Tobacco Smoke Exposure and Eustachian Tube Disorders in US Children and AdolescentsReport as inadecuate




Tobacco Smoke Exposure and Eustachian Tube Disorders in US Children and Adolescents - Download this document for free, or read online. Document in PDF available to download.

Objectives

To describe the association between active, environmental tobacco smoke ETS exposure and the prevalence of eustachian tube dysfunction ETD in the U.S. pediatric population.

Study Design

Cross-sectional.

Setting

U.S. representative demographic and audiometric data from the National Health and Nutrition Examination Survey NHANES;2005–2010.

Subjects and Methods

The study consisted of 2,977 children aged 12–19 years. ETD was defined as middle ear pressure <100mm H20. ETS was defined as non-active smoking in individuals with serum cotinine over the limit of detection ≥0.015 ng-mL and <10 ng-mLN = 1559.

Results

The prevalence of ETD was 6.1%. After multivariate adjustment for age, sex, body mass index, education level, ethnicity, or having a cold, sinus problem or earache during the last 24 hours, compared to unexposed children, the odds ratios 95% confidence interval of ETD for those exposed to ETS ages 12–15 in the first, second and third tertile of cotinine concentrations were, respectively, 1.38 0.53–3.60, 0.99 0.53–3.60 and 2.67 1.12–6.34. Similarly, the odds ratios 95% confidence interval of ETD for those exposed to ETS ages 16–19 in the first, second and third tertile of cotinine concentrations were, respectively, 1.28 0.48–3.41, 0.99 0.40–2.48 and 2.86 1.19–6.88.

Conclusion

These data suggest that children and adolescents exposed to high concentrations of ETS may have an increased prevalence of ETD.



Author: Mira A. Patel, David J. Mener, Esther Garcia-Esquinas, Ana Navas-Acien, Yuri Agrawal, Sandra Y. Lin

Source: http://plos.srce.hr/



DOWNLOAD PDF




Related documents