Document Detail


Sleep practices and sudden infant death syndrome: a new proposal for scoring risk factors.
MedLine Citation:
PMID:  17068982     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVES: To evaluate sleep practices regarding maternal, infant, and socioeconomic factors in an infant population and to propose a scoring scale associated with high versus low risk of sudden infant death syndrome.
DESIGN: Cross-sectional, population-based study.
SETTING: Passo Fundo, Brazil.
PARTICIPANTS: 2,285 newborns.
INTERVENTIONS: Perinatal information was collected from the city health database, and a questionnaire regarding sleep practices was applied to the de facto mothers. The scale for classification of infant sleep practices in relation to high or low risk of sudden infant death syndrome was based on previous population studies. Cox regression, bivariate, and multivariate analyses were employed.
MEASUREMENTS AND RESULTS: Application of the score allowed detection of high-risk sleep practices in 42.4% of infants. The following variables maintained association with high-risk sleep practices: 6 or fewer visits in the antenatal clinic (p < .001), maternal age < or = 20 years (p < .001), smoking during pregnancy (p = .041), disease during the first 2 months of life (p = .038), low birth weight (p = .049), and low socioeconomic status (p < .001); 90% of deceased infants and 75% of suspected sudden infant death syndrome cases were regularly exposed to high-risk sleep practices.
CONCLUSIONS: High-risk sleep practices were widely observed in the study population. The significance of this study lies in the future application of this information via public health measures targeted at high-risk populations.
Authors:
Lorena Teresinha Consalter Geib; Denise Aerts; Magda Lahorgue Nunes
Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study    
Journal Detail:
Title:  Sleep     Volume:  29     ISSN:  0161-8105     ISO Abbreviation:  Sleep     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-30     Completed Date:  2007-01-26     Revised Date:  2011-05-17    
Medline Journal Info:
Nlm Unique ID:  7809084     Medline TA:  Sleep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1288-94     Citation Subset:  IM    
Affiliation:
University of Passo Fundo, Passo Fundo, RS.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cross-Sectional Studies
Female
Habits*
Humans
Infant
Infant, Newborn
Male
Maternal Behavior*
Population Surveillance
Prospective Studies
Questionnaires
Risk Factors
Sleep*
Socioeconomic Factors
Sudden Infant Death / epidemiology,  etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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