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Clinical Pediatrics, Vol. 42, No. 8, 687-696 (2003)
DOI: 10.1177/000992280304200804

Lack of Association of Race/Ethnicity and Otitis Media in tie First 2 Years of Life

Charles R. Woods, MD, MS

Department of Pediatrics, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina 27157

Race has been identified as a risk factor for otitis media (OM) in several studies. To further explore this, a database of visits with age at visit < 24 months was constructed from data captured electronically at a public health clinic in North Carolina between July 1994 and December 1996. Among 3,108 children with at least 1 visit, 45% were African-American, 26% were Latino, and 29% were White. There were no differences among the groups in episodes of OM per child or ratio of OM episodes to total visits per child. A cohort of 166 children with follow-up throughout their first 2 years of life was identified. In this group, being uninsured or having exposure to out-of-home child care was associated with an increased risk of OM. Race/ethnicity had no association with frequency of OM as measured by episodes per child, proportion with > 1 episode, or proportion with? 3 episodes.


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