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Short- and Long-term Risk of Infections as a Function of Group Child Care Attendance

Short- and Long-term Risk of Infections as a Function of Group Child Care Attendance ARTICLE Short- and Long-term Risk of Infections as a Function of Group Child Care Attendance An 8-Year Population-Based Study Sylvana M. Coˆte´, PhD; Ame´lie Petitclerc, PhD; Marie-France Raynault, MD; Qian Xu, MSc; Bruno Falissard, PhD; Michel Boivin, PhD; Richard E. Tremblay, PhD Objective: To determine whether the frequency of in- Results: Compared with children cared for at home, those fections during the first 8 years of life varies according who started large GCC in the early preschool period had to age at initiation and type of group child care (GCC). higher rates of respiratory tract infections (incidence rate ratio [IRR], 1.61; 95% confidence interval [CI], 1.27- Design: Eight-year (1998-2006) prospective cohort study. 2.03) and ear infections (IRR, 1.62; 95% CI, 1.19-2.20) during that period but lower rates of respiratory tract in- Setting: Families with a newborn living in Quebec in fections (IRR, 0.79; 95% CI, 0.66-0.96) and ear infec- tions (IRR, 0.57; 95% CI, 0.37-0.88) during the elemen- tary school years. Participants: A representative sample of families (n=1238) selected through birth registries. Conclusions: Children contract infections around the time they initiate large structured group activities. Par- Main Exposure: Home care compared with small or 1 ticipation in large GCC http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Short- and Long-term Risk of Infections as a Function of Group Child Care Attendance

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/archpediatrics.2010.216
pmid
21135342
Publisher site
See Article on Publisher Site

Abstract

ARTICLE Short- and Long-term Risk of Infections as a Function of Group Child Care Attendance An 8-Year Population-Based Study Sylvana M. Coˆte´, PhD; Ame´lie Petitclerc, PhD; Marie-France Raynault, MD; Qian Xu, MSc; Bruno Falissard, PhD; Michel Boivin, PhD; Richard E. Tremblay, PhD Objective: To determine whether the frequency of in- Results: Compared with children cared for at home, those fections during the first 8 years of life varies according who started large GCC in the early preschool period had to age at initiation and type of group child care (GCC). higher rates of respiratory tract infections (incidence rate ratio [IRR], 1.61; 95% confidence interval [CI], 1.27- Design: Eight-year (1998-2006) prospective cohort study. 2.03) and ear infections (IRR, 1.62; 95% CI, 1.19-2.20) during that period but lower rates of respiratory tract in- Setting: Families with a newborn living in Quebec in fections (IRR, 0.79; 95% CI, 0.66-0.96) and ear infec- tions (IRR, 0.57; 95% CI, 0.37-0.88) during the elemen- tary school years. Participants: A representative sample of families (n=1238) selected through birth registries. Conclusions: Children contract infections around the time they initiate large structured group activities. Par- Main Exposure: Home care compared with small or 1 ticipation in large GCC

Journal

JAMA PediatricsAmerican Medical Association

Published: Dec 1, 2010

References