Infant sleep location: associated maternal and infant characteristics with sudden infant death syndrome prevention recommendations.

Infant sleep location: associated maternal and infant characteristics with sudden infant death syndrome prevention recommendations.
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婴儿睡眠位置:与婴儿猝死综合症预防建议相关的母婴特征。

DOI:
10.1016/j.jpeds.2008.05.004
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发表时间:
2008
期刊:
The Journal of pediatrics
影响因子:
--
通讯作者:
Moon,RachelY
Moon,RachelY
中科院分区:
--
文献类型:
--
作者:
Fu,LindaY;Colson,EveR;Corwin,MichaelJ;Moon,RachelY

文献摘要

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为了确定与婴儿睡眠位置相关的因素,研究对妇女、婴儿和儿童中心的708名0至8个月婴儿的母亲的人口统计学信息和婴儿护理实践进行了评估。广义线性潜在混合模型构建的结果,昨晚的睡眠安排(房间共享没有床共享与床共享,和房间共享没有床共享与睡在单独的房间)。共有48.6%的母亲与他人同房而不与他人同床,32.5%的母亲与他人同床,18.9%的母亲分房睡。与分房睡的婴儿相比,与他人同房而不与他人同床睡的婴儿更有可能是西班牙裔(比值比[OR],2.58,95% CI 1.11-5.98)和更年轻的婴儿(与年龄较大的婴儿相比,0-1个月和2-3个月的婴儿的可能性分别为3.66倍和1.74倍)。与同床婴儿相比,不同床而同房间的婴儿更可能在0至1个月大(OR,1.57; 95% CI,1.05-2.35),并且不太可能是非洲裔美国人(OR,0.43; 95%CI,0.26-0.70)或有一个十几岁的母亲(OR,0.37; 95%CI,0.23-0.58)。与同床共枕有关的因素也与SIDS有关,可能使具有这些特征的婴儿处于SIDS的高风险中。
OBJECTIVETo identify factors associated with infant sleep location.STUDY DESIGNDemographic information and infant care practices were assessed for 708 mothers of infants ages 0 to 8 months at Women, Infants and Children centers. Generalized linear latent mixed models were constructed for the outcome, sleeping arrangement last night (room-sharing without bed-sharing versus bed-sharing, and room-sharing without bed-sharing versus sleeping in separate rooms).RESULTSTwo-thirds of the mothers were African-American. A total of 48.6% mothers room-shared without bed-sharing, 32.5% bed-shared, and 18.9% slept in separate rooms. Compared with infants who slept in separate rooms, infants who room-shared without bed-sharing were more likely to be Hispanic (odds ratio [OR], 2.58, 95% CI 1.11-5.98) and younger (3.66- and 1.74-times more likely for infants 0-1 month old and 2-3 months old, respectively, as compared with older infants). Compared with infants who bed-shared, infants who room-shared without bed-sharing were more likely to be 0 to 1 month old (OR, 1.57; 95% CI, 1.05-2.35) and less likely to be African-American (OR, 0.43; 95% CI, 0.26-0.70) or have a teenage mother (OR, 0.37; 95% CI, 0.23-0.58).CONCLUSIONSApproximately one-third of mothers and infants bed-share, despite increased risk of sudden infant death syndrome (SIDS). The factors associated with bed-sharing are also associated with SIDS, likely rendering infants with these characteristics at high risk for SIDS.