Study of Attitudes and Factors Affecting Infant Care

描述(由申请人提供)：本项目的目的是继续评估婴儿睡眠习惯的趋势以及美国儿科学会和公共卫生服务机构为降低婴儿猝死综合症(SID)的风险而采用的“回归睡眠”建议，并通过一项新的研究更深入地探讨影响这些趋势的因素和采用安全睡眠做法的种族差异，以扩展现有的研究。NISP电话调查是自1992年以来对大约1,000名8个月大的美国婴儿照顾者进行的年度电话调查，将再持续两年，然后过渡到一项新开发的调查，以评估影响(安全)婴儿睡眠实践的因素。新的调查方法包括每年从32家随机选择的美国妇产科医院招募具有全国代表性的1000名新母亲的样本，并进行2-4个月的深入跟踪调查；抽样设计还包括对非洲裔美国人的过度抽样，他们传统上对安全睡眠建议的遵守程度较低，小岛屿发展中国家的发病率较高。这项SAFE研究将对母亲进行调查，了解影响婴儿猝死综合征风险的婴儿护理做法，包括睡眠姿势、与人同床和使用奶嘴。这一方法不仅将产生新妈妈的全国概率样本，还将为单独分析提供足够大的非裔美国母亲样本。这项新设计的调查基于计划行为理论，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，以及在特定弱势人群中关于推荐的婴儿睡眠实践(仰卧睡姿、非卧床分享和使用奶嘴)的趋势；以及2)确定与安全睡眠建议相关的照顾者意图和做法的决定因素。 相关性：由于小岛屿发展中国家是导致新生儿期以后婴儿死亡的最常见原因，而且坚持安全的婴儿睡眠做法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群体和其他脆弱人群中，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.