PreventionBed Sharing Among Black Infants and Sudden Infant Death Syndrome: Interactions With Other Known Risk Factors
Section snippets
Subjects and Data Collected
This study involved secondary data analysis from the Chicago Infant Mortality Study (CIMS), which has demonstrated a strong association between bed sharing and SIDS.5, 24 The CIMS methodology has been described in detail previously.5, 20, 24 Briefly, CIMS was a population-based, case-control study designed explicitly to examine the risk factors for SIDS in a largely black population. The study enrolled all Chicago resident infants from birth to 1 year of age who died of SIDS (cases) as
Results
Nearly half of our study population (47.4%) was bed sharing at last/reference sleep. A majority of those infants who died from SIDS (57.9%) were bed sharing as compared with 37% of control infants. After adjustment for maternal marital status, education, and index of prenatal care, bed sharing was associated with a 2 times greater risk of SIDS as compared with sleeping alone (95% CI, 1.2–3.4). As shown in Table 1, mothers in our study were on average aged in their early 20s and were not likely
Discussion
This is the first report of the interaction of bed sharing with other characteristics of the infant and sleep environment on the risk for SIDS among black infants. Because of the ongoing controversy about whether increased SIDS risk is conferred by bed sharing itself or by the circumstances under which bed sharing occurs, it is important to understand if and how bed-sharing risk is modified by other environmental, maternal, and infant factors, especially among black infants who are more likely
Acknowledgment
This study was supported by Health Resources and Services Administration grant 1R40MC08963-01 to Rachel Moon, principal investigator.
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Cited by (40)
Risky Behaviors of Mothers with Infants on Sudden Infant Death Syndrome in Turkey
2018, Journal of Pediatric NursingCitation Excerpt :Approximately three out of every 10 mothers in our study stated that they share their beds with their babies. Baby share was associated with a greater risk of SIDS (Fu, Moon, & Hauck, 2010; Alexander & Radisch, 2005). The rates found in studies conducted in Turkey are as follows: 26% (Alparslan & Uçan, 2011), 8.7% (Çelik et al., 2010), 11.8% (Çınar et al., 2010), 27.6% (Çalışır et al., 2007), and 14.8% (Efe et al., 2007).
Parent-child bed-sharing: The good, the bad, and the burden of evidence
2017, Sleep Medicine ReviewsSleep safe, my baby
2016, Sleep HealthMessaging Affects the Behavior of African American Parents with Regards to Soft Bedding in the Infant Sleep Environment: A Randomized Controlled Trial
2016, Journal of PediatricsCitation Excerpt :Many parents who bedshare are worried that their infant will fall off the bed or that they or another bedsharer will roll into the infant; soft bedding is used to build a barrier to protect the infant from these adverse possibilities.19 Although parents are using soft bedding to protect their infant, the risk of SIDS while bedsharing is increased when soft bedding is present.38 To our knowledge, there were no detrimental effects of delivering an enhanced health message.
Infant Sleep Location and Breastfeeding Practices in the United States, 2011–2014
2016, Academic PediatricsSudden infant death syndrome
2015, American Family PhysicianCitation Excerpt :Despite more than two decades of SIDS prevention efforts, the frequency of bed sharing has remained unchanged among white U.S. families and has increased among Hispanic and black families. Almost one-half of black mothers report sharing a bed with their infant.9,10 Compared with parents of other races, black parents are less likely to use supine sleep positioning and more likely to use nonstandard sleep locations.