| SIDS: risk reduction measures. | |
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MedLine Citation:
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PMID: 7821260 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Increasing public awareness of the prone sleeping position, maternal smoking and overheating as potentially avoidable risk factors for the sudden infant death syndrome (SIDS) has been accompanied by a dramatic reduction in mortality. The results of two population based studies of SIDS in Avon are compared; the first one occurred before these risk factors were widely known and during the second study there was a gradual increase in publicity. Between the studies the prevalence of prone sleeping in the control populations fell significantly from 60% to 28% and almost all of the reduction in SIDS mortality (3.5 to 1.7 per thousand live births) could be attributed to this change. Other changes were also found: the seasonal pattern of incidence was lost, the proportion of expreterm babies increased and the male predominance was accentuated. The relative importance of smoking and bottle feeding appeared to increase whereas the odds ratios for heavy wrapping and overnight heating were no longer significantly elevated. Small numbers limit the significance of these individual variations but demonstrate that changes are occurring. Local and national public health campaigns have been launched in the UK and abroad to encourage infant care practices that reduce the risk of SIDS. Monitoring the effectiveness of these campaigns is important and may allow new risk factors to be identified which could in turn be targeted in future preventative campaigns. Significant reductions in mortality have followed these initial campaigns but in order to maintain them the message must be regularly renewed using an appropriate approach and effective channels of communication to target high risk families within the community. |
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Authors:
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R Wigfield; R Gilbert; P J Fleming |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Early human development Volume: 38 ISSN: 0378-3782 ISO Abbreviation: Early Hum. Dev. Publication Date: 1994 Sep |
Date Detail:
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Created Date: 1995-02-16 Completed Date: 1995-02-16 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7708381 Medline TA: Early Hum Dev Country: IRELAND |
Other Details:
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Languages: eng Pagination: 161-4 Citation Subset: IM |
Affiliation:
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Department of Neonatal Medicine, Princess Anne Hospital, Southampton, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Bottle Feeding Female Great Britain / epidemiology Humans Infant Intervention Studies Male Odds Ratio Prone Position* Sudden Infant Death / epidemiology* Temperature Tobacco Smoke Pollution / prevention & control |
| Chemical | |
Reg. No./Substance:
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0/Tobacco Smoke Pollution |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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