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First-year Daycare and Incidence of Acute Gastroenteritis

Saskia Hullegie1, Patricia Bruijning-Verhagen2, Cuno S P M Uiterwaal1

  • 1Julius Center for Health Sciences and Primary Care, and.

Pediatrics
|June 1, 2016
PubMed

Insights

Children attending daycare in their first year experience more acute gastroenteritis (AGE) early on. However, this early exposure provides lasting protection against AGE up to age 6.

Area of Science:

  • Pediatric infectious diseases
  • Epidemiology of childhood illnesses
  • Public health and daycare settings

Background:

  • Daycare attendance is linked to increased acute gastroenteritis (AGE) in young children.
  • Understanding the long-term impact of early daycare on AGE incidence is crucial for public health.

Purpose of the Study:

  • To examine how first-year daycare attendance influences AGE incidence and primary care contact rates up to age 6.
  • To determine if early daycare exposure offers protection against AGE in later childhood.

Main Methods:

  • Analysis of a cohort study (Wheezing Illnesses Study Leidsche Rijn) up to age 6.
  • Collection of primary care diagnosed AGE episodes and contact rates from health records.
  • Statistical analysis using generalized estimating equations to assess daycare's impact.

Main Results:

  • Comparable overall AGE incidence rates up to age 6 between first-year daycare attendees and nonattendees.
  • First-year daycare attendees showed higher AGE incidence in the first year but lower rates from years 3-6.
  • Daycare-associated AGE increase was most significant in the first 12 months, with clear seasonality.

Conclusions:

  • First-year daycare attendance shifts AGE timing, increasing early burden but conferring later protection.
  • This protective effect against AGE persists at least until age 6.
  • Further research is needed to ascertain if protection extends into later childhood.
Abstract

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