1. Association of early daycare attendance with allergic disorders in children: a longitudinal national survey in Japan.
- Author
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Tokinobu, Akiko, Yorifuji, Takashi, Yamakawa, Michiyo, Tsuda, Toshihide, and Doi, Hiroyuki
- Subjects
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FOOD allergy , *DAY care centers , *ATOPIC dermatitis , *ALLERGIES , *ATTENDANCE , *LOGISTIC regression analysis , *MULTILEVEL models - Abstract
The association between early daycare attendance and risk of allergic diseases remains inconclusive. Therefore, we examined the association among Japanese children on a long-term basis using a nationwide longitudinal survey data. We estimated the association between daycare attendance at age 6 or 18 months and allergy development using information on outpatient visits for atopic dermatitis (AD), food allergy (FA), and asthma and admission for asthma up to 12 years of age as a proxy for developing these diseases, with multilevel logistic regression. Early daycare attendance was associated with increased odds of AD at ages 2.5–3.5 years: the adjusted odds ratio (OR) was 1.34 [95% CI: 1.21, 1.47]. The association with FA was equivocal. The odds of asthma was increased before age 3.5 years and afterwards decreased: the adjusted ORs were 1.60 [1.44, 1.77] for ages 1.5–2.5 years and 0.77 [0.69, 0.87] for ages 5.5–7 years. The effect of early daycare attendance depends on the type of allergies. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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