Infant sleeping position and the risk of sudden infant death syndrome in California, 1997-2000
Infant sleeping position and the risk of sudden infant death syndrome in California, 1997-2000
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DOI：
10.1093/aje/kwf226
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发表时间：
2003-03-01
影响因子：
5
通讯作者：
Hoffman, HJ
中科院分区：
文献类型：
--
作者：
Li, DK;Petitti, DB;Hoffman, HJ
为了评估美国不同种族人群中婴儿睡姿与婴儿猝死综合征（SIDS）风险之间的关系，作者从1997年5月至2000年4月在加利福尼亚州的11个县进行了一项基于人群的病例对照研究。作者亲自采访了185个小岛屿发展中国家的母亲和312个随机选择的种族/民族和年龄相匹配的对照组，以收集有关睡眠姿势的信息。最后一次俯卧或侧卧的婴儿比最后一次仰卧的婴儿发生SIDS的风险更高(调整优势比(AOR)=2.6（95%置信区间（CI）： 1.5, 4.5)，俯卧和侧卧的AOR=2.0 (95% CI: 1.2, 3.4)）。侧位不稳定的婴儿侧躺时发生SIDS的风险尤其高（AOR=8.7, 95% CI: 3.3, 22.7）。通常以仰卧或侧卧（一种不习惯的睡姿）的姿势躺下的婴儿发生SIDS的风险明显较高(俯卧和侧卧的AOR分别为8.2 （95% CI: 2.6, 26.0）和6.9 （95% CI: 2.3, 20.6）。处于不习惯的俯卧或侧卧睡姿的婴儿比总是俯卧或侧卧的婴儿患小岛屿发展障碍的风险更高。
To assess the association between infant sleeping position and risk of sudden infant death syndrome (SIDS) in an ethnically diverse US population, the authors conducted a population-based case-control study in 11 counties in California from May 1997 through April 2000. The authors conducted in-person interviews with the mothers of 185 SIDS cases and 312 randomly selected race/ethnicity- and age-matched controls to collect information on sleeping positions. Infants who had last been put down to sleep in the prone or side position were at greater risk of SIDS than were infants who had last been put down on their backs (adjusted odds ratio (AOR)=2.6 (95% confidence interval (CI): 1.5, 4.5) and AOR=2.0 (95% CI: 1.2, 3.4) for the prone and side positions, respectively). The risk of SIDS was especially high for an unstable side position in which an infant was placed on its side and found prone (AOR=8.7, 95% CI: 3.3, 22.7). Infants who were usually placed on their backs to sleep but had last been put down in the prone or side position (an unaccustomed position) had a significantly high risk of SIDS (AOR=8.2 (95% CI: 2.6, 26.0) and AOR=6.9 (95% CI: 2.3, 20.6) for the prone and side positions, respectively). Infants placed in an unaccustomed prone or side sleeping position had a higher risk of SIDS than infants who were always placed prone or on the side.