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Day care centers and respiratory health

P Nafstad1, J A Hagen, L Oie

  • 1Section of Epidemiology, Department of Population Health Sciences, National Institute of Public Health, Oslo, Norway.

Pediatrics
|April 2, 1999
PubMed

Insights

Children in day care centers face increased risks of respiratory infections like the common cold and otitis media. Early enrollment, especially before age two, is linked to recurrent ear infections and asthma development in preschool children.

Area of Science:

  • Pediatric Health
  • Epidemiology
  • Environmental Health

Background:

  • Day care settings are common for preschool children.
  • Understanding the impact of day care on child health is crucial for public health initiatives.

Purpose of the Study:

  • To investigate the association between different types of day care and respiratory health outcomes in preschool-aged children.
  • To identify specific risks related to day care center attendance and early enrollment ages.

Main Methods:

  • A population-based cross-sectional study was conducted in Oslo involving children born in 1992.
  • Data were collected via a self-administered questionnaire on day care, health, environment, and family characteristics (n=3853).

Main Results:

  • Children in day care centers showed higher rates of nightly cough, runny nose, common cold, and otitis media compared to home care.
  • Early start in day care centers (before age 2) was associated with recurrent otitis media and increased lifetime risk of asthma.

Conclusions:

  • Day care center attendance is linked to increased upper respiratory symptoms and infections in 3- to 5-year-olds.
  • Starting day care before age two significantly elevates risks for recurrent otitis media and asthma, likely mediated by increased respiratory infections.
Abstract

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