{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T17:29:36Z","timestamp":1787246976153,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T00:00:00Z","timestamp":1600300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T00:00:00Z","timestamp":1600300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the feasibility of a two\u2010stage screening strategy for otitis media with effusion (OME) in pre\u2010school and school children. The risk factors of OME were also studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred and eighty\u2010nine children aged 4\u20138\u2009years were recruited. The two\u2010stage screening consisted of an on\u2010site screening with a portable otoscopy along with a questionnaire to both diagnose children with OME and identify children at risk, and a standard screening performed at a regional hospital for final diagnosis. The prevalence detected from the two\u2010stage screening approach was compared to the actual prevalence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The detection rate of OME through the two\u2010stage screening approach was not significantly different from the actual prevalence rate (12.7% vs. 13.4%,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.847). Children from the urban area had a lower risk for OME than that from the rural area (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.007, odds ratio (OR) = 0.28, 95% confidence interval (CI): 0.11\u20130.74). Compared to childcare dining, family dining helped to reduce the chance of OME (\n                      <jats:italic>P\u2009&lt;<\/jats:italic>\n                      0.001, OR = 0.15, 95% CI: 0.06\u20130.38).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The two\u2010stage screening strategy was effective for screening for OME among pre\u2010school and school children. It can be used in rural areas that have a high prevalence of OME and limited medical resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.14987","type":"journal-article","created":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T05:51:51Z","timestamp":1600321911000},"page":"1544-1550","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Preliminary study on the feasibility of a two\u2010stage screening strategy for otitis media with effusion in children"],"prefix":"10.1111","volume":"56","author":[{"given":"Jia","family":"Yang","sequence":"first","affiliation":[{"name":"Department of ENT and Head and Neck Surgery, The Second Hospital Cheeloo College of Medicine  Jinan China"},{"name":"NHC, Key Laboratory of Otorhinolaryngology Shandong University  Jinan China"},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Zhangqiu People\u2019s Hospital  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Zhangqiu People\u2019s Hospital  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Zhangqiu People\u2019s Hospital  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhong\u2010Gang","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Zhangqiu People\u2019s Hospital  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anting","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of ENT and Head and Neck Surgery, The Second Hospital Cheeloo College of Medicine  Jinan China"},{"name":"NHC, Key Laboratory of Otorhinolaryngology Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,17]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"459","article-title":"Epidemiology and natural history of secretory otitis","volume":"5","author":"Tos M","year":"1984","journal-title":"Am. J. Otol."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.99.3.318"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.52.12.786"},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1001\/jama.1983.03330320020024","article-title":"Risk factors for persistent middle\u2010ear effusions. Otitis media, catarrh, cigarette smoke exposure, and atopy","volume":"249","author":"Kraemer MJ","year":"1983","journal-title":"JAMA"},{"key":"e_1_2_8_6_1","first-page":"429","article-title":"Comparison of prevalence rates of secretory otitis media in Hong Kong Chinese children with western populations","volume":"39","author":"Tong M","year":"2004","journal-title":"Zhonghua Er Bi Yan Hou Ke Za Zhi"},{"key":"e_1_2_8_7_1","first-page":"903","article-title":"Risk factors for otitis media with effusion in children","volume":"43","author":"Chen P","year":"2008","journal-title":"Chin. J. Otorhinolaryngol. Head Neck Surg."},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1177\/000348941112000911","article-title":"Prevalence of otitis media with effusion among children in Xi'an, China: A randomized survey in China's mainland","volume":"120","author":"Zhang Q","year":"2011","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/20.5.645"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489709117770"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.85.2.91"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815623467"},{"key":"e_1_2_8_13_1","first-page":"884","article-title":"Draft of guideline for the diagnosis and treatment of pediatric otitis media","volume":"43","author":"Editorial Board of Chinese Journal of Otorhinolaryngology Head, Neck Surgery PDCOH, Neck Surgery Society of Chinese Medical Association","year":"2008","journal-title":"Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi"},{"key":"e_1_2_8_14_1","first-page":"809","article-title":"Variation in tone presentation by pure tone audiometers: The potential for error in screening","volume":"3","author":"Barlow C","year":"2015","journal-title":"EuroNoise"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2012.736692"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2008.526"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016489850154720"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-011-0131-z"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.08.004"}],"updated-by":[{"DOI":"10.1111\/jpc.15523","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T00:00:00Z","timestamp":1620345600000}}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.14987","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.14987","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.14987","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T17:11:52Z","timestamp":1787245912000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.14987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,17]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1111\/jpc.14987"],"URL":"https:\/\/doi.org\/10.1111\/jpc.14987","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,17]]},"assertion":[{"value":"2019-06-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}