Childhood otitis media: Relationship with daycare attendance, harsh parenting, and maternal mental health

Kai Wei Kevin Chen, Daniel Tsung Ning Huang, Li Tuan Chou, Hsi Ping Nieh, Ren Huei Fu, Chien Ju Chang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

6 Scopus citations


Psychological stress has been linked to developmental problems and poor health in children, but it is unclear whether it is also related to otitis media (OM). As part of a long-term study surveying the characteristics of childcare and development in Taiwan, we analyzed the relationship between OM and sources of psychological stress in children, such as poor maternal mental health and harsh parental discipline. We analyzed the data of 1998 children from the “Kids in Taiwan: National Longitudinal Study of Child Development & Care (KIT) Project” at the age of 3 years. Using bivariate and multivariate logistic regression models, we tested several risk factors as potential independent predictors of two outcomes: parent-reported incidence of OM and child health. The proportion of children who had developed OM in the first 3 years of their life was 12.5%. Daycare attendance (odds ratio [OR]: 1.475; 95% confidence interval [CI]: 1.063–2.046), poor maternal mental health (OR: 1.913; 95% CI: 1.315–2.784), and harsh parental discipline (OR: 1.091; 95% CI: 1.025–1.161) correlated with parent-reported occurrence of OM. These findings suggest that providing psychosocial support to both parents and children might be a novel strategy for preventing OM.

Original languageEnglish
Article numbere0219684
JournalPLoS ONE
Issue number7
StatePublished - 01 07 2019
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2019 Chen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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