Form of Day Care and Respiratory Infections Among Finnish Children

Am J Public Health. 1995 Aug;85(8 Pt 1):1109-12. doi: 10.2105/ajph.85.8_pt_1.1109.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Child
  • Child Care
  • Child Day Care Centers*
  • Child, Preschool
  • Cohort Studies
  • Common Cold / epidemiology*
  • Female
  • Finland
  • Humans
  • Incidence
  • Infant
  • Infant Care
  • Male
  • Otitis Media / epidemiology*
  • Pneumonia / epidemiology*
  • Respiratory Tract Infections / epidemiology
  • Retrospective Studies
  • Risk
  • Risk Factors