Military medicine · 2026
Impact of Acute Respiratory Viral Infections on Absenteeism in Military-Connected Children and Caregivers.
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Gadziala Matthew, Dimick Victoria, Banoub Abram, Crecelius Elena M, Helfrich Alison, Vasta Lauren M, Wido Meaghan S, Madison Kristan E, Malloy Allison M W, Jones Milissa U, Parsons Emily
Аннотация
INTRODUCTION: Acute respiratory infections (ARIs) are frequent childhood occurrences and can result in absences from school or childcare. The effect of pediatric viral ARIs on absenteeism in military-connected children and the subsequent impact to military readiness are not known. This study examines pediatric ARI-related absenteeism among active duty service members (ADSMs) and their children.
MATERIALS AND METHODS: Participants aged 1 month to 17 years were enrolled in the Pediatric Respiratory Co-infection and Immunologic Response (Peds RECON) study between January 2024 and May 2025. Peds RECON is a prospective, longitudinal cohort study investigating the impact of acute respiratory viral illness in military-connected children. Participants were enrolled before ARI. When symptoms of an ARI developed, participants subsequently underwent respiratory pathogen testing by multiplex PCR. With each ARI, participants completed a 10-day symptom questionnaire that included whether medical care was sought, how many days the child was absent from school or childcare, and how many lost workdays caregivers experienced as a result. Descriptive analyses and non-parametric tests were used to evaluate differences in absenteeism between age, infecting respiratory pathogen, and medical care utilization.
RESULTS: Peds RECON study enrolled 47 participants, with 27 ARI evaluations. Symptom questionnaires completion rate was 100%. The child's age or pathogen detection was not associated with increased child absenteeism. However, caregiver absenteeism was higher when the participant was between 0 and 5 years old (P < .002). Among ADSM caregivers, an average of 0.8 (SD 1.0) duty day and a maximum of 3 duty days were lost per pediatric ARI. Health care seeking behavior and clinical setting were not associated with absenteeism.
CONCLUSIONS: Pediatric ARIs result in child absenteeism as well as adult caregiver absenteeism from work, resulting in lost duty days. Younger children with an ARI are more likely to result in caregiver absenteeism. Given the frequency of infections, common pediatric ARIs likely impact overall ADSM readiness.
MATERIALS AND METHODS: Participants aged 1 month to 17 years were enrolled in the Pediatric Respiratory Co-infection and Immunologic Response (Peds RECON) study between January 2024 and May 2025. Peds RECON is a prospective, longitudinal cohort study investigating the impact of acute respiratory viral illness in military-connected children. Participants were enrolled before ARI. When symptoms of an ARI developed, participants subsequently underwent respiratory pathogen testing by multiplex PCR. With each ARI, participants completed a 10-day symptom questionnaire that included whether medical care was sought, how many days the child was absent from school or childcare, and how many lost workdays caregivers experienced as a result. Descriptive analyses and non-parametric tests were used to evaluate differences in absenteeism between age, infecting respiratory pathogen, and medical care utilization.
RESULTS: Peds RECON study enrolled 47 participants, with 27 ARI evaluations. Symptom questionnaires completion rate was 100%. The child's age or pathogen detection was not associated with increased child absenteeism. However, caregiver absenteeism was higher when the participant was between 0 and 5 years old (P < .002). Among ADSM caregivers, an average of 0.8 (SD 1.0) duty day and a maximum of 3 duty days were lost per pediatric ARI. Health care seeking behavior and clinical setting were not associated with absenteeism.
CONCLUSIONS: Pediatric ARIs result in child absenteeism as well as adult caregiver absenteeism from work, resulting in lost duty days. Younger children with an ARI are more likely to result in caregiver absenteeism. Given the frequency of infections, common pediatric ARIs likely impact overall ADSM readiness.