摘要：Background: Acute otitis media (AOM) is the most common
disease in young children requiring antibiotic treatment.
Information on AOM-related determinant risk factors in primary
school children is still limited, particularly in Indonesia. This
study aims to identify risk factors related to AOM in primary
school children in Banyumas Regency, Central Java, Indonesia.
Design and Methods: This is an analytical study with a casecontrol design in Banyumas Regency, Indonesia. 3574 children
from 6 regions of the Banyumas Regency were recruited for the
screening of AOM detection, and confirmation of AOM diagnosis
was determined by Otolaryngologist. One hundred and twentyfive cases and 125 control were involved in this study. Data collection was carried out using a structured questionnaire focusing
on several variables such as household cooking fuel, house environment, smoking exposure, knowledge of parents, and nutrition
status. Univariate, bivariate using chi-square and multivariate with
regression logistic was conducted for data analysis.
Results: This study highlights the risk of household firewood
use (p=0.003), poor nutritional status (p=0.009), and a family history of ear infections (p=0.015) with an increased risk of otitis
media.
Conclusions: Household firewood use, poor nutritional status
and family history of ear infection are factors associated with the
occurrence of acute otitis media. It is necessary to provide public
health education to prevent exposure to fuel at risk for children
and to improve their nutritional status.
