Risk of Infectious Diseases in Children Attending Different Types of Day-Care Setting
Notice bibliographique
Résumé
This population-based prospective cohort study compared the risk of recurrent infections in children attending family day care ( < 3 children per family), small (10-20 children) day-care centers (DCCs), and large ( > 40 children) DCCs. The parents of a total of 1,242 children participated in the study (97% of the families initially contacted). An infectious episode was defined as the acute occurrence of a new symptom lasting for at least 48 h and resulting in specific treatment. Two episodes were counted as such only if they were separated by a symptom-free week. Surveillance was under the responsibility of a nursing director and was similar for all three types of DCCs. During the 8.5-month follow-up period, 3,639 infectious episodes were recorded. Compared to those in family day-care, children attending small DCCs presented a higher risk for > 6 total infectious episodes [odds ratio (OR) = 2.4; 95% confidence interval (CI) = 1.6-3.7]; > 5 upper respiratory tract infections (OR = 2.2; 95% CI = 1.4-3.4); > 2episodes of otitis media (OR = 2.6; 95% CI = 1.0-2.6); > 2 episodes of conjunctivitis (OR = 4.1; 95% CI = 2.1-8.2); and > 2 episodes of croup (OR = 4.1; 95% CI = 1.6-10.9). The risk for children attending large DCCs was intermediate between those in family day care and those in small DCCs. Apart from sampling variation, one explanation for this result could be that children in large DCCs are divided into groups according to their age (i.e. < 12,12-24, and > 24 months). It is possible that the homogeneity of age within each group and the absence of direct contact between groups confers some protection against the spread of infections. Children who had been in day care for at least 6 months at the beginning of the study were at a lower risk for recurrent infections than those who had entered day care earlier. This result might be explained by the acquisition of specific immunity as well as by nonspecific immunity that protects against microorganisms not previously encountered by the body. These results suggest that, for children with repeated infections in DCCs, a move to the family day-care setting, when feasible, should be contemplated. It also suggests that the development of family day-care settings should be encouraged. However, the decision of promoting one type of day-care setting rather than another requires further studies focusing on different outcomes such as the long-term health consequences, the psychological development, and also the total economic consequences related to attendance of each type of structure.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».