Document Detail


Qualitative analysis of beliefs and perceptions about sudden infant death syndrome in African-American mothers: implications for safe sleep recommendations.
MedLine Citation:
PMID:  20303505     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate, by using qualitative methods, perceptions about sudden infant death syndrome (SIDS) in African-American parents and how these influence decisions. STUDY DESIGN: Eighty-three mothers participated in focus groups or individual interviews. Interviews probed reasons for decisions about infant sleep environment and influences affecting these decisions. Data were coded, and themes were developed and revised in an iterative manner as patterns became more apparent. RESULTS: Themes included lack of plausibility, randomness, and vigilance. Many mothers believed that the link between SIDS and sleep position was implausible. Because the cause of SIDS was unknown, they did not understand how certain behaviors could be defined as risk factors. This confusion was reinforced by perceived inconsistency in the recommendations. Most mothers believed that SIDS occurred randomly ("God's will") and that the only way to prevent it was vigilance. CONCLUSIONS: Many African-American mothers may not understand the connection between SIDS and sleep behaviors or believe that behavior (other than vigilance) cannot affect risk. These beliefs, if acted on, may affect rates of safe sleep practices. Efforts to explain a plausible link between SIDS and safe sleep recommendations and to improve consistency of the message may result in increased adherence to these recommendations.
Authors:
Rachel Y Moon; Rosalind P Oden; Brandi L Joyner; Taiwo I Ajao
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.     Date:  2010-03-19
Journal Detail:
Title:  The Journal of pediatrics     Volume:  157     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-15     Completed Date:  2010-09-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  92-97.e2     Citation Subset:  AIM; IM    
Copyright Information:
Copyright (c) 2010 Mosby, Inc. All rights reserved.
Affiliation:
Goldberg Center for Community Pediatric Health, Children's National Medical Center, Washington, DC 20010, USA. moon@cnmc.org
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MeSH Terms
Descriptor/Qualifier:
Adult
African Americans / psychology*
Cross-Sectional Studies
Female
Focus Groups
Health Knowledge, Attitudes, Practice
Humans
Infant
Male
Mothers / psychology*
Qualitative Research*
Questionnaires
Risk Factors
Risk Reduction Behavior*
Sleep*
Social Class
Sudden Infant Death / etiology*,  prevention & control
Grant Support
ID/Acronym/Agency:
1R03HS016892-01A1/HS/AHRQ HHS; K24RR23681-01A1/RR/NCRR NIH HHS; MD000165-03/MD/NCMHD NIH HHS

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