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Published on: August 7, 2017
Daycare attendance and asthma control, Asthma Call-back Survey 2012-2014
Audrey F Pennington1,2, Joy Hsu2, Kanta Sircar2
1Epidemic Intelligence Service, Center for Surveillance, Epidemiology and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, GA.
Insights
Daycare attendance in early childhood showed no significant association with uncontrolled asthma in children aged 0-4 years. Further research is needed to understand factors influencing asthma control in this age group.
Area of Science:
- Pediatric Pulmonology
- Environmental Health
- Epidemiology
Background:
- Asthma is a prevalent chronic respiratory disease in young children.
- Daycare attendance is common for children aged 0-4 years and may expose them to various asthma triggers.
- Understanding the relationship between daycare and asthma control is crucial for public health.
Purpose of the Study:
- To investigate the association between attending daycare and asthma control in children aged 0 to 4 years.
- To identify potential risk factors for uncontrolled asthma in early childhood.
Main Methods:
- Analysis of 2012-2014 data from the Behavioral Risk Factor Surveillance System Asthma Call-back Survey.
- Inclusion of 388 children aged 0-4 years with asthma and information on daycare attendance.
- Use of weighted prevalence ratios and adjusted models controlling for demographic and clinical covariates.
Main Results:
- 34% of children with asthma attended daycare; only 32% had an asthma action plan at daycare.
- Prevalence of uncontrolled asthma was 44% in daycare attendees vs. 68% in non-attendees.
- Adjusted prevalence ratio for uncontrolled asthma associated with daycare attendance was 0.96 (95% CI: 0.73, 1.25).
Conclusions:
- No statistically significant association was found between daycare attendance and uncontrolled asthma in young children after adjusting for covariates.
- Asthma action plan presence at daycare and trigger exposure were noted but did not alter the primary finding.
- Further investigation into specific daycare environments and individual child factors may be warranted.
Objective:
To examine the association between daycare attendance and asthma control among children aged 0 to 4 years with asthma.
Methods:
We analyzed 2012-2014 data from the Behavioral Risk Factor Surveillance System Asthma Call-back Survey on 388 children with asthma aged 0 to 4 years with information on daycare attendance in the past 12 months. We calculated weighted prevalence ratios to assess the association between daycare attendance and asthma control (categorized based on day-time and nighttime asthma symptoms, activity limitation, and short-acting beta agonist use). Adjusted models controlled for parent or guardian education, household income, race, sex, cost barriers to asthma care, long-term control medication use, and the number of other children in the child's household.
Results:
In this sample of children with asthma, representative of 520,400 children in 26 U.S. states, 34% attended daycare in the past 12 months. Only 32% of children who attended daycare in the past 12 months reported having an asthma action plan on file at the daycare they most recently attended. Presence of the asthma triggers of pets, mold, and smoking in a child's daycare were reported to be uncommon. Prevalence of uncontrolled asthma was 44% in children who attended daycare in the past 12 months and 68% in children who did not. The adjusted prevalence ratio between daycare attendance and uncontrolled asthma was 0.96 (95% confidence interval 0.73, 1.25).
Conclusions:
When adjusting for covariates, we observed no evidence of an association between daycare attendance in early life and uncontrolled asthma.
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