Where Should My Baby Sleep: A Qualitative Study of African American Infant Sleep Location Decisions
Where Should My Baby Sleep: A Qualitative Study of African American Infant Sleep Location Decisions
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DOI：
10.1016/s0027-9684(15)30706-9
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发表时间：
2010-10-01
影响因子：
3.3
通讯作者：
Moon, Rachel Y.
中科院分区：
文献类型：
--
作者：
Joyner, Brandi L.;Oden, Rosalind P.;Moon, Rachel Y.
背景：非裔美国婴儿患婴儿猝死综合症 (SIDS) 和意外窒息的风险比其他婴儿更高，与父母同床的可能性高出 4 倍。 目的： 使用定性方法调查影响非裔美国父母对婴儿睡眠位置（房间位置和睡眠表面）决定的因素。 方法： 83 名母亲参加了焦点小组或个人访谈。问题探讨了婴儿睡眠位置决定的原因以及对决策的影响。结果：这项研究中的大多数母亲与婴儿睡在同一个房间。共享房间的原因包括空间、便利和安全。母亲们在很大程度上决定婴儿睡眠表面是因为婴儿床的空间/可用性、舒适性、便利性和安全性。通常选择共享房间和共享床位，以便更方便地喂养和检查婴儿。选择不同床的母亲们表示，出于隐私考虑，担心婴儿会依附在父母的床上，并担心窒息。选择同床共枕的母亲经常提到，这样可以在睡眠时保持警惕。低收入母亲也利用共用床来抵御环境危险。结论：本研究中的非裔美国母亲将共用房间和共用床视为保证婴儿安全的策略。鼓励共享房间而不共享床铺的努力必须解决父母对婴儿床空间/可用性、便利性、婴儿和父母舒适度以及婴儿安全的担忧。
Background: African American infant's are at higher risk for sudden infant death syndrome (SIDS) and accidental suffocation than other infants and are up to 4 times more likely to bedshare with their parents.Objective: To investigate, using qualitative methods, factors influencing African American parents' decisions regarding infant sleep location (room location and sleep surface).Methods: Eighty-three mothers participated in focus groups or individual interviews. Questions probed reasons for infant sleep location decisions and influences on decision making.Results: Most of the mothers in this study slept in the same room as their infant. Reasons for roomsharing included space, convenience, and safety. Mothers largely decided on infant sleep surface because of space for/availability of crib, comfort, convenience, and safety. Both roomsharing and bedsharing were often chosen to make feeding and checking on the infant more convenient. Mothers who chose not to bedshare cited privacy, concern that the infant would become attached to the parents' bed, and fears about suffocation. Mothers who chose to bedshare often cited the ability to maintain vigilance while asleep. Low-income mothers also used bedsharing as a defense against environmental dangers.Conclusion: African American mothers in this study viewed both roomsharing and bedsharing as strategies to keep their infants safe. Efforts to encourage roomsharing without bedsharing must address parental concerns about space for/availability of a crib, convenience, infant and parent comfort, and infant safety.