March 2013

Document Type


Degree Name



Dept. of Public Health and Preventive Medicine


Oregon Health & Science University


Both otitis media (OM) and dental caries are of special concern as they relate to a child’s quality of life and ability to grow and thrive. The etiologies for both tooth decay and OM are complex and multi-factorial with evidence that genetic, lifestyle, and environmental factors all play a role. Furthermore, the relationship between OM and dental caries remains unclear with mixed results from previous studies. Historically, both of these diseases have been highly prevalent in Palau, however, the current state of these conditions is largely unknown. This project aims to describe the current prevalence of each disease within the population, test the hypothesis that the two diseases are associated, and identify significant predictors for both primary and permanent dental caries. Methods The Ministry of Health’s School Health Program Physical Examination Screenings began in the 2006-07 school year as a tool to identify health concerns and refer students for treatment to address these speci




School of Medicine



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