Factors Associated With Choice of Infant Sleep Position.

Factors Associated With Choice of Infant Sleep Position.
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与婴儿睡眠位置的选择相关的因素。

DOI:
10.1542/peds.2017-0596
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发表时间:
2017-09
期刊:
影响因子:
8
通讯作者:
Corwin MJ
Corwin MJ
中科院分区:
医学2区
文献类型:
--
作者:
Colson ER;Geller NL;Heeren T;Corwin MJ

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美国儿科学会 (AAP) 建议婴儿仰卧睡眠。本研究的目的是在具有全国代表性的样本中检查(1)母亲对婴儿睡眠姿势和实际做法的意图的普遍性以及(2)与其选择相关的因素。我们从 32 家美国医院招募了母亲,对黑人和西班牙裔母亲进行了超抽样,形成具有全国代表性的 2-6 个月婴儿母亲样本。调查问题评估了婴儿通常睡姿的选择、所有睡姿、睡姿意图以及实际练习。多变量逻辑回归分析控制人口统计、接受医生建议和计划行为理论变量(态度、主观规范和感知控制)。在 3,297 名母亲中,77.3% 的母亲表示她们通常让婴儿仰卧睡觉,但只有不到一半的母亲表示她们专门这样做。只有 43.7% 的母亲表示她们打算并且实际上让婴儿完全仰卧。黑人母亲和未完成高中学业的母亲更有可能倾向于采用俯卧位。计划行为理论因素(态度、主观规范和感知控制)和医生建议与母亲的选择有关。并非所有母亲都让婴儿完全仰卧睡觉。许多妈妈想让宝宝仰卧,但在实际操作中却往往不这样做。可能需要干预的因素,包括态度和主观规范以及医生的建议,都与意图和实践相关。
The American Academy of Pediatrics (AAP) recommends infants be placed supine for sleep. The objectives of this study were to, in a nationally representative sample, examine (1) prevalence of maternal intention regarding infant sleeping position and of actual practice and (2) factors associated with their choices. We recruited mothers from 32 U.S. hospitals, oversampling Black and Hispanic mothers, in a nationally representative sample of mothers of infants aged 2–6 months. Survey questions assessed choice of usual infant sleeping position, all sleeping positions, intention for sleep position as well as actual practice. Multivariable logistic regression analyses controlled for demographic, receipt of doctor advice and Theory of Planned Behavior variables (attitudes, subjective norms and perceived control). Of the 3,297 mothers, 77.3% reported they usually placed their infants in the supine position for sleep but fewer than half reported that they exclusively did so. Only 43.7% of mothers reported that they both intended to and then actually placed their infants exclusively supine. Black mothers and those who did not complete high school were more likely to intend to use the prone position. Theory of Planned Behavior factors (attitudes, subjective norms and perceived control) and doctor advice were associated with maternal choice. Not all mothers place their infants exclusively supine for sleep. Many mothers intend to place their infants supine yet often do not do so in actual practice. Factors potentially amenable to intervention, including attitudes and subjective norms, and doctor advice are associated with intention and practice.
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