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Form of day care and respiratory infections among Finnish children

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  • Louhiala, P.J.
  • Jaakkola, N.
  • Ruotsalainen, R.
  • Jaakkola, J.J.K.

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 gold, 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.

Suggested Citation

  • Louhiala, P.J. & Jaakkola, N. & Ruotsalainen, R. & Jaakkola, J.J.K., 1995. "Form of day care and respiratory infections among Finnish children," American Journal of Public Health, American Public Health Association, vol. 85(8), pages 1109-1112.
    • Handle: RePEc:aph:ajpbhl:1995:85:8:1109-1112_0
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    Cited by:

    1. Irene Lenoir-Wijnkoop & Laetitia Gerlier & Jean-Louis Bresson & Claude Le Pen & Gilles Berdeaux, 2015. "Public Health and Budget Impact of Probiotics on Common Respiratory Tract Infections: A Modelling Study," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-17, April.
    2. Luigi Matera & Raffaella Nenna & Francesca Ardenti Morini & Giuseppe Banderali & Mauro Calvani & Matteo Calvi & Giorgio Cozzi & Raffaele Falsaperla & Roberto Guidi & Ahmad Kantar & Marcello Lanari & R, 2021. "Effects of Relaxed Lockdown on Pediatric ER Visits during SARS-CoV-2 Pandemic in Italy," IJERPH, MDPI, vol. 18(18), pages 1-11, September.
    3. Jing Hou & Dachao Lv & Yuexia Sun & Pan Wang & Qingnan Zhang & Jan Sundell, 2020. "Children’s Respiratory Infections in Tianjin Area, China: Associations with Home Environments and Lifestyles," IJERPH, MDPI, vol. 17(11), pages 1-13, June.
    4. Guogui Huang & Fei Guo, 2022. "Loss of life expectancy due to respiratory infectious diseases: findings from the global burden of disease study in 195 countries and territories 1990–2017," Journal of Population Research, Springer, vol. 39(1), pages 1-43, March.

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