Comparison of Infant Sleep Practices in African-American and US Hispanic Families: Implications for Sleep-Related Infant Death
Comparison of Infant Sleep Practices in African-American and US Hispanic Families: Implications for Sleep-Related Infant Death
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DOI：
10.1007/s10903-014-0016-9
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发表时间：
2015-06-01
影响因子：
1.9
通讯作者：
Moon, Rachel Y.
中科院分区：
文献类型：
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作者：
Mathews, Anita A.;Joyner, Brandi L.;Moon, Rachel Y.
非洲裔美国人和西班牙裔家庭有着相似的社会经济概况。西班牙裔与睡眠有关的婴儿死亡率比非洲裔美国人低四倍。我们进行了一项横断面、多模式（调查、定性访谈）研究，以比较影响非洲裔美国人和西班牙裔家庭睡眠相关婴儿死亡风险的婴儿护理实践。我们调查了422名非洲裔美国人和90名西班牙裔母亲。83名非洲裔美国人和6名西班牙裔母亲参加了定性访谈。非裔美国婴儿更可能被放置为俯卧（p < 0.001），与父母同床（p < 0.001），并暴露于烟雾（p < 0.001）。西班牙裔妇女更有可能母乳喂养（p <0.001），而非洲裔美国妇女对SIDS的了解更多。定性访谈表明，虽然非洲裔美国人和西班牙裔父母有类似的担忧，行为不同。虽然非洲裔美国人和西班牙裔美国人家庭的婴儿护理决定的基本原理是相似的，但做法不同。这可能有助于解释与睡眠有关的婴儿死亡中的种族/民族差异。
African-American and Hispanic families share similar socioeconomic profiles. Hispanic rates of sleep-related infant death are four times lower than African-American rates. We conducted a cross-sectional, multi-modal (surveys, qualitative interviews) study to compare infant care practices that impact risk for sleep-related infant death in African-American and Hispanic families. We surveyed 422 African-American and 90 Hispanic mothers. Eighty-three African-American and six Hispanic mothers participated in qualitative interviews. African-American infants were more likely to be placed prone (p < 0.001), share the bed with the parent (p < 0.001), and to be exposed to smoke (p < 0.001). Hispanic women were more likely to breastfeed (p < .001), while African-American women were more knowledgeable about SIDS. Qualitative interviews indicate that, although African-American and Hispanic parents had similar concerns, behaviors differed. Although the rationale for infant care decisions was similar for African-American and Hispanic families, practices differed. This may help to explain the racial/ethnic disparity seen in sleep-related infant deaths.