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Socioeconomic Position and Factors Associated With Use of a Nonsupine Infant Sleep Position: Findings From the Canadian Maternity Experiences Survey.
MedLine Citation:
PMID:  23597349     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objectives. With a focus on socioeconomic position, we examined the association between maternal education and nonsupine infant sleep position, and examined patterns of effect modification with additional sociodemographic, maternal, infant, and health services predictors. Methods. Data were from the Maternity Experiences Survey, a national population-based sample of 76 178 new Canadian mothers (unweighted n = 6421) aged 15 years or older interviewed in 2006-2007. Using logistic regression, we developed multivariate models for 3 maternal education strata. Results. Level of maternal education was significantly and inversely related to nonsupine infant sleep position. Stratified analyses revealed different predictive factors for nonsupine infant sleep position across strata of maternal education. Postpartum home visits were not associated with use of this sleep position among new mothers with less than high school completion. Adequacy of postpartum information regarding sudden infant death syndrome was not associated with nonsupine infant sleep position in any of the educational strata. Conclusions. These findings suggest a need to revisit Back to Sleep health promotion strategies and to ensure that these interventions are tailored to match the information needs of all families, including mothers with lower levels of formal education. (Am J Public Health. Published online ahead of print April 18, 2013: e1-e9. doi:10.2105/AJPH.2012.301061).
Authors:
Janet Smylie; Deshayne B Fell; Beverley Chalmers; Reg Sauve; Catherine Royle; Billie Allan; Patricia O'Campo;
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-4-18
Journal Detail:
Title:  American journal of public health     Volume:  -     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-4-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Janet Smylie and Patricia O'Campo are with the Centre for Research on Inner City Health, Saint Michael's Hospital, and the Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario. Deshayne B. Fell is with the Better Outcomes Registry & Network Ontario, Ottawa. Beverley Chalmers is with the Department of Obstetrics and Gynaecology, University of Ottawa, and the Ottawa Hospital Research Institute, Ottawa, Ontario. Reg Sauve is with Paediatrics and Community Health Services, University of Calgary, Calgary, Alberta. Catherine Royle is with Prenatal and Early Child Development, Department of Health and Community Services, Government of Newfoundland, St. John's, Newfoundland. At the time of this research, Billie Allan was with the Native Women's Association of Canada, Ottawa.
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