The prevalence and characteristics associated with parent-infant bed-sharing in England

The prevalence and characteristics associated with parent-infant bed-sharing in England
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DOI:
10.1136/adc.2003.038067
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发表时间:
2004-12-01
影响因子:
5.2
通讯作者:
Ball, HL
Ball, HL
中科院分区:
医学2区
文献类型:
--
作者:
Blair, PS;Ball, HL

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目的:调查英格兰父母与婴儿同床的流行特征。方法:从一项为期两年的地方纵向研究和一项为期三年的全国横断面研究中获得夜间睡眠习惯的数据。北蒂斯地区共有 261 名 1 个月和 3 个月大的婴儿以及来自英国五个卫生地区的 1095 名 1 周至 1 岁的婴儿进行了随访。 结果:两项研究的数据发现,几乎一半的新生儿在某个时候与父母同睡一张床(当地 = 47%,95% CI 41 至 54;全国 = 46%,95% CI 34 至 58),并且超过四分之一的父母在第一个月的任何一个晚上都会与婴儿一起睡觉(当地 = 27%,95% CI 22 至 33;全国 = 30%,95% CI 20 至 42)。共用床位与年轻母亲、单身母亲或大家庭无关,并且在寒冷的月份、周末或社会贫困的家庭中并不常见;事实上,在生命最初几个月里,同床共枕在最贫困的人中更为常见。无论是出生时还是三个月大时,母乳喂养与同床都密切相关。 3 至 12 个月婴儿的同床率是一致的;超过五分之一的父母(全国 = 21%,95% CI 18 至 24)在任何一个晚上都与婴儿一起睡觉。结论:在英格兰,同床共枕是一种相对常见的做法,与阶层无关,但与母乳喂养密切相关。
Aims: To investigate the characteristics of parent-infant bed-sharing prevalence in England.Methods: Data on night-time sleeping practices from a two year, local, longitudinal study and a three-year, national, cross-sectional study were obtained. A total of 261 infants in North Tees were followed up at 1 and 3 months of age, as were 1095 infants aged 1 week to 1 year from five English health regions.Results: Data from both studies found that almost half of all neonates bed-shared at some time with their parents (local=47%, 95% CI 41 to 54; national=46%, 95% CI 34 to 58), and on any one night in the first month over a quarter of parents slept with their baby (local=27%, 95% CI 22 to 33; national=30%, 95% CI 20 to 42). Bed-sharing was not related to younger mothers, single mothers, or larger families, and was not more common in the colder months, at weekends, or among the more socially deprived families; in fact bed-sharing was more common among the least deprived in the first months of life. Breast feeding was strongly associated with bed-sharing, both at birth and at 3 months. Bed-sharing prevalence was uniform with infant age from 3 to 12 months; on any one night over a fifth of parents (national=21%, 95% CI 18 to 24) slept with their infants.Conclusion: Bed-sharing is a relatively common practice in England, not specific to class, but strongly related to breast feeding.