Prevalence and Factors Associated With Safe Infant Sleep Practices

Details

• Alternative Title:
  Pediatrics
• Personal Author:
  Hirai, Ashley H. ; Kortsmit, Katherine ; Kaplan, Lorena ; Reiney, Erin ; Warner, Lee ; Parks, Sharyn E. ; Perkins, Maureen ; Koso-Thomas, Marion ; D’Angelo, Denise V. ; Shapiro-Mendoza, Carrie K.
• Description:
  OBJECTIVES:
  
  To examine prevalence of safe infant sleep practices and variation by sociodemographic, behavioral, and health care characteristics, including provider advice.
  
  METHODS:
  
  Using 2016 Pregnancy Risk Assessment Monitoring System data from 29 states, we examined maternal report of 4 safe sleep practices indicating how their infant usually slept: (1) back sleep position, (2) separate approved sleep surface, (3) room-sharing without bed-sharing, and (4) no soft objects or loose bedding as well as receipt of health care provider advice corresponding to each sleep practice.
  
  RESULTS:
  
  Most mothers reported usually placing their infants to sleep on their backs (78.0%), followed by room-sharing without bed-sharing (57.1%). Fewer reported avoiding soft bedding (42.4%) and using a separate approved sleep surface (31.8%). Reported receipt of provider advice ranged from 48.8% (room-sharing without bed-sharing) to 92.6% (back sleep position). Differences by sociodemographic, behavioral, and health care characteristics were larger for safe sleep practices (~10–20 percentage points) than receipt of advice (~5–10 percentage points). Receipt of provider advice was associated with increased use of safe sleep practices, ranging from 12% for room-sharing without bed-sharing (adjusted prevalence ratio: 1.12; 95% confidence interval: 1.09–1.16) to 28% for back sleep position (adjusted prevalence ratio: 1.28; 95% confidence interval: 1.21–1.35). State-level differences in safe sleep practices spanned 20 to 25 percentage points and did not change substantially after adjustment for available characteristics.
  
  CONCLUSIONS:
  
  Safe infant sleep practices, especially those other than back sleep position, are suboptimal, with demographic and state-level differences indicating improvement opportunities. Receipt of provider advice is an important modifiable factor to improve infant sleep practices.
  
  
• Subjects:
  Adult Bedding And Linens Beds Female Health Knowledge, Attitudes, Practice Humans Infant Infant Care Mothers Prevalence Sleep Socioeconomic Factors Sudden Infant Death Supine Position Young Adult

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• Source:
  Pediatrics. 144(5)
• Pubmed ID:
  31636142
• Pubmed Central ID:
  PMC10935590
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  144
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f12cae0a303c9ed7f419dd3b9f8cac3480574faf93a0c8884d34166903c7f835
• Download URL:
  https://stacks.cdc.gov/view/cdc/151696/cdc_151696_DS1.pdf
• File Type:
  [PDF - 644.79 KB ]