A community study of the incidence of clinically diagnosed otitis media and middle ear effusions was undertaken in the City of Galveston, Texas, based on a random sample of records of patients aged 0-8 years receiving medical care from four major sources during 1975. No overall sex or ethnic differences were observed in association with otitis media. Thirty-five per cent of the sample had at least one episode of otitis media during 1975 and, of these, onethird had two or more episodes, yielding a conservative annual incidence rate of 55.1 per cent for this age group. The overall age-specific incidence pattern indicated the highest rates for the 0-2 year age group MethodsThe study population consisted of all children aged 0-8 years in 1975 (i.e., born during the period January 1, 1967 through December 31, 1974) who resided in the city of Galveston and who made at least one medical visit for any reason during 1975 to one of the four major sources of pediatric care in the city. These sources were: 1) a university family medicine clinic; 2) a private pediatric practice; 3) a county comprehensive care clinic located on the island; and 4) a university pediatric clinic.Children
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