Crowding as a risk factor of meningococcal disease in Danish preschool children: a nationwide population-based

Susanna Deutch1, Rodrigo Labouriau, Henrik C Schønheyeder

  • 1Research Unit Q, Department of Infectious Diseases, Skejby Sygehus, Aarhus University Hospital, 8200 Aarhus N, Denmark. susannadeutch@dadlnet.dk

Insights

Crowded living conditions increase the risk of meningococcal disease (MD) in young children. This study confirms household density as a significant risk factor for MD in infants and preschoolers.

Area of Science:

  • Epidemiology
  • Public Health
  • Pediatrics

Background:

  • Meningococcal disease (MD) poses a significant public health challenge.
  • Evidence linking household crowding to MD risk in children is limited.
  • Understanding risk factors is crucial for targeted prevention strategies.

Purpose of the Study:

  • To investigate the association between household density and the risk of meningococcal disease in children.
  • To quantify the risk of MD related to crowding in different pediatric age groups.

Main Methods:

  • A nationwide nested case-control study was conducted in Denmark.
  • Included 1222 children diagnosed with MD and 24,549 population controls (1980-1999).
  • Household density was assessed using data from Danish Civil Registration System and social registries.

Main Results:

  • Increased household density was significantly associated with a higher risk of MD.
  • The adjusted odds ratio (OR) for MD was 1.5 (95% CI: 1.1-1.9) for infants and 1.5 (95% CI: 1.1-2.0) for children aged 1-5 years, comparing lower to higher density.
  • A crude OR of 1.8 (95% CI: 1.4-2.3) was observed for densities below 20 m2 per person.

Conclusions:

  • Household density is a confirmed risk factor for meningococcal disease in preschool-aged children.
  • Findings highlight the importance of living conditions in the transmission of MD.
  • Public health interventions should consider household crowding as a modifiable risk factor.

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