Major epidemiological changes in sudden infant death syndrome: a 20-year population-based study in the UK

Major epidemiological changes in sudden infant death syndrome: a 20-year population-based study in the UK
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DOI:
10.1016/s0140-6736(06)67968-3
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发表时间:
2006-01-28
期刊:
影响因子:
168.9
通讯作者:
Fleming, PJ
Fleming, PJ
中科院分区:
医学1区
文献类型:
--
作者:
Blair, PS;Sidebotham, P;Fleming, PJ

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背景:过去5年的病例对照研究结果表明,自1991年英国“重返睡眠”运动以来,婴儿猝死综合征(SIDS)的流行病学发生了变化。该活动建议父母让婴儿仰卧睡觉,这导致了死亡率的下降。我们使用纵向数据集来评估这些潜在的变化。方法通过家访收集雅芳地区20年间(1984-2003年)369例婴儿意外死亡(300例小岛屿死亡和69例可解释死亡)的人口数据。1993年至1996年期间,1300名对照者在访谈前选择了“参考”睡眠,这些数据被用于比较。在过去的20年里,与父母同睡时死于小岛屿发展中国家的儿童比例从12%上升到50%
Background Results of case-control studies in the past 5 years suggest that the epidemiology of sudden infant death syndrome (SIDS) has changed since the 1991 UK Back to Sleep campaign. The campaign's advice that parents put babies on their back to sleep led to a fall in death rates. We used a longitudinal dataset to assess these potential changes.Methods Population-based data from home visits have been collected for 369 consecutive unexpected infant deaths (300 SIDS and 69 explained deaths) in Avon over 20 years (1984-2003). Data obtained between 1993 and 1996 from 1300 controls with a chosen "reference" sleep before interview have been used for comparison.Findings Over the past 20 years, the proportion of children who died from SIDS while co-sleeping with their parents, has risen from 12% to 50% (p