PEDIATRICS Vol. 78 No. 3 September 1986, pp. 423-430
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Otitis Media in Early Childhood and Its Relationship to Later Verbal and Academic Performance

Joanne Erwick Roberts PhD1, Margaret A. Sanyal MD1, Margaret R. Burchinal MA1, Albert M. Collier MD1, Craig T. Ramey PhD1, and Frederick W. Henderson MD1

1 From the Frank Porter Graham Child Development Center, and the Departments of Pediatrics and Psychology, University of North Carolina, Chapel Hill

The relationship between the occurrence of otitis media with effusion during the first 3 years of life and subsequent verbal and academic performance was examined in 61 socioeconomically disadvantaged children who attended a research day-care program. Study children were participants in a longitudinal study of child development in which the number of episodes of otitis media and duration of each otitis episode were reported prospectively from infancy. The incidence of otitis media was highest during the first 2 years of life. Bilateral otitis media accounted for 66% of the days with otitis media with effusion. Standardized tests of intelligence and academic performance were administered to the children when they were 3frac12 to 6 years of age. No evidence of associations between measures of early childhood otitis media experience and these measures of verbal or academic functioning was found in this study population.

Key Words: otitis media • ear infection • cognitive development • verbal development • child development • academic performance

Submitted on October 11, 1985
Accepted on December 26, 1985




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