300, Minneapolis, MN 55454-1015, (4) Red Lake Reservation, Box 249, Red Lake, MN 56671, (5) White Earth Reservation, P.O. Box 358, White Earth, MN 56591, (6) Leech Lake Reservation, 6530 Highway 2 N.W., Cass Lake, MN 56633
An epidemiologic study of predictors for otitis media (OM) and associated hearing loss during the first 2 yr. of life is being conducted at 3 Minnesota reservations and an urban clinic. Women enroll during pregnancy, are interviewed about OM risk factors, and research nurses examine infants regularly for 2 yr. 436 women enrolled in the study, 315 infants had risk factor information and at least one hearing screening (OAE) test by 7 months of age; 41% failed OAE during this time period. Data revealed the following: maternal age at delivery, 24.1 yr.; working or going to school, 56%; married, 15%; high school education or less, 67%; exclusively breastfeeding at 2 wk, 26%; smoke, 52%; father smoke, 71%; regular exposure to smokers, 84%; in daycare at 2 wk., 7%; regular exposure to other children, 88%; and put to sleep in the supine position never or less than daily, 17%. The relationships between risk factors and OAE failure were explored using odds ratio and confidence interval calculation. Factors that increased the likelihood of OAE failure were being put to bed in the supine position less than daily (OR 2.1, 95% CI 1.1, 4.1), and exposure to more than 1 child on a regular basis (OR 2.1, 95% CI 1.2, 3.7). These results reveal that the population studied has a high prevalence of OM-associated hearing loss in early life, and a high prevalence of risk factors for OM and OM associated hearing loss. These factors are also important in other childhood diseases.
Learning Objectives:
Keywords: American Indians, Infant Health
Presenting author's disclosure statement:
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.