Understanding Risk Factors for Otitis Media in Rural Alaska Native Children: A Cohort Study

Otitis media is common in this population of rural Alaska Native children. CPT1A arctic variant homozygosity increased both the odds of otitis media incidence and the effect of all studied risk factors on otitis media incidence. Results should be interpreted cautiously, as the coronavirus disease 2019 pandemic negatively affected enrollment and likely affected the incidence of otitis media. Further prospective research is needed to better understand these relationships.