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CC BY-NC-ND 4.0 · Annals of Otology and Neurotology 2021; 4(02): 062-068
DOI: 10.1055/s-0041-1735395
Original Article

Association of Passive Smoking with Otitis Media among School Children of Eastern Nepal

Manisha Paneru 
1   Department of Otorhinolaryngology and Head and Neck Surgery (ORL & HNS), Patan Academy of Health Sciences, Lalitpur, Nepal
,
Shankar P. Shah 
2   Department of ORL & HNS, B.P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal
,
Shyam Thapa Chettri 
2   Department of ORL & HNS, B.P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal
› Author Affiliations Funding This research received no specific grant from any funding agency, commercial or not-for-profit sectors.
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Abstract

Introduction Otitis media (OM) and otitis media with effusion are commonly presenting conditions in an otolaryngology clinic. Exposure to passive smoking is thought to increase the risk of OM through an effect on mucociliary clearance, decreased ciliary beat frequency, or mucous hypersecretion. Awareness among parents plays a key role in the primary prevention of the disease.

Objective We aimed to identify the association of passive smoking with OM among school-going children of the eastern region of Nepal.

Methods A community-based cross-sectional study was done among 663 school-going children, selected by stratified random sampling using a questionnaire. Data regarding age, gender, type of school, otological symptoms, smoking status of parents and family members, otoscopic findings, pure tone audiometry, and impedance audiometry were recorded.

Results Six-hundred and sixty-three students were included in the study. OM was confirmed in 103 students (15.5%). Smoking history was present in at least one of the family members in 177 out of 663 students (26.69%) and with positive smoking history in any member of the family, OM was seen in 65 (36.7%) students (p ≤ 0.001), which suggested significant association. OM was seen in 38 students (7.8%) when there was no exposure to passive smoking.

Conclusions There is a high prevalence of OM (15.5%) in school-going children. The study shows significant association between passive smoking and OM in children.

Keywords

hearing loss - otolaryngology - otology


Publication History

Article published online:
24 September 2021

© 2021. Indian Society of Otology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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