Decisions of Black Parents About Infant Bedding and Sleep Surfaces: A Qualitative Study

Decisions of Black Parents About Infant Bedding and Sleep Surfaces: A Qualitative Study
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DOI:
10.1542/peds.2011-0072
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发表时间:
2011-09-01
期刊:
影响因子:
8
通讯作者:
Moon, Rachel Y.
Moon, Rachel Y.
中科院分区:
医学2区
文献类型:
--
作者:
Ajao, Taiwo I.;Oden, Rosalind P.;Moon, Rachel Y.

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目的:这项定性研究的目的是调查影响黑人父母为其婴儿使用软质寝具和睡眠表面的决策因素。 方法:我们对社会经济地位较低和较高的黑人母亲进行了焦点小组访谈和个人访谈。询问母亲们许多婴儿护理做法,包括睡眠表面和寝具。 结果:对83名母亲进行了访谈,其中73名(47名社会经济地位较低和26名较高)参加焦点小组访谈,10名(7名社会经济地位较低和3名较高)接受个人访谈。使用软质表面的主要原因是婴儿的舒适度。父母认为如果表面不软,婴儿会不舒服。许多父母还将“硬质睡眠表面”理解为绷紧的;只要床单在枕头/毯子上绷紧,他们在床垫上放置枕头/毯子时就觉得舒适,并认为自己遵循了使用硬质睡眠表面的建议。使用软质寝具(包括防撞护垫)的主要原因是舒适、安全和美观。除了使用寝具软化睡眠表面外,还使用寝具防止婴儿翻身和跌落,特别是对于睡在床上或沙发上的婴儿。一些父母使用软质寝具为婴儿营造一个吸引人的空间。 结论:许多黑人父母认为软质寝具会使他们的婴儿安全舒适。对于“硬质”睡眠表面的含义存在很多误解。显然需要更多的教育信息来改变父母的观念和做法。《儿科学》2011年;128卷:494 - 502页
OBJECTIVE: The goal of this qualitative study was to examine factors influencing decisions by black parents regarding use of soft bedding and sleep surfaces for their infants.METHODS: We conducted focus groups and individual interviews with black mothers of lower and higher socioeconomic status (SES). Mothers were asked about many infant care practices, including sleep surface and bedding.RESULTS: Eighty-three mothers were interviewed, 73 (47 lower and 26 higher SES) in focus groups and 10 (7 lower and 3 higher SES) in individual interviews. The primary reason for using soft surfaces was infant comfort. Parents perceived that infants were uncomfortable if the surface was not soft. Many parents also interpreted "firm sleep surface" to mean taut; they were comfortable with and believed that they were following recommendations for a firm sleep surface when they placed pillows/blankets on the mattress as long as a sheet was pulled tautly over the pillows/blankets. The primary reasons for using soft bedding (including bumper pads) were comfort, safety, and aesthetics. In addition to using bedding to soften sleep surfaces, bedding was used to prevent infant rollover and falls, particularly for infants sleeping on a bed or sofa. Some parents used soft bedding to create an attractive space for the infant.CONCLUSIONS: Many black parents believe that soft bedding will keep their infant safe and comfortable. There is much misunderstanding about the meaning of a "firm" sleep surface. Additional educational messages apparently are needed to change parental perceptions and practices. Pediatrics 2011; 128: 494-502