Childcare and health: A review of using linked national registers
Open Access
- 20 July 2011
- journal article
- review article
- Published by SAGE Publications in Scandinavian Journal of Public Health
- Vol. 39 (7_suppl), 126-130
- https://doi.org/10.1177/1403494810395826
Abstract
Introduction: To present the work previously and presently being carried out based on the nationwide Childcare Database. Research topics: The Childcare Database comprises individually linked Danish register-based data on childcare attendance, childcare facility characteristics, child and family characteristics, and infectious disease hospitalisations. The database includes about 1 million children aged 0—5 years and has, since the creation, been linked with separate disease registers on atopic disease, pneumococcal disease, and childhood cancers. The present paper is a review of epidemiological studies based on the Childcare Database. Studies of childhood infections confirmed that childcare attendance dramatically increases the risk, but emphasised that the increased risk is often transient and confined to subsets of children. Studies of childhood cancers showed that early childhood infections are likely to reduce the risk of childhood leukaemia and that this risk reduction applies to all children. Conclusion: The Childcare Database is a unique data source for studying the association between childcare attendance and health outcomes. Further linkage with Danish registers is possible on an individual level. The studies based on the Childcare Database confirm and extend previous findings of an increased risk of infection associated with childcare attendance, as well as point towards a possible protective role of early infections in childhood cancer.Keywords
This publication has 16 references indexed in Scilit:
- Infectious exposure in the first years of life and risk of central nervous system tumours in children: analysis of birth order, childcare attendance and seasonality of birthBritish Journal of Cancer, 2010
- Clustering of acute respiratory infection hospitalizations in childcare facilitiesActa Paediatrica, 2010
- Early Child Care and Adiposity at Ages 1 and 3 YearsPediatrics, 2009
- Maternal employment in child-care institutions and the risk of infant wheeze and atopic dermatitis in the offspringPediatric Allergy and Immunology, 2008
- The Childcare Database: a valuable register linkageScandinavian Journal of Public Health, 2007
- Perinatal and Crowding-Related Risk Factors for Invasive Pneumococcal Disease in Infants and Young Children: A Population-Based Case-Control StudyClinical Infectious Diseases, 2007
- Population-Based Study of the Impact of Childcare Attendance on Hospitalizations for Acute Respiratory InfectionsPediatrics, 2006
- The Danish National Birth Cohort – its background, structure and aimScandinavian Journal of Public Health, 2001
- Anti-Catarrhal Vaccination in Homes for Children under School-Age1Acta Paediatrica, 1935
- Nosocomial Infections in Children's Hospitals and Institutions. Our Means for combating these InfectionsActa Paediatrica, 1935