Faktor pemakanan dan sosial . terhadap penyakit otitis media kronik di kalangan kanak-kanak (1-12 tahun) di Kota Bharu, Kelantan

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Date
2003
Authors
Che Mohd Yusoff, Mohd Nasir
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This prevalence case-control study involved 102 children with Chronic Otitis Media (COM) aged 1 to 12 years old attending the two specialist clinics namely Universiti Sains Malaysia Hospital and Kota Bharu General Hospital for treatment. COM is a disease where chronic inflammation occurs in middle ear cleft and is characterized by perforation of the tympanic membrane either the pars tensa or pars flaccida. Sixty two percent (62%) of patients came from Kota Bharu and 38% from other districts of Kelantan. The control group were matched for age (±1 year old), sex and district they come from and were chosen from several sources namely patient's neighbours (38%; 39 subjects), relatives (17%; 18 subjects) and sibling (10%; 11 subjects). The remainder- 33% (34 subject) all aged 7 to 12 years old were taken randomly from two schools in Kota Bharu. Anthropometry measurement (Median NCHS as reference) and 24-Hours Dietary Recall method were used for nutritional assesment amongst children. Statistical analysis result using Odds Ratio (OR) showed a significant risk for nutritional parameter; stunting (OR=3.54, SK95%=1.47-8.70), underweight (0R:::;2.59, SK95%=1.31-5.18), arm circumference-percentile <10 Frisancho Reference (OR=2.18, - 0.98-5.01). The mean for calorie and Vitamin C intake showed an appreciable differences where COM patient showed a low mean intake compared to the control group. Information on relevant social factors were collected from children using a structured questionaire. Several social aspects showed a significant elevated risk such as teeth brushing <3 times/day (OR=4.81, SK95%=2.0 1-11. 7), never/rarely washing hand after going to the toilet (OR=5.16, SK95%=2.15-12.5), never/rarely washing hand using soap (OR=3.42, SK95%=1.43-8.26), ingrained dirt of pinnae (OR=3.03, SK95%=1.11-8.48), dirt of nail (OR=2.33, SK95%=0.9-6.11) and exposure of passive smoking at home (OR=1.89, SK95%=1.04-3.44). Breast feeding in early life, the type of care in early life, the family structure and several personel hygiene parameters studied did not show~d any significant increased risk. This study concluded that malnutrition and several social aspects (personel hygiene and cigarette smoke exposure) are important factors influencing COM amongst children.
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Penyakit otitis
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