{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T06:25:35Z","timestamp":1695709535857},"reference-count":8,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2003,10]]},"abstract":"<jats:p>OBJECTIVE: To quantify the influence of the type of child-care on the occurrence of acute diarrhea with special emphasis on the effect of children grouping during care. METHODS: From October 1998 to January 1999 292 children, aged 24 to 36 months, recruited using a previously assembled cohort of newborns, were evaluated. Information on the type of care and occurrence of diarrhea in the previous year was obtained from parents by telephone interview. The X\u00b2 and Kruskal-Wallis tests were used to compare proportions and quantitative variables, respectively. The risk of diarrhea was estimated through the calculation of incident odds ratios (OR) and their respective 95% confidence intervals (95% CI), crude and adjusted by unconditional logistic regression. RESULTS: Using as reference category children cared individually at home, the adjusted ORs for diarrhea occurrence were 3.18, 95% CI [1.49, 6.77] for children cared in group at home, 2.28, 95% CI [0.92, 5.67] for children cared in group in day-care homes and 2.54, 95% CI [1.21, 5.33] for children cared in day-care centers. Children that changed from any other type of child-care setting to child-care centers in the year preceding the study showed a risk even higher (OR 7.65, 95% CI [3.25, 18.02]). CONCLUSIONS: Group care increases the risk of acute diarrhea whatsoever the specific setting.<\/jats:p>","DOI":"10.1590\/s0034-89102003000500009","type":"journal-article","created":{"date-parts":[[2005,4,27]],"date-time":"2005-04-27T14:26:16Z","timestamp":1114611976000},"page":"603-608","source":"Crossref","is-referenced-by-count":8,"title":["Association between child-care and acute diarrhea: a study in Portuguese children"],"prefix":"10.1590","volume":"37","author":[{"given":"Henrique","family":"Barros","sequence":"first","affiliation":[{"name":"Faculdade de Medicina do Porto, Portugal"}]},{"given":"Nuno","family":"Lunet","sequence":"additional","affiliation":[{"name":"Instituto Superior de Ci\u00eancias da Sa\u00fade - Norte, Portugal"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1093\/ije\/20.4.1057","article-title":"Methodological issues in diarrheal diseases epidemiology: definition of diarrheal episodes","volume":"20","author":"Baqui AH","year":"1991","journal-title":"Int J Epidemiol","ISSN":"http:\/\/id.crossref.org\/issn\/0300-5771","issn-type":"print"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1590\/S0034-89101999000100013","article-title":"Child-care attendance and common morbidity: evidence of association in the literature and questions of design","volume":"33","author":"Barros AJD","year":"1999","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1093\/ije\/20.4.1073","article-title":"Accuracy and completeness of mothers' recall of diarrhoea occurence in pre-school children in demographic and health surveys","volume":"20","author":"Boerma JT","year":"1991","journal-title":"Int J Epidemiol","ISSN":"http:\/\/id.crossref.org\/issn\/0300-5771","issn-type":"print"},{"key":"ref4","series-title":"Epi Info, version 6.04a: a word processing, database, and statistics for epidemiology in microcomputers","author":"Dean AG","year":"1996"},{"key":"ref5","series-title":"The IEA preprimary study: early childhood care and education in 11 countries","volume-title":"Study findings: children's daily routines","author":"Delhaxhe A","year":"1995"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1093\/oxfordjournals.epirev.a017913","article-title":"Child-care practices: effects of social change on the epidemiology of infectious diseases and antibiotic resistance","volume":"18","author":"Holmes SJ","year":"1996","journal-title":"Epidemiol Rev","ISSN":"http:\/\/id.crossref.org\/issn\/0193-936X","issn-type":"print"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/S0891-5520(20)30435-9","article-title":"Impact of child day-care on infectious diseases in adults","volume":"6","author":"Reves RR","year":"1992","journal-title":"Infect Dis Clin North Am","ISSN":"http:\/\/id.crossref.org\/issn\/0891-5520","issn-type":"print"},{"key":"ref8","first-page":"901","article-title":"Factores de risco para trabalho de parto pr\u00e9-termo","volume":"11","author":"Rodrigues T","year":"1998","journal-title":"Acta Med Port","ISSN":"http:\/\/id.crossref.org\/issn\/0870-399X","issn-type":"print"}],"container-title":["Revista de Sa\u00fade P\u00fablica"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rsp\/v37n5\/17475.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T23:08:45Z","timestamp":1625872125000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0034-89102003000500009&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,10]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2003,10]]}},"alternative-id":["S0034-89102003000500009"],"URL":"https:\/\/doi.org\/10.1590\/s0034-89102003000500009","relation":{},"ISSN":["0034-8910"],"issn-type":[{"value":"0034-8910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,10]]}}}