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Demographic disparities among children with frequent ear infections in the United States
Author(s) -
Vakharia Kalpesh T.,
Shapiro Nina L.,
Bhattacharyya Neil
Publication year - 2010
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20961
Subject(s) - demography , ethnic group , socioeconomic status , odds ratio , medicine , odds , poverty , population , household income , ear infection , race (biology) , multivariate analysis , logistic regression , geography , environmental health , botany , audiology , archaeology , sociology , anthropology , economics , biology , economic growth
Objectives/Hypothesis: To evaluate current racial/ethnic and socioeconomic disparities in the prevalence of frequent ear infections (FEI) among children in the United States. Study Design: Cross‐sectional study. Methods: The National Health Interview Survey (years 1997 to 2006) was utilized to evaluate children who were reported by their parent/guardian to have “3 or more ear infections during the past 12 months.” Demographic variables evaluated included age, sex, race/ethnicity, income level, and insurance status. Multivariate analyses determined the influence of demographic variables on the prevalence of FEI in children. Results: Among an annualized population of 72.6 million children (average age, 8.55 ± 0.19 years), 4.65 ± 0.07 million children (6.6 ± 0.1%) reported FEI. FEI was more commonly reported in white (7.0 ± 0.1%) and Hispanic (6.2 ± 0.2%) than in black (5.0 ± 0.2%) and other race/ethnic groups (4.5 ± 0.3%, P < .001). A larger portion of children in households below the poverty level reported FEI (8.0 ± 0.3%, P < .001). Of children with no health insurance 5.4 ± 0.3% had FEI. On multivariate analysis, black, Hispanic and other race/ethnic group had decreased odds ratio for FEI relative to white children (odds ratios: 0.63, 0.76, and 0.60, respectively, all P < .001). Income below poverty level also predicted FEI (odds ratio, 1.322, P < .001), whereas lack of insurance coverage did not ( P = .181). Conclusions: Despite increasing awareness, there are still notable racial/ethnic and socioeconomic disparities among children with FEI. Further efforts to eliminate these disparities and improve the care of children with FEI are needed. Laryngoscope, 2010