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. 1995 Aug;85(8 Pt 1):1109–1112. doi: 10.2105/ajph.85.8_pt_1.1109

Form of day care and respiratory infections among Finnish children.

P J Louhiala 1, N Jaakkola 1, R Ruotsalainen 1, J J Jaakkola 1
PMCID: PMC1615809  PMID: 7625505

Abstract

The relationship between respiratory infectious diseases and form of day care was assessed in a retrospective cohort study of 2568 randomly selected children aged 1 through 7 years in Espoo, Finland. Day-care center children had an increased risk for the common cold, acute otitis media, and pneumonia. The risk concentrated in 1-year-old children, for whom the adjusted relative risks (incidence density ratios) for the common cold, otitis media, and pneumonia were 1.69 (95% confidence interval [CI] = 1.43, 2.01), 1.99 (95% CI = 1.57, 2.52), and 9.69 (95% CI = 2.31, 40.55), respectively. Among 1-year-old children, the proportion of infections attributable to care at day-care centers were 41% (95% CI = 30, 50) for colds, 50% (95% CI = 36, 60) for otitis media, and 85% (95% CI = 57, 98) for pneumonia. The results provide evidence that care in day-care centers is a determinant of acute respiratory infections in children under 2, whereas family day care does not essentially increase risk.

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Selected References

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  1. Alexander C. S., Zinzeleta E. M., Mackenzie E. J., Vernon A., Markowitz R. K. Acute gastrointestinal illness and child care arrangements. Am J Epidemiol. 1990 Jan;131(1):124–131. doi: 10.1093/oxfordjournals.aje.a115465. [DOI] [PubMed] [Google Scholar]
  2. Anderson L. J., Parker R. A., Strikas R. A., Farrar J. A., Gangarosa E. J., Keyserling H. L., Sikes R. K. Day-care center attendance and hospitalization for lower respiratory tract illness. Pediatrics. 1988 Sep;82(3):300–308. [PubMed] [Google Scholar]
  3. Bell D. M., Gleiber D. W., Mercer A. A., Phifer R., Guinter R. H., Cohen A. J., Epstein E. U., Narayanan M. Illness associated with child day care: a study of incidence and cost. Am J Public Health. 1989 Apr;79(4):479–484. doi: 10.2105/ajph.79.4.479. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Berg A. T., Shapiro E. D., Capobianco L. A. Group day care and the risk of serious infectious illnesses. Am J Epidemiol. 1991 Jan 15;133(2):154–163. doi: 10.1093/oxfordjournals.aje.a115854. [DOI] [PubMed] [Google Scholar]
  5. Gardner G., Frank A. L., Taber L. H. Effects of social and family factors on viral respiratory infection and illness in the first year of life. J Epidemiol Community Health. 1984 Mar;38(1):42–48. doi: 10.1136/jech.38.1.42. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hardy A. M., Fowler M. G. Child care arrangements and repeated ear infections in young children. Am J Public Health. 1993 Sep;83(9):1321–1325. doi: 10.2105/ajph.83.9.1321. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Haskins R., Kotch J. Day care and illness: evidence, cost, and public policy. Pediatrics. 1986 Jun;77(6 Pt 2):951–982. [PubMed] [Google Scholar]
  8. Istre G. R., Conner J. S., Broome C. V., Hightower A., Hopkins R. S. Risk factors for primary invasive Haemophilus influenzae disease: increased risk from day care attendance and school-aged household members. J Pediatr. 1985 Feb;106(2):190–195. doi: 10.1016/s0022-3476(85)80285-7. [DOI] [PubMed] [Google Scholar]
  9. Miettinen O. S. Proportion of disease caused or prevented by a given exposure, trait or intervention. Am J Epidemiol. 1974 May;99(5):325–332. doi: 10.1093/oxfordjournals.aje.a121617. [DOI] [PubMed] [Google Scholar]
  10. Pass R. F., Hutto C., Ricks R., Cloud G. A. Increased rate of cytomegalovirus infection among parents of children attending day-care centers. N Engl J Med. 1986 May 29;314(22):1414–1418. doi: 10.1056/NEJM198605293142204. [DOI] [PubMed] [Google Scholar]
  11. Petridou E., Kassimos D., Kalmanti M., Kosmidis H., Haidas S., Flytzani V., Tong D., Trichopoulos D. Age of exposure to infections and risk of childhood leukaemia. BMJ. 1993 Sep 25;307(6907):774–774. doi: 10.1136/bmj.307.6907.774. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Public health considerations of infectious diseases in child day care centers. The Child Day Care Infectious Disease Study Group. J Pediatr. 1984 Nov;105(5):683–701. doi: 10.1016/s0022-3476(84)80285-1. [DOI] [PubMed] [Google Scholar]
  13. Rasmussen F., Sundelin C. Use of medical care and antibiotics among preschool children in different day care settings. Acta Paediatr Scand. 1990 Aug-Sep;79(8-9):838–846. doi: 10.1111/j.1651-2227.1990.tb11563.x. [DOI] [PubMed] [Google Scholar]
  14. Uldall P. Pasningsformer og børns infektioner. 1. Forekomst og årsagsfaktorer. Ugeskr Laeger. 1990 Aug 13;152(33):2345–2348. [PubMed] [Google Scholar]
  15. Wald E. R., Dashefsky B., Byers C., Guerra N., Taylor F. Frequency and severity of infections in day care. J Pediatr. 1988 Apr;112(4):540–546. doi: 10.1016/s0022-3476(88)80164-1. [DOI] [PubMed] [Google Scholar]
  16. Wald E. R., Guerra N., Byers C. Frequency and severity of infections in day care: three-year follow-up. J Pediatr. 1991 Apr;118(4 Pt 1):509–514. doi: 10.1016/s0022-3476(05)83370-0. [DOI] [PubMed] [Google Scholar]
  17. Zielhuis G. A., Heuvelmans-Heinen E. W., Rach G. H., van den Broek P. Environmental risk factors for otitis media with effusion in preschool children. Scand J Prim Health Care. 1989 Mar;7(1):33–38. doi: 10.3109/02813438909103668. [DOI] [PubMed] [Google Scholar]

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