PREVALENCE AND ASSOCIATED RISK FACTORS OF COMMON ENT DISORDERS AMONG PATIENTS ATTENDING OUTPATIENT CLINICS IN URBAN HOSPITALS: A CROSS-SECTIONAL STUDY

Authors

  • Kashmala Munawar Nishtar Hospital, Multan, Pakistan. Author
  • Nida Anjum Ghouri CMH Hospital, Karachi, Pakistan. Author
  • Sulaiman Zahin Omerzai Qazi Hussain Medical Complex, Nowshera, Pakistan. Author
  • Hamid Khurshid National University of Medical Sciences (NUMS), Rawalpindi, Pakistan. Author
  • Saadia Munir Qureshi Health Services Academy, Islamabad, Pakistan.  Author https://orcid.org/0009-0009-4296-0599
  • Abbas Khan Safi Khyber Medical College, Peshawar), Pakistan. Author

DOI:

https://doi.org/10.71000/ac0yrq81

Keywords:

Allergic rhinitis; Ear diseases; Environmental exposure; Occupational health; Otolaryngology; Prevalence; Risk factors

Abstract

Background: Ear, nose, and throat (ENT) disorders are among the most frequent causes of morbidity in urban populations, particularly in developing regions where environmental pollution, occupational exposures, and lifestyle changes contribute significantly to disease patterns. Understanding their prevalence and risk factors is essential for formulating effective prevention and management strategies in primary healthcare systems.

Objective: To assess the prevalence and identify major demographic and lifestyle risk factors contributing to common ENT disorders among patients attending outpatient clinics in urban hospitals of Lahore.

Methods: A cross-sectional study was conducted over four months at tertiary care hospitals in Lahore. Using systematic random sampling, 210 patients presenting with ENT symptoms were enrolled. Data were collected through structured questionnaires and clinical examinations, focusing on demographic variables and lifestyle factors such as smoking, earphone use, and occupational dust exposure. Outcome measures included the diagnosis of ENT disorders confirmed by otolaryngologists. Statistical analysis was performed using SPSS version 26, applying descriptive statistics, chi-square tests, and binary logistic regression for association analysis, assuming normal data distribution.

Results: The overall prevalence of ENT disorders was 64.3%, with allergic rhinitis (26.2%), sinusitis (18.6%), and tonsillitis (14.8%) being the most common. Smoking (AOR = 2.47, p = 0.01), occupational dust exposure (AOR = 2.15, p = 0.02), and frequent earphone use (AOR = 1.88, p = 0.03) were independently associated with higher risk. Males and individuals aged 31–50 years showed a higher disease burden compared to other groups.

Conclusion: ENT disorders are highly prevalent in urban settings and are strongly influenced by modifiable lifestyle and environmental factors. Targeted health education and preventive interventions addressing smoking, occupational exposure, and unsafe earphone practices are essential for reducing disease burden.

Author Biographies

  • Kashmala Munawar, Nishtar Hospital, Multan, Pakistan.

    Audiologist, ENT Ward, Nishtar Hospital, Multan, Pakistan.

  • Nida Anjum Ghouri, CMH Hospital, Karachi, Pakistan.

    Medical Doctor, CMH Hospital, Karachi, Pakistan.

  • Sulaiman Zahin Omerzai, Qazi Hussain Medical Complex, Nowshera, Pakistan.

    House Officer, Qazi Hussain Medical Complex, Nowshera, Pakistan.

  • Hamid Khurshid, National University of Medical Sciences (NUMS), Rawalpindi, Pakistan.

    4th Year MBBS, Army Medical College, National University of Medical Sciences (NUMS), Rawalpindi, Pakistan.

  • Saadia Munir Qureshi, Health Services Academy, Islamabad, Pakistan. 

    Public Health Specialist, Health Services Academy, Islamabad, Pakistan. 

  • Abbas Khan Safi, Khyber Medical College, Peshawar), Pakistan.

    Post-House Officer, Independent Researcher (Formerly at Khyber Medical College, Peshawar), Pakistan.

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Published

2025-12-15