Epidemiology of Pediatric Tympanostomy Tube Placement in the United States

2020 ◽  
Vol 163 (3) ◽  
pp. 600-602
Author(s):  
Neil Bhattacharyya ◽  
Sophie G. Shay
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Practice Guidelines ◽  
National Health Interview Survey ◽  
The United States ◽  
Tube Placement ◽  
Tympanostomy Tube ◽  
The Past ◽  
Interview Survey ◽  
Ear Infections

The prevalence of pediatric tympanostomy tube placement (TTP) in the United States has not been reassessed in the past decade. To assess the prevalence of TTP and frequent ear infections (FEI), the National Health Interview Survey for the calendar year 2014 was used. Among 73.1 million children, 6.26 million (8.6%) had TTP. The incidence of FEI was 3.49 million (4.8%). Males (9.6%) were more likely than females (7.5%) to undergo TTP ( P = .004). Among children under 2 years of age, 9.1% reported FEI, compared to 3.9% of children aged 3 to 17 years. Among children under 2 years of age, 25% with FEI received TTP vs 1.5% without FEI ( P < .001). Among children aged 3 to 17 years, 31.1% with FEI received TTP vs 8.6% without FEI ( P < .001). TTP may be increasing nationally, although further assessment of adherence to clinical practice guidelines is needed to investigate this potential trend.

scholarly journals Immigrants’ Use of eHealth Services in the United States, National Health Interview Survey, 2011-2015

2018 ◽  
Vol 133 (6) ◽  
pp. 677-684 ◽  
Author(s):  
Yang Wang ◽  
D. Phuong Do ◽  
Fernando A. Wilson
Keyword(s):  
United States ◽  
Language Proficiency ◽  
National Health Interview Survey ◽  
English Language ◽  
The United States ◽  
English Language Proficiency ◽  
The Past ◽  
Naturalized Citizens ◽  
Interview Survey ◽  
Ehealth Services

Objectives: Little is known about the use of electronic health (eHealth) services supported by information technology in the United States among immigrants, a group that faces barriers in accessing care and, consequently, disparities in health outcomes. We examined differences in the use of eHealth services in the United States by immigration status in a nationally representative sample. Methods: We used data from the 2011-2015 National Health Interview Survey to assess use of eHealth services among US natives, naturalized citizens, and noncitizens. Our outcome variable of interest was respondent-reported use of eHealth services, defined as making medical appointments online, refilling prescriptions online, or communicating with health care professionals through email, during the past 12 months. We analyzed use of eHealth services, demographic characteristics, socioeconomic status, and health status among all 3 groups. We used multivariate logistic regression models to examine the association between immigration status and the likelihood of using eHealth services, adjusting for individual demographic, socioeconomic, and health characteristics. Results: Among 126 893 US natives, 18 763 (16.1%) reported using any eHealth services in the past 12 months, compared with 1738 of 15 102 (13.0%) naturalized citizens and 1020 of 14 340 (7.8%) noncitizens. Adjusting for socioeconomic factors reduced initial gaps: naturalized citizens (adjusted odds ratio [aOR] = 0.81; 95% confidence interval [CI], 0.75-0.87) and noncitizens (aOR = 0.81; 95% CI, 0.72-0.90) had approximately 20% lower odds of using eHealth services than did US natives. However, the differences varied by type of eHealth service. Immigrants with higher English-language proficiency were more likely to use eHealth services than were immigrants with lower English-language proficiency. Conclusions: Targeted interventions that reduce socioeconomic barriers in accessing technology and promote multilingual electronic portals could help mitigate disparities in use of eHealth services.

Ethanol in Over-the-Counter Drugs

1996 ◽  
Vol 17 (10) ◽  
pp. 342-343
Keyword(s):  
United States ◽  
National Health ◽  
Common Cold ◽  
National Health Interview Survey ◽  
The United States ◽  
Over The Counter ◽  
Health Interview Survey ◽  
Health Interview ◽  
Interview Survey ◽  
The Common

The use of over-the-counter (OTC) medications among children in the United States is extensive. More than 800 OTC medications are available for treatment of the common cold, with almost 2 billion dollars spent annually on cough and cold medications alone. In 1994, Kogan et al determined that more than 50% of 3-year-old children in the United States had been given OTC medications in the 30 days prior to the study survey. Cough and cold preparations and acetaminophen were reported to be the medications used most frequently (66.7%). The use of cough and cold medications has not decreased when compared with findings from a 1981 National Health Interview Survey, despite increasing evidence that these medications are not effective and, in some circumstances, even may be harmful to children.

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