Air pollution and otitis media in children: A systematic review of literature

Journal article


Bowatte, Gayan, Tham, Rachel, Perret, Jennifer L., Bloom, Michael S., Dong, Guanghui, Waidyatillake, Nilakshi, Bui, Dinh, Morgan, Geoffrey G., Jalaludin, Bin, Lodge, Caroline J. and Dharmage, Shyamali C.. (2018) Air pollution and otitis media in children: A systematic review of literature. International Journal of Environmental Research and Public Health. 15(2), pp. 1 - 19. https://doi.org/10.3390/ijerph15020257
AuthorsBowatte, Gayan, Tham, Rachel, Perret, Jennifer L., Bloom, Michael S., Dong, Guanghui, Waidyatillake, Nilakshi, Bui, Dinh, Morgan, Geoffrey G., Jalaludin, Bin, Lodge, Caroline J. and Dharmage, Shyamali C.
Abstract

Young children are particularly vulnerable to otitis media (OM) which globally affects over 80% of children below the age of 3 years. Although there is convincing evidence for an association between environmental tobacco smoke exposure and OM in children, the relationship with ambient air pollution is not clear. We aimed to systematically review the literature on the relationship between ambient air pollution exposure and OM in children. A systematic search was performed in PubMed and EMBASE databases. Of 934 references identified, 24 articles were included. There is an increasing body of evidence supporting an association between higher ambient air pollution exposure and a higher risk of OM in children. While NO2 showed the most consistent association with OM, other specific pollutants showed inconsistent associations. Studies were mainly conducted in high/middle income countries with limited evidence from low-income countries. Although there was a general consensus that higher air pollution exposure is associated with a greater prevalence of OM, the evidence for associations with specific pollutants is inconsistent. More well-designed studies on associations between specific air pollutants as risk factors for OM are warranted, especially in low income countries with high air pollution levels.

Keywordsmiddle ear infection; otitis media; air pollution
Year2018
JournalInternational Journal of Environmental Research and Public Health
Journal citation15 (2), pp. 1 - 19
PublisherMDPI AG
ISSN1660-4601
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph15020257
Scopus EID2-s2.0-85041480333
Open accessOpen access
Page range1 - 19
Research GroupMary MacKillop Institute for Health Research
Publisher's version
License
Place of publicationSwitzerland
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