Maternal nativity and sleep-related infant injury deaths in New York City
Maternal nativity and sleep-related infant injury deaths in New York City
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DOI：
10.1016/j.earlhumdev.2014.10.005
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发表时间：
2015-01-01
影响因子：
2.5
通讯作者：
Simons, Hannah
中科院分区：
文献类型：
--
作者：
Chu, Tracy;Hackett, Martine;Simons, Hannah
背景资料：纽约市一半的新生儿是在美国以外出生的妇女，她们的婴儿护理做法可能与美国儿科学会的官方建议不同。这些婴儿有一个整体较低的婴儿死亡率比他们的美国出生的counterpart.Aims：本研究的目的是研究睡眠相关的婴儿损伤死亡，婴儿死亡率的主要原因，其危险因素之间的婴儿美国出生的和外国出生的妇女在一个大的，多样化的urbanarea.Study设计：344例婴儿死亡病例的法医和生命统计记录的数据进行了分析。采用Poisson回归模型计算的率比和95%CI，用于量化孕产妇和婴儿特征的死亡率差异。双变量和逻辑回归分析被用来检查样本中与睡眠相关的婴儿损伤死亡的差异。结果测量：结果测量是与睡眠相关的损伤死亡率，以及与这些死亡相关的行为风险因素：不安全的睡眠姿势，同床共枕，以及过多的床上用品。美国出生的母亲与睡眠有关的婴儿伤害死亡率是外国出生的母亲的三倍多，即使在控制了母亲的种族/民族，教育和年龄的情况下。然而，不良的睡眠相关的做法并不一致，更普遍的美国出生的婴儿在样本中的死亡，即使当控制这些相同的人口统计factors.Conclusions：美国出生的母亲的婴儿睡眠相关的婴儿损伤死亡率较高，可以解释更复杂的社会人口因素，或婴儿睡眠的做法以外的因素。(C)2014爱思唯尔爱尔兰有限公司版权所有。
Background: Half of all births in New York City are to women born outside of the United States whose infant care practices may differ from official recommendations from the American Academy of Pediatrics. These infants have an overall lower infant mortality rate than those of their US-born counterparts.Aims: The aims of this study were to examine sleep-related infant injury death, a leading cause of infant mortality, and its risk factors among infants of US-born and foreign-born women in a large, diverse urban area.Study design: Data for 344 infant death cases from medical examiner and vital statistics records were analyzed. Rate ratios and 95% CIs, calculated with Poisson regression models, were used to quantify differences in death rates by maternal and infant characteristics. Bivariate and logistic regression analyses were used to examine differences within the sample of sleep-related infant injury deaths.Outcome measures: The outcome measures were rate of sleep-related injury death, and behavioral risk factors associated with these deaths: unsafe sleep positioning, bed-sharing, and excess bedding.Results: US-born mothers had a sleep-related infant injury death rate that was over three times that of foreign-born mothers, even when controlling for maternal race/ethnicity, education, and age. However, adverse sleep-related practices were not consistently more prevalent among US-born infants in the sample of deaths, even when controlling for those same demographic factors.Conclusions: The higher rate of sleep-related infant injury death among infants of US-born mothers may be explained by more complex socio-demographic factors, or factors outside of infant sleep practices. (C) 2014 Elsevier Ireland Ltd. All rights reserved.