Day care attendance in the first year of life and illnesses of the upper and lower respiratory tract in children with a familial history of atopy.
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.