Climatic and racial factors related to the aetiology of secretory otitis media

ORL J Otorhinolaryngol Relat Spec. 1984;46(6):318-26. doi: 10.1159/000275730.


This paper studied the incidence of secretory and chronic otitis among a random group of 5,950 children, aged from 4 to 9, coming from four different climatic regions of Spain, and including a group of Gypsy children. Each of the children was given a questionnaire regarding socio-economic and environmental situation and pathological antecedents; the results for sick and normal children were then statistically analysed. The most significant aetiological factors to emerge were: low economic level, prior respiratory infection, climatic conditions, cases of rhinosinusitis and acute otitis, and family history. Among Gypsy children a much greater incidence was observed, due not to racial origin but to the greater incidence of the factors cited above.

Publication types

  • Comparative Study

MeSH terms

  • Age Factors
  • Cerebrospinal Fluid Otorrhea / complications
  • Cerebrospinal Fluid Rhinorrhea / complications
  • Child
  • Child, Preschool
  • Climate*
  • Cultural Characteristics
  • Ethnicity*
  • Female
  • Humans
  • Male
  • Middle Ear Ventilation
  • Otitis Media / etiology*
  • Otitis Media with Effusion / epidemiology
  • Otitis Media with Effusion / etiology*
  • Otitis Media, Suppurative / complications
  • Respiratory Tract Infections / complications
  • Roma
  • Socioeconomic Factors
  • Spain