PMID- 9346986
OWN - NLM
STAT- MEDLINE
DCOM- 19971113
LR  - 20190516
IS  - 1098-4275 (Electronic)
IS  - 0031-4005 (Linking)
VI  - 100
IP  - 5
DP  - 1997 Nov
TI  - Illnesses and absence due to illness among children attending child care 
      facilities in Seattle-King County, Washington.
PG  - 850-5
AB  - OBJECTIVES: Although much of the economic impact of child care-associated illness 
      in the United States is due to parents' time lost from work, there are no data on 
      the incidence of absence due to illness among children in various types of 
      out-of-home child care settings in the United States. The goals of this study 
      were to compare the incidence of illness and absence due to illness among 
      children attending child care homes (CCHs) and child care centers (CCCs). 
      METHODS: From July 1992 through June 1993, child care providers from 91 CCHs and 
      41 CCCs in Seattle-King County, Washington, provided information on absenteeism 
      and illness for 96 792 child-weeks of observation. RESULTS: The age-adjusted 
      incidence of provider-reported illness episodes among children in CCHs (10.4 
      episodes per 100 child-weeks) was greater than that among children in CCCs (6.7 
      episodes per 100 child-weeks). The incidence density ratio of illness among 
      children <1 year of age in comparison to those >/=5 years of age in CCCs (4.5) 
      was greater than that among similar groups in CCHs (2.3). The age-adjusted 
      incidence of absence due to illness among children in CCHs (5.1 days per 100 
      child-weeks) was less than that among children in CCCs (8.9 days per 100 
      child-weeks). CONCLUSIONS: Results comparing the incidence of illness between 
      children in various types of child care settings may be influenced by information 
      sources. The incidence of illness among children in CCHs may be greater than that 
      among children in CCCs. The increased incidence of absence due to illness among 
      children in CCCs compared with that among children in CCHs probably reflects 
      differences in exclusion and attendance policies and practices between these two 
      types of settings.
FAU - Cordell, R L
AU  - Cordell RL
AD  - Special Studies Activity, Hospital Infections Program, National Center for 
      Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 
      30333, USA.
FAU - MacDonald, J K
AU  - MacDonald JK
FAU - Solomon, S L
AU  - Solomon SL
FAU - Jackson, L A
AU  - Jackson LA
FAU - Boase, J
AU  - Boase J
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Pediatrics
JT  - Pediatrics
JID - 0376422
SB  - IM
MH  - *Absenteeism
MH  - Age Factors
MH  - Child
MH  - Child Care
MH  - *Child Day Care Centers
MH  - Child, Preschool
MH  - Communicable Diseases/*epidemiology
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Male
MH  - Washington/epidemiology
EDAT- 1997/11/14 00:00
MHDA- 1997/11/14 00:01
CRDT- 1997/11/14 00:00
PHST- 1997/11/14 00:00 [pubmed]
PHST- 1997/11/14 00:01 [medline]
PHST- 1997/11/14 00:00 [entrez]
AID - 10.1542/peds.100.5.850 [doi]
PST - ppublish
SO  - Pediatrics. 1997 Nov;100(5):850-5. doi: 10.1542/peds.100.5.850.