| Factors influencing African American mothers' decisions about sleep position: a qualitative study. | |
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MedLine Citation:
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PMID: 21053701 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: African American infants continue to be at more than twice the risk for sudden infant death syndrome (SIDS) than Caucasian Americans. In addition, African Americans are twice as likely to place their infants prone for sleep. OBJECTIVE: To investigate, using qualitative methods, factors influencing African American parents' decisions regarding infant sleep position. METHODS: Eighty-three mothers participated in focus groups or individual interviews. Questions probed reasons for infant sleep position decisions and influences on decision making. RESULTS: All of the mothers in this study were aware of the recommendation to place infants supine for sleep. Mothers largely chose infant sleep position for either safety or comfort reasons. Many mothers who chose the prone position did so because they perceived it to be safer than supine. Sleep position decisions were influenced by parental needs (largely the need for sleep), perception of SIDS risk and biological plausibility, and trusted sources of information. Mothers sought information from multiple trusted sources before making any decision. Even if mothers had trust in their pediatrician, they were comfortable making decisions counter to their pediatrician's recommendations if they felt it to be in the best interests of their infant. CONCLUSIONS: African American mothers are generally aware of the Back to Sleep recommendation. However, many may not believe that the supine position is the safest position. Other mothers may use the prone position because of infant comfort or parent's need for longer sleep. Trust in the pediatrician may not be sufficient reason for parents to use the supine position. |
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Authors:
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Rosalind P Oden; Brandi L Joyner; Taiwo I Ajao; Rachel Y Moon |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Journal of the National Medical Association Volume: 102 ISSN: 0027-9684 ISO Abbreviation: J Natl Med Assoc Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-11-08 Completed Date: 2010-12-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503090 Medline TA: J Natl Med Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 870-2, 875-80 Citation Subset: IM |
Affiliation:
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Goldberg Center for Community Pediatric Health, Children's National Medical Center, Washington, DC, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult African Americans* Decision Making* Female Focus Groups Health Behavior Humans Infant Infant Care / standards* Mothers* Physician-Patient Relations Qualitative Research Sleep* Supine Position |
| Grant Support | |
ID/Acronym/Agency:
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1R03HS016892-01A1/HS/AHRQ HHS; K24RR23681-01A1/RR/NCRR NIH HHS; MD000165-03/MD/NCMHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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