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Air Pollution and Otitis Media in Children: A Systematic Review of Literature

Author

Listed:
  • Gayan Bowatte

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, School of Population & Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia
    National Institute of Fundamental Studies, Kandy 20000, Sri Lanka)

  • Rachel Tham

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, School of Population & Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia)

  • Jennifer L. Perret

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, School of Population & Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia)

  • Michael S. Bloom

    (Department of Environmental Health Sciences School of Public Health University at Albany, State University of New York, Rensselaer, NY 12144, USA
    Department of Epidemiology and Biostatistics School of Public Health University at Albany, State University of New York, Rensselaer, NY 12144, USA
    Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Department of Preventive Medicine, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China)

  • Guanghui Dong

    (Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Department of Preventive Medicine, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China)

  • Nilakshi Waidyatillake

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, School of Population & Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia)

  • Dinh Bui

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, School of Population & Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia)

  • Geoffrey G. Morgan

    (University Centre for Rural Health, School of Public Health, University of Sydney, Sydney, NSW 2480, Australia)

  • Bin Jalaludin

    (Healthy People and Places Unit, South Western Sydney Local Health District, Liverpool, NSW 2170, Australia)

  • Caroline J. Lodge

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, School of Population & Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia
    These authors contributed equally to this work.)

  • Shyamali C. Dharmage

    (Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, School of Population & Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia
    These authors contributed equally to this work.)

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 NO 2 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.

Suggested Citation

  • Gayan Bowatte & Rachel Tham & Jennifer L. Perret & Michael S. Bloom & Guanghui Dong & Nilakshi Waidyatillake & Dinh Bui & Geoffrey G. Morgan & Bin Jalaludin & Caroline J. Lodge & Shyamali C. Dharmage, 2018. "Air Pollution and Otitis Media in Children: A Systematic Review of Literature," IJERPH, MDPI, vol. 15(2), pages 1-19, February.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:257-:d:130092
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    Citations

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    Cited by:

    1. Xinpeng Xing & Jianhua Wang & Tiansen Liu & He Liu & Yue Zhu, 2019. "How Energy Consumption and Pollutant Emissions Affect the Disparity of Public Health in Countries with High Fossil Energy Consumption," IJERPH, MDPI, vol. 16(23), pages 1-18, November.
    2. Daniel McGuire & Havell Markus & Lina Yang & Jingyu Xu & Austin Montgomery & Arthur Berg & Qunhua Li & Laura Carrel & Dajiang J. Liu & Bibo Jiang, 2024. "Dissecting heritability, environmental risk, and air pollution causal effects using > 50 million individuals in MarketScan," Nature Communications, Nature, vol. 15(1), pages 1-14, December.
    3. Sang-Youp Lee & Myoung-jin Jang & Seung Ha Oh & Jun Ho Lee & Myung-Whan Suh & Moo Kyun Park, 2020. "Associations between Particulate Matter and Otitis Media in Children: A Meta-Analysis," IJERPH, MDPI, vol. 17(12), pages 1-16, June.

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