Smoking and Middle Ear Disease

Adair-Bischoff, Carol E.; Candidate,; Sauvé, Reg; Kimberley, B.; Brant, R.

doi:10.1016/s0194-5998(96)70117-1

Cited by 3 publications

(5 citation statements)

References 9 publications

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“…On the other hand, in the age-group corresponding to the US study odds for internal ear diseases are similar (1.94, CI 1.24-3.04). For middle ear diseases there are very limited data among adults and studies are mainly confined in children that have evaluated harmful effects of second-hand smoke[3,4,17]. Adair-Bischoff et al[17] reported odds of 1.85 (CI 1.15-2.97) for children exposed to second-hand smoke by > 2 members of the household.…”

Section: Discussionmentioning

confidence: 99%

“…The tobacco-induced negative effects on health include various types of cancers, heart disease, strokes, emphysema, and a slew of other serious (and often fatal) illnesses as observed in epidemiological and clinical studies[1,2]. Evidences have accumulated in recent years on the adverse effects of smoking and tobacco use on ear diseases and hearing among different population groups[3-10]. Some studies, on the other hand, have reported absence of such an association[11-13].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies, on the other hand, have reported absence of such an association[11-13]. All forms of smoking and tobacco use are harmful[1,14,15] and there are significant data on relationship of smoking and middle-ear diseases in children (by passive smoking) and in adults[3,4]. Among adults the risks of internal ear diseases especially hearing loss also increases with smoking[5,9].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have mainly focused on the independent association of smoking on ear diseases and hearing but almost none have evaluated combined effects of smoking and non-smoked tobacco use on different type of ear diseases and hearing[3-15]. We previously reported results of a retrospective study of 30 year trends in various otolaryngorhinological diseases in India[16].…”

Section: Introductionmentioning

confidence: 99%

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Association of smoking or tobacco use with ear diseases among men: a retrospective study

Gaur¹,

Kasliwal²,

Gupta³

2012

Tob Induced Dis

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BackgroundHealth related behaviour specially smoking and tobacco in any form are major determinants of health and lead to health inequities. Tobacco leads to various health problems including ear, nose and throat diseases.ObjectiveTo determine the influence of smoking or tobacco use on ear diseases we performed a retrospective study among men.MethodOf 11454 subjects of different age-groups there were 4143 men aged 20-60 years who were evaluated for demographic variables, smoking/tobacco use and middle and internal ear diseases. Descriptive statistics and age adjusted logistic regression analyses were performed.ResultsAmong the 4143 men, 1739 (42.0%) were smokers or used tobacco. In smokers/tobacco users compared to non-users the age adjusted odds ratios and 95% confidence intervals (CI) for chronic suppurative otitis media were 1.13 (CI 0.96-1.34), acute otitis media 1.16 (CI 0.82-1.64), suppurative otitis media 1.21 (CI 0.79-1.84), otosclerosis 0.97 (CI 0.52-1.33) (p > 0.05) and for overall middle ear diseases was 1.15 (CI 0.99-1.33, p = 0.05). For internal ear diseases the age adjusted odds ratios were for sensorineural hearing loss 1.12 (CI 0.92-1.58), 0.12 (CI 0.42-0.93) for vertigo and tinnitus and overall internal ear diseases were 0.97 (CI 0.77-1.22, p = 0.81). Among men 40-60 years there was a significantly greater risk for both middle ear (OR 1.73, CI 1.29-2.30) and internal ear diseases (OR 1.94, CI 1.24-3.04) (p < 0.001).ConclusionSmoking/tobacco use is significantly associated with greater prevalence of middle and internal ear diseases among middle-aged men in India.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association of smoking or tobacco use with ear diseases among men: a retrospective study

Gaur¹,

Kasliwal²,

Gupta³

2012

Tob Induced Dis

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“…language literature; the ETS-MED association seems well accepted in some professional literature but denied in other literature. [14][15][16][17] As recently as March 1997, the ETS-MED relationship was found to be positive in about as many studies as it was found to be negative in. 17 This inconsistency in findings may be partly due to methodological issues, such as insufficient power, inadequate measurement of exposure and disease, lack of confounder control, and non-population-based study subjects.…”

mentioning

confidence: 99%

Environmental Tobacco Smoke and Middle Ear Disease in Preschool-Age Children

Adair-Bischoff

Sauve²

1998

Arch Pediatr Adolesc Med

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To determine the association between environmental tobacco smoke and middle ear disease in preschool-age children. Design: A population-based case-control study with verification of disease history and exposure reporting in a subsample. Setting and Participants: Participants were identified through a population-based probability sample of 1320 first-grade students in 36 schools in Calgary, Alberta. The parents of 625 children meeting case (n=227) or control (n=398) definitions were interviewed by telephone for their children's exposure history. The adequacy of exposure and disease measures was assessed using hair cotinine measurements, home visits, and physician medical records for 92 children. Main Outcome Measures and Results: A history of middle ear disease was found in 23.9% of the sample. Relationships were found between middle ear disease and 2 or more household smokers (crude odds ratio [OR], 1.85; 95% confidence interval [CI], 1.15-2.97), 10 or more cigarettes smoked by the mother per day (crude OR, 1.68; 95% CI, 1.12-2.52), and 10 or more cigarettes smoked in total in the household per day (crude OR, 1.40; 95% CI, 0.98-2.00) during the first 3 years of life. In logistic regression modeling, these effects persisted after adjusting for child care (type, age started, duration, and group size), infant feeding (type and duration), socioeconomic status, maternal educational level, number of prenatal ultrasonographic examinations, and health services use. The mean current hair cotinine levels were higher for children living in homes with 1 or more smokers vs no smokers (0.51 vs 0.31 ng/mg, P=.01). There was fair agreement (75.3%) between physician medical records and parental report of disease history, but some misclassification bias toward the null hypothesis is likely. Conclusion: Environmental tobacco smoke is an important risk factor for middle ear disease in urban preschoolage children, even in a relatively affluent population.

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Secondhand and Prenatal Tobacco Smoke Exposure

Best¹

2009

Pediatrics

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Secondhand tobacco smoke (SHS) exposure of children and their families causes significant morbidity and mortality. In their personal and professional roles, pediatricians have many opportunities to advocate for elimination of SHS exposure of children, to counsel tobacco users to quit, and to counsel children never to start. This report discusses the harms of tobacco use and SHS exposure, the extent and costs of tobacco use and SHS exposure, and the evidence that supports counseling and other clinical interventions in the cycle of tobacco use. Recommendations for future research, policy, and clinical practice change are discussed. To improve understanding and provide support for these activities, the harms of SHS exposure are discussed, effective ways to eliminate or reduce SHS exposure are presented, and policies that support a smoke-free environment are outlined.

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Smoking and Middle Ear Disease

Cited by 3 publications

References 9 publications

Association of smoking or tobacco use with ear diseases among men: a retrospective study

Association of smoking or tobacco use with ear diseases among men: a retrospective study

Environmental Tobacco Smoke and Middle Ear Disease in Preschool-Age Children

Secondhand and Prenatal Tobacco Smoke Exposure

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