Document Detail

Factors influencing African American mothers' decisions about sleep position: a qualitative study.
MedLine Citation:
PMID:  21053701     Owner:  NLM     Status:  MEDLINE    
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.
Rosalind P Oden; Brandi L Joyner; Taiwo I Ajao; Rachel Y Moon
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the National Medical Association     Volume:  102     ISSN:  0027-9684     ISO Abbreviation:  J Natl Med Assoc     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-11-08     Completed Date:  2010-12-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503090     Medline TA:  J Natl Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  870-2, 875-80     Citation Subset:  IM    
Goldberg Center for Community Pediatric Health, Children's National Medical Center, Washington, DC, USA.
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MeSH Terms
African Americans*
Decision Making*
Focus Groups
Health Behavior
Infant Care / standards*
Physician-Patient Relations
Qualitative Research
Supine Position
Grant Support
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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