Résumé :
|
[BDSP. Notice produite par INIST bq7H8R0x. Diffusion soumise à autorisation]. Objectives. Recurrent and persitent otitis media is often treated by tympanostomy tube insertion to ventilate the middle ear and restore hearing. This study examined the factors that predict which children are most likely to receive tympanostomy tubes through 3 years of age. Methods. Multiple logistic regression was conducted on date from a nationally representative sample of children (N=8285). Results. By 3 years of age, 6.8% of US children had tubes inserted. Logistic regression indicated that after control for number of ear infections, children without any gaps in health insurance, who attended, a day-care center, whoc were White, whose birth-weight was less than 1500 g, and who lived in the Midwest or South were significantly more likely to have tympanostomy tubes. Conclusions. These date suggest that differences exists as to who receives tubes. Of particular concern are differences by race/ethnicity and continuity of health insurance coverage. With expansions in health care coverage. With expansions in health care coverage to large proportions of uninsured children, it will be important to monitor these programs to ensure that all children who may need tympanostomy tubes have access to them.
|