Aims: To examine whether there are any differences in sickness absenteeism between children in outdoor day care centres and regular day care centres and also to investigate whether other variables predict sickness absenteeism. Methods: Data on sickness absence during a 4-week period together with several explanatory variables of 531 children in 32 regular and 37 outdoor day care centres were collected and included in the analysis. The data were analysed by generalized linear modelling. Results: The overall frequency of sickness absence was 5.1%. There was no general significant difference between sickness absenteeism in regular and outdoor day care centres. Of the other possible explanatory variables only two were found to contribute significantly: age, with a negative relationship, and the interaction effect of a child with a chronic disease or disability going to an outdoor day care centre, with a positive relationship. Conclusions: The present study indicates that sickness absenteeism of a child without a chronic disease or disability is not affected by whether the child attends a regular or an outdoor day care centre. There seem to be no health benefits for children with chronic diseases or disabilities to attend outdoor day care centres — there is in fact evidence that sickness absence for those children is higher in outdoor centres.
Broms K., Svardsudd K., Sundelin C., Norback D.A nationwide study of indoor and outdoor environments in allergen avoidance and conventional daycare centres in Sweden. Indoor Air2006;16:227—35.
2.
Statistisk Sentralbyrå. Barn i barnehager. Endelige tall, 2004 [Children in day care centres. Final numbers 2004]. Downloaded from Statistics Norway. Available at: http://www.ssb.no/emner/04/02/10/barnehager/arkiv (in Norwegian).
3.
Statistisk Sentralbyrå.Barn i barnehager. Endelige tall, 2005 [Children in day care centres. Final numbers 2005]. Downloaded from Statistics Norway. Available at: http://www.ssb.no/vis/emner/04/02/10/barnehager/art—2006—06—14—01.html (in Norwegian).
4.
Rasmussen F., Bondestam M.Pre-school children's absenteeism from Swedish municipal day-care centres in 1977 and 1990: Methodology and socio-demographic factors. Paediatr Perinat Epidemiology1993 ;7:263—71.
5.
Celedon JC , Litonjua AA, Weiss ST, Gold DRDay care attendance in the first year of life and illnesses of the upper and lower respiratory tract in children with a familial history of atopy. Pediatrics1999 ;104:495—500.
6.
Koopman LP , Smit HA, Heijnen ML, Wijga A., van Strien RT, Kerkhof M., Gerritsen J., Brunekreef B., de Jongste JC, Neijens HJRespiratory infections in infants: Interaction of parental allergy, child care, and siblings. The PIAMA study. Pediatrics2001;108:943—8.
7.
Nafstad P. , Hagen JA, Oie L., Magnus P., Jaakkola JJDay care centres and respiratory health. Pediatrics1999;103:753—8.
8.
Mechanic D.Some relationships between psychiatry and the social sciences. Br J Psychiatry1986;149:548—53.
9.
Nordlie AL , Andersen BMForeldres syn på legebesøk og antibiotikabruk hos barn [Parents' attitudes to the prescription of antibiotics to children] . Tidsskr Nor Laegeforen2004;124:2229—31 (in Norwegian).
10.
Söderström M., Blennow M.Barn på utedagis hade lägre sjukfrånvaro [Children in outdoor daycare centres had lower sickness absenteeism]. Läkartidningen1998;15:1670—2 (in Swedish).
11.
Mygind O. , Ronne T., Soe AL, Henrik Wachmann C., Ricks P.Comparative intervention study among Danish daycare children: the effect on illness of time spent outdoors . Scand J Public Health2003;31:439—43.
12.
Koefoed BG , Nielsen AM, Keiding LMUdvalgte miljøfaktorers betydning for børns sygelighed i daginstitutioner [The impact of selected environmental factors on the morbidity of children in day care centres]. Ugeskr Laeger2002;164:5759—64 (in Danish).
13.
Lysklett O, editor. Ute hele dagen! [Outdoors all day long!]. DMMH publikasjonsserie nr1—2005 (in Norwegian).
14.
Sennerstam R.The child group used as a reference system when analysing frequency of morbidity in day-care centres. Acta Paediatr1995;84:447—52.
15.
Celedon JC , Litonjua AA, Weiss ST, Gold DRDay care attendance in the first year of life and illnesses of the upper and lower respiratory tract in children with a familial history of atopy. Pediatrics1999 ;104:495—500.
16.
Slack-Smith LM, Read AW, Stanley FJAbsence from childcare for respiratory illness . Child Care Health Dev2004;30:29—37.
17.
Ponka A., Nurmi T., Salminen E., Nykyri E.Infections and other illnesses of children in day-care centres in Helsinki, I: Incidences and effects of home and day-care center variables . Infection1991;19:230—6.
18.
Yalcin SS , Turul B., Cetinkaya S., Cakir B., Yilmaz A.Effect of total attending period on infection episode rate in a childcare center. Pediatr Int2004;46:555—60.
19.
Sennerstam RB, Moberg K.2004. Relationship between illness-associated absence in day-care children and weather parameters . Public Health2004;118:349—53.
20.
Ladegaard MB , Stage V.Håndhygiejne og småbørnssygelighed i daginstitutioner. En interventionsundersøgelse [Hand hygiene and illness among small children attending day care centres: An intervention study]. Ugeskr Laeger1999 ;161:4396—400 (in Danish).
21.
Mottonen M., Uhari M.Absences for sickness among children in day care. Acta Paediatr1992;81:929—32.
22.
Brustad S.Friluftsliv, fremtidens frynsegode [Outdoor leisure activities, the future benefits]. Stortingsrepresentant Sylvia Brustads tale ved Landskonferanse friluftsliv Tromsø 2. juni 2004 [Member of Norwegian Parliament Sylvia Brustad's speech in Tromsø 2 June at the 2004 National conference on outdoor life]. Available at: http://www.dirnat.no/multimedia.ap?id=20216dirnat (in Norwegian).
23.
Grahn P., Mårtensson F., Lindblad B., Nilsson P., Ekman A.Ute på dagis. Hur använder barn daghemsgården? Utformningen av daghemsgården och dess betydelse för lek, motorik och koncentrationsförmåga [Outdoor day care]. Sverige lantbruksuniversitet i Alnarp1997; Stad & Land nr. 145.
24.
Kunnskapsdepartementet Lov 17. juni 2005 nr. 64 om barnehager (barnehageloven) med forskrifter og departementets merknader til bestemmelsene. Rundskriv F-08/2006 [Law concerning day care institutions, 17 June 2005]. Norwegian Ministry of Education and Research2006 . Available at: http://www.odin.no/kd/norsk/dok/regelverk/rundskriv/070051-990007/dok-bn.html (in Norwegian).
25.
McCullagh P. , Nelder JAGeneralized linear models. London: Chapman & Hall; 1989 .
26.
R Development Core Team.R: A Language and Environment for Statistical Computing, Vienna, Austria. 2006, Available at: http://www.R-project.org .
27.
Venables WN, Ripley BDModern applied statistics with S. 4th ed. New York: Springer-Verlag, 2002.
28.
Rindel AK , Ckristensen M., Kronberg D., Jensen STPladsforholdenes betydning for sygeligheden i københavnske daginstitutioner [Significance of playroomarea for morbidity in day care centres in Cobenhagen]. Uegeskr Laeger1997;259:6205—10 (in Danish).
29.
Jackson KM , Nazar AMBreastfeeding, the immune response, and long-term health. J Am Osteopath Assoc2006;106:203—7.
