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.
Mots-clés Pascal : Appareil respiratoire pathologie, Enfant, Homme, Epidémiologie, Garderie enfant, Rétrospective, Finlande, Europe
Mots-clés Pascal anglais : Respiratory disease, Child, Human, Epidemiology, Day care center, Retrospective, Finland, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0483939
Code Inist : 002B11D. Création : 01/03/1996.