Trends and factors associated with infant sleeping position: the national infant sleep position study, 1993-2007.
Trends and factors associated with infant sleeping position: the national infant sleep position study, 1993-2007.
复制标题
DOI：
10.1001/archpediatrics.2009.234
复制
发表时间：
2009-12
影响因子：
--
通讯作者：
Corwin, Michael J.
中科院分区：
文献类型：
--
作者：
Colson, Eve R.;Rybin, Denis;Smith, Lauren A.;Colton, Theodore;Lister, George;Corwin, Michael J.
SIDS仍然是美国新生儿死亡的主要原因。为了降低风险，婴儿应该仰卧睡觉。确定与婴儿睡姿选择相关的趋势和因素。全国婴儿睡眠姿势研究（NISP）：年度全国代表性电话调查。美国48个相邻的州。1993年至2007年期间最近7个月内出生的婴儿的夜间照顾者。每年约有1000次面试。婴儿通常以仰卧位睡觉。在15年的时间里，所有婴儿的仰卧睡眠增加（p<0.0001），俯卧睡眠减少（p<0.0001），种族之间的趋势没有显著差异。自2001年以来，所有种族都达到了一个平台。1993-2007年间与仰卧睡眠增加相关的因素包括：时间、非黑人的母亲种族、较高的母亲教育、不住在南方各州、头胎婴儿和足月婴儿。当考虑到与产妇对婴儿舒适度、婴儿窒息和医生建议有关的变量时，这些变量的影响会减少。在2003年至2007年期间，婴儿睡眠姿势的选择几乎完全可以解释为照顾者对舒适、窒息和建议的关注。种族不再是仰卧睡眠的重要预测因素。自2001年以来，仰卧睡眠已经达到了一个平台，并且在睡眠实践和死亡率方面仍然存在种族差异。与睡姿相关的因素发生了变化，母亲对舒适和窒息等问题的态度可能是造成种族差异的主要原因。为了减少小岛屿发展中国家的数量，我们必须确保公共卫生措施能够惠及高危人群，并包括解决婴儿仰卧时舒适或窒息问题的信息。
SIDS remains the leading cause of postneonatal death in the US. To decrease risk, infants should be placed supine for sleep. Determine trends and factors associated with choice of infant sleeping position. National Infant Sleep Position Study (NISP): Annual nationally representative telephone surveys. 48 contiguous states of the United States. Nighttime caregivers of infants born within the last 7 months between 1993 and 2007. Approximately 1000 interviews each year. Infant usually placed to sleep in the supine position. For the 15-year period, supine sleep increased (p<0.0001) and prone sleep decreased (p<0.0001) for all infants with no significant difference in trend by race. Since 2001 a plateau has been reached for all races. Factors associated with increase supine sleep between 1993-2007 included: time, maternal race other than Black, higher maternal education, not living in Southern States, first-born infant, and full-term infant. Impact of these variables was reduced when variables related to maternal concerns about infant comfort, infant choking and advice received from doctors were taken into account. Between 2003 and 2007, choice of infant sleep position could be explained almost entirely by caregiver concern about comfort, choking and advice. Race no longer was a significant predictor of supine sleep. Since 2001 supine sleep has reached a plateau, and there continue to be racial disparities in both sleep practice and death rates. There have been changes in factors associated with sleep position and maternal attitudes about issues such as comfort and choking concerns may account for much of the racial disparity in practice. To decrease SIDS, we must ensure that public health measures reach the populations at risk and include messages that address concerns about infant comfort or choking in the supine position.
登录
查看更多内容
影响因子：
120.7
作者：
Willinger, M;Ko, CW;Corwin, MJ
通讯作者：
Corwin, MJ
影响因子：
120.7
作者：
Willinger, M;Hoffman, HJ;Corwin, MJ
通讯作者：
Corwin, MJ
影响因子：
120.7
作者：
Brenner, RA;Simons-Morton, BG;Clemens, JD
通讯作者：
Clemens, JD
影响因子：
8
作者：
Colson, Eve R.;Levenson, Suzette;Corwin, Michael J.
通讯作者：
Corwin, Michael J.