Prevalence and predictors of the prone sleep position among inner-city infants
Prevalence and predictors of the prone sleep position among inner-city infants
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DOI：
10.1001/jama.280.4.341
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发表时间：
1998-07-22
影响因子：
120.7
通讯作者：
Clemens, JD
中科院分区：
文献类型：
--
作者：
Brenner, RA;Simons-Morton, BG;Clemens, JD
背景。-俯卧睡眠姿势与婴儿猝死综合征（SIDS）的风险增加有关，但很少有研究评估与婴儿睡眠姿势选择相关的因素。描述一组婴儿的睡眠姿势，这些婴儿的母亲主要是低收入的市中心母亲，并确定这一人群中俯卧睡眠姿势的预测因素。前瞻性出生队列研究。患者和设置。1995年8月至1996年9月，从哥伦比亚哥伦比亚特区的3家医院系统地选择了394对母婴对，在分娩后不久和产后3至7个月再次对母亲进行了访谈。婴儿被放置在睡觉的前一天晚上的位置3至7个月的采访。在3至7个月大时，157名婴儿（40%）被放置在俯卧位睡觉。俯卧位睡眠的独立预测因素包括贫困（比值比[OR]，1.81; 95%置信区间[CI]，1.10-2.99），黑人（OR，2.06; 95% CI，1.05-4.04），婴儿的祖母在家（OR，1.83; 95%CI，1.11-3.00），分娩后不久测量的意图，将婴儿置于俯卧位重要的是，在43位在医院观察婴儿俯卧位睡眠的母亲中，有40位（93%）打算让婴儿俯卧在家。在这个以低收入为主的人群中，相当大比例的婴儿被置于俯卧位。教育工作应该解决最初的意图和正确的睡眠姿势的强化，一旦开始。医院应确保健康的新生儿在产后住院期间处于仰卧位睡眠。
Context.-The prone sleep position is associated with an increased risk of sudden infant death syndrome (SIDS), but few studies have assessed factors associated with the choice of infant sleep position.Objectives.-To describe infant sleep position in a cohort of infants born to predominantly low-income, inner-city mothers and to identify predictors of the prone sleep position in this population.Design.-Prospective birth cohort study.Patients and Setting.-Three hundred ninety-four mother-infant dyads, systematically selected from 3 District of Columbia hospitals between August 1995 and September 1996, Mothers were interviewed shortly after delivery and again at 3 to 7 months postpartum.Main Outcome Measures.-Position in which infants were placed for sleep on the night prior to the 3- to 7-month interview.Results.-At 3 to 7 months of age, 157 infants (40%) were placed for sleep in the prone position. Independent predictors of prone sleep position included poverty (odds ratio [OR], 1.81; 95% confidence interval [CI], 1.10-2.99), black race (OR, 2.06; 95% CI, 1.05-4.04), presence of infant's grandmother in the home (OR, 1.83; 95% CI, 1.11-3.00), and intent, as measured shortly after delivery, to place the infant in the prone position (OR, 2.28; 95% CI, 1.44-3.60), Importantly, of the 43 mothers who observed their infants in the prone sleep position while in the hospital, 40 (93%) intended to place their infants prone at home.Conclusions.-A substantial proportion of infants in this predominantly low-income population were placed in the prone sleep position. Educational efforts should address both initial intentions and reinforcement of the correct sleep position, once initiated. Hospitals should ensure that healthy newborn infants are placed in the supine sleep position during the postpartum hospital stay.