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Day care centers and respiratory health.
Pediatrics. 1999 Apr; 103(4 Pt 1):753-8.Ped

Abstract

OBJECTIVE

To estimate the effects of the type of day care on respiratory health in preschool children.

METHODS

A population-based cross-sectional study of Oslo children born in 1992 was conducted at the end of 1996. A self-administered questionnaire inquired about day care arrangements, children's health, environmental conditions, and family characteristics (n = 3853; response rate, 79%).

RESULTS

In logistic regression controlling for confounding, children in day care centers had more often nightly cough (adjusted odds ratio, 1.89; 95% confidence interval, 1.34-2. 67), and blocked or runny nose without common cold (1.55; 1.07-1.61) during the past 12 months compared with children in home care. Poisson regression analysis showed an increased risk of the common cold (incidence rate ratio, 1.21; 1.12-1.30) and otitis media (1.48; 1.22-1.80), and the attributable proportion was 17.4% (95% confidence interval, 10.7-23.1) for the common cold and 32.4% (18. 0-44.4) for otitis media. Early starting age in the day care center increased the risk of developing recurrent otitis media. Also the lifetime risk of doctor-diagnosed asthma was higher in children who started day care center attendance during the first 2 years of life.

CONCLUSIONS

Attendance to day care centers increases the risk of upper respiratory symptoms and infections in 3- to 5-year-old children. The starting age seems to be an important determinant of recurrent otitis media as well as asthma. The effect of day care center attendance on asthma is limited to age up to 2 years. This effect is most likely mediated via early respiratory tract infections that are substantially more common in children in day care centers compared with children in home care.

Authors+Show Affiliations

Section of Epidemiology, Department of Population Health Sciences, National Institute of Public Health, Oslo, Norway.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10103298

Citation

Nafstad, P, et al. "Day Care Centers and Respiratory Health." Pediatrics, vol. 103, no. 4 Pt 1, 1999, pp. 753-8.
Nafstad P, Hagen JA, Oie L, et al. Day care centers and respiratory health. Pediatrics. 1999;103(4 Pt 1):753-8.
Nafstad, P., Hagen, J. A., Oie, L., Magnus, P., & Jaakkola, J. J. (1999). Day care centers and respiratory health. Pediatrics, 103(4 Pt 1), 753-8.
Nafstad P, et al. Day Care Centers and Respiratory Health. Pediatrics. 1999;103(4 Pt 1):753-8. PubMed PMID: 10103298.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Day care centers and respiratory health. AU - Nafstad,P, AU - Hagen,J A, AU - Oie,L, AU - Magnus,P, AU - Jaakkola,J J, PY - 1999/4/2/pubmed PY - 1999/4/2/medline PY - 1999/4/2/entrez SP - 753 EP - 8 JF - Pediatrics JO - Pediatrics VL - 103 IS - 4 Pt 1 N2 - OBJECTIVE: To estimate the effects of the type of day care on respiratory health in preschool children. METHODS: A population-based cross-sectional study of Oslo children born in 1992 was conducted at the end of 1996. A self-administered questionnaire inquired about day care arrangements, children's health, environmental conditions, and family characteristics (n = 3853; response rate, 79%). RESULTS: In logistic regression controlling for confounding, children in day care centers had more often nightly cough (adjusted odds ratio, 1.89; 95% confidence interval, 1.34-2. 67), and blocked or runny nose without common cold (1.55; 1.07-1.61) during the past 12 months compared with children in home care. Poisson regression analysis showed an increased risk of the common cold (incidence rate ratio, 1.21; 1.12-1.30) and otitis media (1.48; 1.22-1.80), and the attributable proportion was 17.4% (95% confidence interval, 10.7-23.1) for the common cold and 32.4% (18. 0-44.4) for otitis media. Early starting age in the day care center increased the risk of developing recurrent otitis media. Also the lifetime risk of doctor-diagnosed asthma was higher in children who started day care center attendance during the first 2 years of life. CONCLUSIONS: Attendance to day care centers increases the risk of upper respiratory symptoms and infections in 3- to 5-year-old children. The starting age seems to be an important determinant of recurrent otitis media as well as asthma. The effect of day care center attendance on asthma is limited to age up to 2 years. This effect is most likely mediated via early respiratory tract infections that are substantially more common in children in day care centers compared with children in home care. SN - 0031-4005 UR - https://www.unboundmedicine.com/medline/citation/10103298/Day_care_centers_and_respiratory_health_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=10103298 DB - PRIME DP - Unbound Medicine ER -