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Child care is not a substantial risk factor for gastrointestinal infection hospitalization.
Pediatrics. 2008 Dec; 122(6):e1168-73.Ped

Abstract

OBJECTIVE

The objective was to study the effect of age at first enrollment into child care and other child care-related factors on the risk for hospitalization from gastrointestinal infection.

METHODS

This was a population-based prospective cohort study of 1,110,973 Danish children aged 0 to 5 years in the period 1989-2004. By means of Poisson regression, risk for gastrointestinal infection hospitalization was evaluated by incidence rate ratio and 95% confidence intervals.

RESULTS

Overall, children who were attending child care had an IRR of gastrointestinal infection hospitalization of 1.02 compared with children in home care. When compared within the group of children who attended child care, those who were enrolled after 18 months of age had a slightly increased risk compared with those who were enrolled before 1 year of age. The first 5 months of enrollment were associated with an IRR of 1.18 compared with later periods, and similar risks were observed in different types of child care facilities. The effect of child care was similar in most strata of the studied child, family, and demographic variables; however, children younger than 1 year who attended child care had an IRR of 1.44 compared with children of the same age in home care. Well established risk factors for gastrointestinal infection such as young age and male gender were reproduced; compared with 5-year-olds, children younger than 1 year had an IRR of 7.37 and boys had an IRR of 1.18 compared with girls.

CONCLUSIONS

The results of this study suggest that child care attendance is not a substantial risk factor for gastrointestinal infection hospitalization in most Danish children. Late enrollment and the first short period of enrollment were associated with a slightly increased risk for gastrointestinal infection hospitalization.

Authors+Show Affiliations

Statens Serum Institut, Department of Epidemiology Research, DK-2300 Copenhagen, Denmark. mka@ssi.dkNo 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

19047219

Citation

Kamper-Jørgensen, Mads, et al. "Child Care Is Not a Substantial Risk Factor for Gastrointestinal Infection Hospitalization." Pediatrics, vol. 122, no. 6, 2008, pp. e1168-73.
Kamper-Jørgensen M, Andersen LG, Simonsen J, et al. Child care is not a substantial risk factor for gastrointestinal infection hospitalization. Pediatrics. 2008;122(6):e1168-73.
Kamper-Jørgensen, M., Andersen, L. G., Simonsen, J., & Sørup, S. (2008). Child care is not a substantial risk factor for gastrointestinal infection hospitalization. Pediatrics, 122(6), e1168-73. https://doi.org/10.1542/peds.2008-1757
Kamper-Jørgensen M, et al. Child Care Is Not a Substantial Risk Factor for Gastrointestinal Infection Hospitalization. Pediatrics. 2008;122(6):e1168-73. PubMed PMID: 19047219.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Child care is not a substantial risk factor for gastrointestinal infection hospitalization. AU - Kamper-Jørgensen,Mads, AU - Andersen,Lise Geisler, AU - Simonsen,Jacob, AU - Sørup,Signe, PY - 2008/12/3/pubmed PY - 2009/1/16/medline PY - 2008/12/3/entrez SP - e1168 EP - 73 JF - Pediatrics JO - Pediatrics VL - 122 IS - 6 N2 - OBJECTIVE: The objective was to study the effect of age at first enrollment into child care and other child care-related factors on the risk for hospitalization from gastrointestinal infection. METHODS: This was a population-based prospective cohort study of 1,110,973 Danish children aged 0 to 5 years in the period 1989-2004. By means of Poisson regression, risk for gastrointestinal infection hospitalization was evaluated by incidence rate ratio and 95% confidence intervals. RESULTS: Overall, children who were attending child care had an IRR of gastrointestinal infection hospitalization of 1.02 compared with children in home care. When compared within the group of children who attended child care, those who were enrolled after 18 months of age had a slightly increased risk compared with those who were enrolled before 1 year of age. The first 5 months of enrollment were associated with an IRR of 1.18 compared with later periods, and similar risks were observed in different types of child care facilities. The effect of child care was similar in most strata of the studied child, family, and demographic variables; however, children younger than 1 year who attended child care had an IRR of 1.44 compared with children of the same age in home care. Well established risk factors for gastrointestinal infection such as young age and male gender were reproduced; compared with 5-year-olds, children younger than 1 year had an IRR of 7.37 and boys had an IRR of 1.18 compared with girls. CONCLUSIONS: The results of this study suggest that child care attendance is not a substantial risk factor for gastrointestinal infection hospitalization in most Danish children. Late enrollment and the first short period of enrollment were associated with a slightly increased risk for gastrointestinal infection hospitalization. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/19047219/Child_care_is_not_a_substantial_risk_factor_for_gastrointestinal_infection_hospitalization_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=19047219 DB - PRIME DP - Unbound Medicine ER -