Research Article

Prevalence of Middle Ear Infections and Associated Risk Factors in Children under 5 Years in Gasabo District of Kigali City, Rwanda

Table 3

Independent predictors of ear infection.

Number of children without middle ear infectionsChildren with middle ear infections ()Crude OR (CI)Adjusted OR (CI)

Gender
 Males379 (49.7%)24 (59.1%)11
 Females384 (50.3%)23 (48.9%)0.95 (0.52–1.71)0.94 (0.52–1.73)
Age (months)
 ≤12107 (14.2%)8 (17%)11
 13 –24232 (30.4%)14 (29.8%)0.81 (0.33–1.98)0.79 (0.36–1.97)
 25–36215 (28.1%)8 (17%)0.50 (0.18–1.36)0.44 (0.16–1.23)
 37–48139 (18.2%)8 (17%)0.77 (0.28–2.12)0.66 (0.23–1.87)
 ≥4970 (9.2%)9 (19.2%)1.72 (0.63–4.67)1.41 (0.51–3.98)
SES
 Low359 (47.1%)24 (51.1%)11
 Middle312 (40.9%)20 (42.5%)0.96 (0.52–1.77)1.31 (0.67–2.57)
 High92 (12.1%)3 (6.4%)0.49 (0.14–1.66)0.94 (0.25–3.58)
Level of education
 No education43 (5.6%)7 (14.9%)11
 Primary434 (57%)31 (66%)0.44 (0.18–1.01)0.45 (0.18–1.11)
 Secondary214 (28.1%)6 (12.8%)0.17 (0.06–0.54)0.22 (0.67–0.73)
 Vocational71 (9.3%)3 (6.4%)0.26 (0.06–1.06)0.41 (0.89–1.85)
Breastfeeding (months)
 Never10 (90.9%)1 (9.1%)11
 <12133 (93.0%)10 (7.0%)0.75 (0.09–6.48)0.51 (0.5–5.41)
 12–24293 (92.7%)23 (7.3%)0.78 (0.10–6.40)0.52 (0.06–4.76)
 25–36316 (96.3%)12 (3.7%)0.38 (0.05–16.54)0.23 (0.02–2.26)
 >3611 (91.7%)1 (8.3%)0.91 (0.05–16.5)0.39 (0.02–8.60)
Household smoke
 Never297 (38.9%)10 (21.3%)1
 Sometimes209 (27.4 %)15 (31.9%)2.13 (0.94–4.84)1.78 (0.73–4.36)
 Always257 (33.7%)22 (46.8%)2.54 (1.18–5.47)1.83 (0.65–3.93)
Passive smoking
 Never634 (83.1%)35 (74.5%)11
 Sometimes95 (12.5%)8 (17%)1.53 (0.69–3.39)1.26 (0.55–2.92)
 Always34 (4.5%)4 (8.5%)2.13 (0.72–6.34)1.83 (0.58–5.65)
Residence
 Rural349 (45.7%)29 (61.7%)11
 Urban414 (54.3%)18 (38.3%)0.52 (0.29–0.96)0.17 (0.33–0.46)
Accuracy of parents’ knowledge compared to examination findings
 Not knowing about infection8 (1.1%)8 (17%)11
 Having infection750 (98.3%)38 (80.9%)0.15 (0.07–0.35)0.18 (0.07–0.46)
 Not having infection5 (0.7%)1 (2.1%)0.24 (0.09–0.64)0.28 (0.09–0.84)

Significant at bivariate analysis; significant at multivariate analysis.