Study of Attitudes and Factors Affecting Infant Care

描述（申请人提供）：该项目的目的是继续评估婴儿睡眠习惯的趋势，并采用美国儿科学会和公共卫生服务局的“恢复睡眠”建议，以减少婴儿猝死综合征（SIDS）的风险，并通过一项新的研究来扩展目前的研究，该研究更深入地探讨了影响这些趋势的因素以及采用安全睡眠做法的种族差异。NISP电话调查是自1992年以来对大约1,000名美国8个月以下婴儿护理人员进行的年度电话调查，将继续进行两年，然后过渡到新开发的影响（安全）婴儿睡眠实践因素评估调查。这项新的调查技术涉及每年从32家随机选择的美国妇产医院招募1000名新妈妈的全国代表性样本，并进行深入的2-4个月的随访调查;抽样设计还包括对非洲裔美国人的过度抽样，这些人传统上对安全睡眠建议的遵守程度较低，SIDS的发病率较高。SAFE的研究将调查母亲对婴儿护理的做法，影响婴儿猝死综合症的风险，包括睡眠姿势，床共享，和奶嘴的使用。这种方法不仅会产生一个全国性的新妈妈概率样本，它还将提供一个足够大的非裔美国人母亲样本进行单独分析。这项新设计的调查以计划行为理论为基础，将制定具体的方法，旨在阐明不遵守的风险因素，特别是在脆弱的社会经济和少数群体中。通过这种方法，我们将：1）评估国家趋势，以及特定弱势群体中的趋势，关于推荐的婴儿睡眠实践（仰卧位睡眠姿势，非同床共享和使用奶嘴）; 2）确定与安全睡眠建议有关的照顾者意图和实践的决定因素。 相关性：由于小岛屿发展中国家是新生儿期之后婴儿死亡的最常见原因，并且坚持安全的婴儿睡眠实践已被证明可以降低小岛屿发展中国家的风险，因此了解不遵守婴儿睡眠建议的原因，特别是在小岛屿发展中国家发病率最高的少数民族和其他弱势群体中，是国家公共卫生的优先事项。

DESCRIPTION (provided by applicant): The purposes of this project are to continue to evaluate trends in infant sleep practices and adoption of the American Academy of Pediatrics' and the Public Health Service's "Back to Sleep" recommendations to reduce the risk of Sudden Infant Death Syndrome (SIDS), and to expand on current studies with a new study that examines in greater depth the factors influencing these trends and the racial disparity in adoption of safe sleep practices. The NISP telephone survey, an annual telephone survey of approximately 1,000 U.S. caregivers of infants <8 months of age carried out since 1992, will be continued for 2 additional years, and then be transitioned to a newly developed Survey to Assess Factors Effecting (SAFE) Infant Sleep Practices. The new survey technique involves the recruitment of a nationally representative sample of 1000 new mothers annually from 32 randomly selected U.S. maternity hospitals with an in-depth 2-4 month follow-up survey; the sampling design also includes an oversampling of African-Americans, who traditionally have had lower adherence to safe sleep recommendations and higher rates of SIDS. The SAFE study will survey mothers about infant care practices that influence SIDS risk, including sleep position, bed sharing, and pacifier use. Not only will this approach result in a national probability sample of new mothers, it will also provide a sufficiently large sample of African-American mothers for separate analysis. The newly designed survey, based on the Theory of Planned Behavior, will institute specific methodologies designed to illuminate risk factors for non-adherence, particularly in the vulnerable socioeconomic and minority populations. With this approach, we will: 1) evaluate national trends, and trends within specific vulnerable populations, with regard to recommended infant sleep practices (supine sleep position, non-bed sharing, and use of pacifier); and 2) ascertain determinants of caregivers' intentions and practices in relation to safe sleep recommendations. RELEVANCE: Since SIDS is the most common cause of infant mortality beyond the neonatal period, and adherence to safe infant sleep practices has been proven to reduce the risk of SIDS, understanding the reasons for nonadherence to infant sleep recommendations, especially among minority and other vulnerable populations who have the highest rates of SIDS, is a national public health priority.