Child care and common communicable illnesses in children aged 37 to 54 months

Jay Belsky, Cathryn Booth, Susan Spieker, Robert Bradley, Margaret Burchinal, Martha Cox, Susan Campbell, Allison Clarke-Stewart, Sarah L. Friedman, Kathryn Hirsh-Pasek, Marsha Weinraub, Aletha Huston, Elizabeth Jaeger, Bonnie Knoke, Lori McLeod, Nancy Marshall, Wendy Robeson, Kathleen McCartney, Philip Nader, Marion O'Brien & 4 others Margaret Tresh Owen, Robert Pianta, Deborah Phillips, Deborah Lowe Vandell

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Objective: To examine the relationship between experience in child care and communicable illnesses (gastrointestinal tract infection, upper respiratory tract infection, and otitis media) in children aged 37 months to 54 months with particular focus on the effect of entry into child care after age 3 years. Design: Health, child care, and family data were obtained from more than 1100 participants in the National Institute of Child Health and Human Development Study of Early Child Care, a 10-site prospective study that began at birth. Longitudinal logistic regression analyses were performed using each type of communicable illness as the outcome variable, with family, child, and child care variables as predictors in the model. Results: For children aged 37 to 54 months, rates of upper respiratory tract illness, gastrointestinal tract illness, and ear infections were higher in those enrolled in child care arrangements with more than 6 children. During this period, children with experience in large-group care prior to age 3 years were less likely to be ill than children who entered child care for the first time after age 3 years. Even so, their rates were still higher than for those in small-group care or who were cared for at home between the ages of 37 and 54 months. Reported rates of respiratory tract and gastrointestinal tract illnesses were higher for European American than African American children. Number of hours per week in child care was not a factor. Conclusion: Children in child care arrangements with more than 6 other children experience more bouts of upper respiratory tract illness between the ages of 37 and 54 months.

Original languageEnglish (US)
Pages (from-to)196-200
Number of pages5
JournalArchives of Pediatrics and Adolescent Medicine
Volume157
Issue number2
StatePublished - Feb 1 2003
Externally publishedYes

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Child Care
Respiratory System
Gastrointestinal Tract
National Institute of Child Health and Human Development (U.S.)
Otitis Media
Infection
Respiratory Tract Infections
African Americans
Ear
Logistic Models
Regression Analysis
Parturition
Prospective Studies
Delivery of Health Care

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Belsky, J., Booth, C., Spieker, S., Bradley, R., Burchinal, M., Cox, M., ... Vandell, D. L. (2003). Child care and common communicable illnesses in children aged 37 to 54 months. Archives of Pediatrics and Adolescent Medicine, 157(2), 196-200.

Child care and common communicable illnesses in children aged 37 to 54 months. / Belsky, Jay; Booth, Cathryn; Spieker, Susan; Bradley, Robert; Burchinal, Margaret; Cox, Martha; Campbell, Susan; Clarke-Stewart, Allison; Friedman, Sarah L.; Hirsh-Pasek, Kathryn; Weinraub, Marsha; Huston, Aletha; Jaeger, Elizabeth; Knoke, Bonnie; McLeod, Lori; Marshall, Nancy; Robeson, Wendy; McCartney, Kathleen; Nader, Philip; O'Brien, Marion; Owen, Margaret Tresh; Pianta, Robert; Phillips, Deborah; Vandell, Deborah Lowe.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 157, No. 2, 01.02.2003, p. 196-200.

Research output: Contribution to journalArticle

Belsky, J, Booth, C, Spieker, S, Bradley, R, Burchinal, M, Cox, M, Campbell, S, Clarke-Stewart, A, Friedman, SL, Hirsh-Pasek, K, Weinraub, M, Huston, A, Jaeger, E, Knoke, B, McLeod, L, Marshall, N, Robeson, W, McCartney, K, Nader, P, O'Brien, M, Owen, MT, Pianta, R, Phillips, D & Vandell, DL 2003, 'Child care and common communicable illnesses in children aged 37 to 54 months', Archives of Pediatrics and Adolescent Medicine, vol. 157, no. 2, pp. 196-200.
Belsky, Jay ; Booth, Cathryn ; Spieker, Susan ; Bradley, Robert ; Burchinal, Margaret ; Cox, Martha ; Campbell, Susan ; Clarke-Stewart, Allison ; Friedman, Sarah L. ; Hirsh-Pasek, Kathryn ; Weinraub, Marsha ; Huston, Aletha ; Jaeger, Elizabeth ; Knoke, Bonnie ; McLeod, Lori ; Marshall, Nancy ; Robeson, Wendy ; McCartney, Kathleen ; Nader, Philip ; O'Brien, Marion ; Owen, Margaret Tresh ; Pianta, Robert ; Phillips, Deborah ; Vandell, Deborah Lowe. / Child care and common communicable illnesses in children aged 37 to 54 months. In: Archives of Pediatrics and Adolescent Medicine. 2003 ; Vol. 157, No. 2. pp. 196-200.
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