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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Household wood and charcoal smoke increases risk of otitis media in childhood in Maputo
International Journal of Epidemiology, Volume 33, No. 3, Year 2004
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Description
Background. This study examined the association of otitis media in children <6 years old and the exposure to wood and charcoal smoke, as well as to other risk factors, in Maputo. Methods. Case-control study. In all 750 children matched by sex and age were enrolled in a hospital-community study. Cases were gathered from among children visiting the Central Hospital of Maputo with otitis media and controls were recruited in the same village as the cases. Conditional logistic regression was performed to evaluate, simultaneously, the effect of each risk factor. Results. Cases were more likely to have been exposed to tobacco smoke (OR = 1.51), to wood (OR = 1.85) and charcoal (OR = 1.50) household smoke, to short term breastfeeding (OR = 1.47), and to live in overcrowded conditions (OR = 1.49). Multivariate analysis stratified by age groups (younger and older than 2 years) showed that cases were more likely to be exposed to wood and charcoal smoke than controls, regardless of age. Among children aged >2 years, Eustachian tube dysfunction was evident (OR = 3.06) particularly in those living in less over-crowded conditions. Conclusions. Findings of this study are consistent with earlier studies that have reported an association between parental smoking, short duration of breastfeeding, and Eustachian tube dysfunction. The association with wood and charcoal smoke indicates that there is a need to educate people regarding the avoidance of exposing their children to this environmental hazard. © International Epidemiological Association 2004; all rights reserved.
Authors & Co-Authors
da Costa, João Leopoldo
Mozambique, Maputo
Faculdade de Medicina Uem
France, Montpellier
Graal
Navarro, A. G.
Spain, Cerdanyola Del Valles
Universitat Autònoma de Barcelona
France, Montpellier
Graal
Neves, José Branco
Mozambique, Maputo
Ent-chm
Martín-Mateo, Miguel L.
Spain, Cerdanyola Del Valles
Universitat Autònoma de Barcelona
France, Montpellier
Graal
Statistics
Citations: 56
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1093/ije/dyh071
ISSN:
03005771
Research Areas
Environmental
Health System And Policy
Maternal And Child Health
Substance Abuse
Study Design
Case-Control Study