To examine the relationship between day care attendance and illnesses of the upper and lower respiratory tract in the first year of life.
Prospective birth cohort study.
Children (N=498) who had at least 1 parent with a history of allergy or asthma were enrolled at birth and followed prospectively for the first year of life.
A home visit at 2 to 3 months of age and bimonthly telephone questionnaires were used to obtain information on day care arrangements, home characteristics, respiratory symptoms, and physician-diagnosed illnesses of the upper and lower respiratory tract.
Day care attendance in the first year of life was associated with two or more doctor-diagnosed ear infections (OR : 2.4 ; 95% CI : 1.7-3.6), three or more parental reports of runny or stuffed nose (OR : 3.2 ; 95% CI : 1.9-5.5), a doctor's diagnosis of sinusitis (OR : 2.2 ; 95% CI : 1.1-4.2), and doctor-diagnosed lower respiratory illnesses (croup, bronchitis, bronchiolitis, and pneumonia ; OR : 1.6 ; 95% CI : 1.0-2.4).
For children attending day care, exposure to pets in day care, the presence of a rug or carpet in the area where the child slept in day care, and a nonresidential setting for day care all were independent predictors of two or more doctor-diagnosed ear infections. (...)
Mots-clés Pascal : Appareil respiratoire pathologie, ORL pathologie, Asthme, Allergie, Atopie, Histoire familiale, Epidémiologie, Facteur risque, Nourrisson, Homme, Etats Unis, Amérique du Nord, Amérique, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Respiratory disease, ENT disease, Asthma, Allergy, Atopy, Family story, Epidemiology, Risk factor, Infant, Human, United States, North America, America, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0494734
Code Inist : 002B11D. Création : 22/03/2000.