Behaviour and developmental effects of otitis media with effusion into theteens

Objective-To examine whether behavioural or cognitive sequelae of otitis me dia with effusion (OME) continue into late childhood and the early teens (1 1-18 years). Setting Data from a large multipurpose birth cohort study: the Dunedin mult idisciplinary health and development study. Participants-Around 1000 children from the study. The main independent vari able of interest was otological status of the child up to age 9. Main outcome measures-Parent and teacher rated behaviour problems, includin g antisocial, neurotic, hyperactive, and inattentive behaviours, and tests of academic achievement including intelligence quotient (IQ), reading, and spelling were available in a high proportion of the cohort at ages 11 to 18 years. Results-After adjustments for covariates such as socioeconomic status, hype ractive and inattentive behaviour problems were evident as late as 15 years , and lower IQ associated with OME remained significant to 13 years. The la rgest effects were observed for deficits in reading ability between 11 and IS years. Conclusions-No previous study considering behaviour problems as an outcome has followed children long enough to determine whether some of the early se quelae of OME are still present in the early to late teens. Some developmen tal sequelae of OME, particularly deficits in reading ability, can persist into late childhood and the early teens.