Changes in the epidemiological pattern of sudden infant death syndrome in southeast Norway, 1984-1998:: implications for future prevention and research
Changes in the epidemiological pattern of sudden infant death syndrome in southeast Norway, 1984-1998:: implications for future prevention and research
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DOI：
10.1136/adc.85.2.108
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发表时间：
2001-08-01
影响因子：
5.2
通讯作者：
Rognum, TO
中科院分区：
文献类型：
--
作者：
Arnestad, M;Andersen, M;Rognum, TO
在挪威东南部，1984年至1998年期间死亡的174名婴儿猝死综合征（SIDS）婴儿的父母和375名年龄和性别匹配的对照者被分发了研究资料，目的是寻找婴儿猝死综合征（SIDS）风险因素在SIDS率下降和稳定后的变化。沿着研究期间该地区小岛屿发展中国家比率的下降，但超过一半的小岛屿发展中国家受害者仍然处于俯卧位。随着小岛屿发展中国家病例数量的减少，其他风险因素变得更加重要。因此，1993年以后，当母亲在怀孕期间吸烟时，婴儿猝死综合症的风险显著增加。1993年后，年轻的产妇年龄带来的风险增加。母亲吸烟与年轻母亲年龄相关。对于小岛屿发展中国家的受害者，发现死亡的婴儿的数量增加，而共睡，年龄高峰期之间的2和4个月和冬季的高峰已经变得不那么明显。结论风险因素的变化，在20世纪90年代初，小岛屿发展中国家的发病率下降后，以及其他因素的一致性，提供了进一步的线索，小岛屿发展中国家的预防和死亡机制的进一步研究的方向。
Aim-To look for changes in risk factors for sudden infant death syndrome (SIDS) after decrease and stabilisation of the SIDS rate.Methods-Questionnaires were distributed to parents of 174 SIDS infants, dying between 1984 and 1998, and 375 age and sex matched controls in southeast Norway.Results-The proportion of infants sleeping prone has decreased, along with the decrease in SIDS rate for the region during the periods studied, but over half of the SIDS victims are still found in the prone position. As the number of SIDS cases has decreased, additional risk factors have become more significant. Thus, after 1993, a significantly increased risk of SIDS is seen when the mother smokes during pregnancy. After 1993, young maternal age carries an increased risk. Maternal smoking and young maternal age are associated with each other. For SIDS victims, an increase in the number of infants found dead while co-sleeping is seen, and the age peak between 2 and 4 months and the winter peak have become less pronounced.Conclusion-Changes in risk factor profile following the decrease in SIDS rate in the early 1990s, as well as consistency of other factors, provides further clues to SIDS prevention and to the direction of further studies of death mechanisms.