Table 3.
Use of healthcare resources during the first six years of life by daycare attendance
| Outcome by daycare attendance | Number | Child-years | Rate/100 child-years (95% CI) | Adjusted a rate ratio (95% CI) |
|---|---|---|---|---|
| GP consultations for URTI and AOM |
|
|
|
|
| No daycare in first year |
2,053 |
2,424.3 |
84.7 (81.1 to 88.4) |
1.00 |
| Day care in first year |
6,643 |
7,325.2 |
90.7 (88.5 to 92.9) |
1.15 (1.00 to 1.31) |
| Age 0 to 2 months |
926 |
1,104.4 |
83.8 (78.6 to 89.2) |
1.05 (0.86 to 1.27) |
| Age 3 to 5 months |
4,505 |
5,081.0 |
88.7 (86.1 to 91.2) |
1.13 (0.98 to 1.29) |
| Age 6 to 2 months |
1,213 |
1,139.8 |
106.4 (100.6 to 112.4) |
1.32 (1.10 to 1.59) |
| Antibiotic prescriptions for URTI and AOM |
|
|
|
|
| No daycare in first year |
504 |
2,424.3 |
20.8 (19.1 to 22.6) |
1.00 |
| Day care in first year |
1,517 |
7,325.2 |
20.7 (19.7 to 21.8) |
1.08 (0.91 to 1.28) |
| Age 0 to 2 months |
214 |
1,104.4 |
19.3 (17.0 to 22.0) |
1.02 (0.80 to 1.29) |
| Age 3 to 5 months |
1,012 |
5,081.0 |
19.9 (18.7 to 21.1) |
1.04 (0.87 to 1.24) |
| Age 6 to 12 months |
292 |
1,139.8 |
25.6 (22.9 to 28.6) |
1.32 (1.04 to 1.67) |
| |
|
|
|
Adjusted
a
hazard ratio (95%CI) |
| Referral to specialist for URTI and AOM |
|
|
|
|
| No daycare in first year |
47 |
2,424.3 |
1.9 (1.4 to 2.6) |
1.00 |
| Day care in first year |
185 |
7,325.2 |
2.5 (2.2 to 2.9) |
1.43 (1.01 to 2.03) |
| Age 0 to 2 months |
29 |
1,104.4 |
2.6 (1.8 to 3.7) |
1.41 (0.87 to 2.28) |
| Age 3 to 5 months |
120 |
5,081.0 |
2.4 (2.0 to 2.8) |
1.32 (0.92 to 1.92) |
| Age 6 to 12 months | 36 | 1,139.8 | 3.2 (2.2 to 4.3) | 1.89 (1.20 to 2.98) |
aAdjusted for gender, parental education level, older siblings and duration of exclusive breastfeeding. AOM, acute otitis media, CI, confidence interval; GP, general practitioner; URTI, upper respiratory tract infection.