FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2166753283> ?p ?o ?g. }

• W2166753283 endingPage "e78" @default.
• W2166753283 startingPage "e78" @default.
• W2166753283 abstract "To evaluate the role of child care centers in a community-wide hepatitis A epidemic.We analyzed surveillance data during an epidemic in Maricopa County, Arizona, from January to October 1997 and conducted a case-control study using a sample of cases reported from June to November. Cases were physician-diagnosed and laboratory confirmed; control subjects were frequency matched by age and neighborhood. Information regarding hepatitis A risk factors, including child care-related exposures, was collected. Characteristics of all licensed child care centers in the county were obtained through review of computerized lists from the Arizona Office of Child Day Care Licensing. Surveillance data were linked to the child care list to determine which centers had reported hepatitis A cases. We conducted univariate and multivariate conditional logistic analyses and calculated population attributable risks (PAR).In total, 1242 cases (50/100 000 population) were reported. The highest rates occurred among people aged 0 to 4 (76/100 000), 5 to 14 (95/100 000), and 15 to 29 (79/100 000) years. The most frequently reported risk factor was contact with a hepatitis A patient (45%). However, nearly 80% of these contacts were with individuals who attended or worked in a child care center. Overall, child care center-related contact could have been the source of infection for 34% of case-patients. In the case-control study, case-patients (n = 116) and control subjects (n = 116) did not differ with respect to demographic characteristics. A total of 51% of case-patients compared with 18% of control subjects reported attending or working in a child care setting (direct contact; adjusted odds ratio [OR]: 6.0; 95% confidence interval [CI]: 2.1-23.0) or being a household contact of such a person (indirect contact; OR: 3.0; 95% CI: 1.3-8.0). In age-stratified analyses, the association between hepatitis A and direct or indirect contact with child care settings was strongest for children <6 years old and adults aged 18 to 34 years. Household contact with a person with hepatitis A also was associated with hepatitis A (OR: 9.2; 95% CI: 2.6-58.2). The presence of a child <5 years old in the household was not associated with hepatitis A. The estimated PAR for direct child care contact was 23% (95% CI: 16-34), for indirect child care contact was 21% (95% CI: 13-35), and for any child care contact was 40% (95% CI: 30-53). Information on 1243 licensed child care centers was obtained, with capacity ranging from 5 to 479 slots (mean: 87). Thirty-four (2.7%) centers reported hepatitis A cases. Centers that had a mean capacity of >50 children were more than twice as likely to have had a reported case of hepatitis A (OR: 2.6; 95% CI: 1.1-6.7). Among the 747 centers that accepted >50 children, having infant (OR: 3.7; 95% CI: 1.6-8.3), toddler (OR: 6.3; 95% CI: 2.2-20.0), or full-day service (OR; undefined; 95% CI: 1.7- ~) was associated with having a reported case of hepatitis A.In Maricopa County, people associated with child care settings are at increased risk of hepatitis A, and child care attendees may be an appropriate target group for hepatitis A vaccination. Considering the estimated proportion of children who attended child care and were old enough to receive hepatitis A vaccine (>/=2 years of age) and the calculated PAR, approximately 40% of cases might have been prevented if child care center attendees and staff had been vaccinated. However, epidemiologic studies indicate that the proportion of cases that are attributable to child care center exposure varies considerably among counties, suggesting that this exposure may be associated with an increased risk of hepatitis A in some communities but not in others. To prevent and control hepatitis A epidemics in communities, the Advisory Committee on Immunization Practices and the American Academy of Pediatrics have adopted a long-term strategy of routine vaccination of children who live in areas with consistently elevated hepatitis A rates. After demonstrating cost-effectiveness, a rule was implemented in January 1999 to require hepatitis A vaccination of all children who are aged 2 to 5 years and enrolled in a licensed child care facility in Maricopa County. Other communities with similar epidemiologic features might consider routine vaccination of child care center attendees as a long-term hepatitis A prevention strategy. Consistent with current recommendations, in communities with persistently elevated hepatitis A rates where child care center attendance does not play an important role in hepatitis A virus transmission in the community, child care centers may nonetheless provide a convenient access point for delivering hepatitis A as well as other routine childhood vaccinations." @default.
• W2166753283 created "2016-06-24" @default.
• W2166753283 creator A5020318095 @default.
• W2166753283 creator A5039575175 @default.
• W2166753283 creator A5042128464 @default.
• W2166753283 creator A5066014283 @default.
• W2166753283 creator A5082239765 @default.
• W2166753283 creator A5085188176 @default.
• W2166753283 creator A5090410813 @default.
• W2166753283 date "2001-11-01" @default.
• W2166753283 modified "2023-09-26" @default.
• W2166753283 title "The Role of Child Care in a Community-Wide Outbreak of Hepatitis A" @default.
• W2166753283 cites W1897910008 @default.
• W2166753283 cites W2043985689 @default.
• W2166753283 cites W2074795000 @default.
• W2166753283 cites W2125152783 @default.
• W2166753283 cites W2144560792 @default.
• W2166753283 cites W2168636073 @default.
• W2166753283 cites W2318514912 @default.
• W2166753283 doi "https://doi.org/10.1542/peds.108.5.e78" @default.
• W2166753283 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/11694662" @default.
• W2166753283 hasPublicationYear "2001" @default.
• W2166753283 type Work @default.
• W2166753283 sameAs 2166753283 @default.
• W2166753283 citedByCount "65" @default.
• W2166753283 countsByYear W21667532832012 @default.
• W2166753283 countsByYear W21667532832013 @default.
• W2166753283 countsByYear W21667532832014 @default.
• W2166753283 countsByYear W21667532832015 @default.
• W2166753283 countsByYear W21667532832016 @default.
• W2166753283 countsByYear W21667532832018 @default.
• W2166753283 countsByYear W21667532832019 @default.
• W2166753283 countsByYear W21667532832020 @default.
• W2166753283 countsByYear W21667532832021 @default.
• W2166753283 countsByYear W21667532832022 @default.
• W2166753283 countsByYear W21667532832023 @default.
• W2166753283 crossrefType "journal-article" @default.
• W2166753283 hasAuthorship W2166753283A5020318095 @default.
• W2166753283 hasAuthorship W2166753283A5039575175 @default.
• W2166753283 hasAuthorship W2166753283A5042128464 @default.
• W2166753283 hasAuthorship W2166753283A5066014283 @default.
• W2166753283 hasAuthorship W2166753283A5082239765 @default.
• W2166753283 hasAuthorship W2166753283A5085188176 @default.
• W2166753283 hasAuthorship W2166753283A5090410813 @default.
• W2166753283 hasConcept C116675565 @default.
• W2166753283 hasConcept C126322002 @default.
• W2166753283 hasConcept C144024400 @default.
• W2166753283 hasConcept C149923435 @default.
• W2166753283 hasConcept C159047783 @default.
• W2166753283 hasConcept C187212893 @default.
• W2166753283 hasConcept C203014093 @default.
• W2166753283 hasConcept C2775876817 @default.
• W2166753283 hasConcept C2776029263 @default.
• W2166753283 hasConcept C2908647359 @default.
• W2166753283 hasConcept C2993037610 @default.
• W2166753283 hasConcept C38180746 @default.
• W2166753283 hasConcept C512399662 @default.
• W2166753283 hasConcept C71924100 @default.
• W2166753283 hasConcept C99454951 @default.
• W2166753283 hasConceptScore W2166753283C116675565 @default.
• W2166753283 hasConceptScore W2166753283C126322002 @default.
• W2166753283 hasConceptScore W2166753283C144024400 @default.
• W2166753283 hasConceptScore W2166753283C149923435 @default.
• W2166753283 hasConceptScore W2166753283C159047783 @default.
• W2166753283 hasConceptScore W2166753283C187212893 @default.
• W2166753283 hasConceptScore W2166753283C203014093 @default.
• W2166753283 hasConceptScore W2166753283C2775876817 @default.
• W2166753283 hasConceptScore W2166753283C2776029263 @default.
• W2166753283 hasConceptScore W2166753283C2908647359 @default.
• W2166753283 hasConceptScore W2166753283C2993037610 @default.
• W2166753283 hasConceptScore W2166753283C38180746 @default.
• W2166753283 hasConceptScore W2166753283C512399662 @default.
• W2166753283 hasConceptScore W2166753283C71924100 @default.
• W2166753283 hasConceptScore W2166753283C99454951 @default.
• W2166753283 hasIssue "5" @default.
• W2166753283 hasLocation W21667532831 @default.
• W2166753283 hasLocation W21667532832 @default.
• W2166753283 hasOpenAccess W2166753283 @default.
• W2166753283 hasPrimaryLocation W21667532831 @default.
• W2166753283 hasRelatedWork W122454463 @default.
• W2166753283 hasRelatedWork W1989889650 @default.
• W2166753283 hasRelatedWork W2084388264 @default.
• W2166753283 hasRelatedWork W2094508042 @default.
• W2166753283 hasRelatedWork W2366614704 @default.
• W2166753283 hasRelatedWork W2366736205 @default.
• W2166753283 hasRelatedWork W2391030828 @default.
• W2166753283 hasRelatedWork W2971766517 @default.
• W2166753283 hasRelatedWork W2996033174 @default.
• W2166753283 hasRelatedWork W4252140686 @default.
• W2166753283 hasVolume "108" @default.
• W2166753283 isParatext "false" @default.
• W2166753283 isRetracted "false" @default.
• W2166753283 magId "2166753283" @default.
• W2166753283 workType "article" @default.