Infant Safe Sleep Practices in the United States

Bombard, Jennifer M.; Kortsmit, Katherine; Cottengim, Carri; Johnston, Emily

doi:10.1097/01.naj.0000549685.59006.ad

Cited by 5 publications

(7 citation statements)

References 7 publications

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“…Sleep-related infant deaths, from sudden infant death syndrome (SIDS), accidental suffocation or strangulation in bed, and other unknown causes started to decline in the 1990s in response to an increase in guidelines and education on safe infant sleep practices (Bombard et al, 2018b; Colson et al, 2009). However, sleep-related deaths still account for approximately 3400 infant deaths in the United States (Centers for Disease Control and Prevention, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…According to the Centers for Disease Control and Prevention Pregnancy Risk Assessment Monitoring System (PRAMS), racial and ethnic minority populations are less likely to follow all recommended safe infant sleep guidelines (Bombard et al, 2018a). For example, African American caregivers are less likely (38%) to place their infant to sleep on the back, while American Indians or Alaskan Natives are more likely to practice bed-sharing (84%), and Asians or Pacific Islanders are more likely to use soft bedding (55%) (Bombard et al, 2018a). Teenage mothers (<20 years) have been found least likely to adhere to the AAP guidelines compared to mothers over 30 years of age (Caraballo et al, 2016; Hirai et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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An evaluation of factors associated with safe infant sleep practices among perinatal home visiting participants in Florida, United States

Dorjulus

Prieto

Elger

et al. 2021

J Child Health Care

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Sleep-related deaths are a leading cause of infant mortality in Florida. The American Academy of Pediatrics recommends placing infants to sleep on their back, alone, and without soft bedding. Compliance with these guidelines varies among parents. This evaluation examined the rates of safe infant sleep practices and associated factors among 1985 participants enrolled in Florida Maternal, Infant, and Early Childhood Home Visiting (FL MIECHV) programs during 2017–2019. Participant- and program-level variables were examined in relation to three sleep practices: infant position, bedding, and bed-sharing at 2–3 months to determine which factors were associated with high rates of safe sleep outcomes. Analyses included univariate descriptive statistics, bivariate statistics, and multivariable logistic regression. Most caregivers (70%) reported always placing their babies to sleep on their back, alone, and without soft bedding. Factors such as primary language, race, education, housing situation, and year the Safe Baby™ curriculum implemented were significantly associated with safe infant sleep practices. Bearing this in mind, FL MIECHV can tailor safe sleep education, messaging, and strategies to support participants at highest risk. Recent adoption of the Safe Baby™ curriculum, and associated staff training, was an important factor influencing parents’ infant sleep practices.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An evaluation of factors associated with safe infant sleep practices among perinatal home visiting participants in Florida, United States

Dorjulus

Prieto

Elger

et al. 2021

J Child Health Care

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“…Third, bed-sharing appears to be influenced by sociodemographic factors. In early childhood, it has been reported that US bed-sharing rates are higher in Black, Hispanic, and mixed race families than White families [ 5 – 8 , 10 ]. Beyond infancy, very little is known about US bed-sharing rates in families across different n racial and ethnic groups, particularly among those of Asian, American Indian or mixed race backgrounds.…”

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confidence: 99%

“…Beyond infancy, very little is known about US bed-sharing rates in families across different n racial and ethnic groups, particularly among those of Asian, American Indian or mixed race backgrounds. Additionally, there are reports that bed-sharing is more commonly practiced among families with lower socioeconomic status and parental education, and in families with a single mother as head of household [ 4 – 6 , 10 , 11 ]. These results were found more consistently in large, representative US samples [ 4 , 10 ] than in smaller, predominantly low income [ 8 ], urban [ 5 ] and Hispanic [ 7 ] samples.…”

mentioning

confidence: 99%

“…Additionally, there are reports that bed-sharing is more commonly practiced among families with lower socioeconomic status and parental education, and in families with a single mother as head of household [ 4 – 6 , 10 , 11 ]. These results were found more consistently in large, representative US samples [ 4 , 10 ] than in smaller, predominantly low income [ 8 ], urban [ 5 ] and Hispanic [ 7 ] samples. Finally, bed-sharing varies significantly with child age.…”

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confidence: 99%

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Associations of preschool reactive bed-sharing with sociodemographic factors, sleep disturbance, and psychopathology

Marakovitz

Sheldrick

Copeland

et al. 2023

Child Adolesc Psychiatry Ment Health

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Objective To advance understanding of early childhood bed-sharing and its clinical significance, we examined reactive bed-sharing rates, sociodemographic correlates, persistence, and concurrent and longitudinal associations with sleep disturbances and psychopathology. Methods Data from a representative cohort of 917 children (mean age 3.8 years) recruited from primary pediatric clinics in a Southeastern city for a preschool anxiety study were used. Sociodemographics and diagnostic classifications for sleep disturbances and psychopathology were obtained using the Preschool Age Psychiatric Assessment (PAPA), a structured diagnostic interview administered to caregivers. A subsample of 187 children was re-assessed approximately 24.7 months after the initial PAPA interview. Results Reactive bed-sharing was reported by 38.4% of parents, 22.9% nightly and 15.5% weekly, and declined with age. At follow-up, 48.9% of nightly bed-sharers and 88.7% of weekly bed-sharers were no longer bed-sharing. Sociodemographics associated with nightly bed-sharing were Black and (combined) American Indian, Alaska Native and Asian race and ethnicity, low income and parent education less than high school. Concurrently, bed-sharing nightly was associated with separation anxiety and sleep terrors; bed-sharing weekly was associated with sleep terrors and difficulty staying asleep. No longitudinal associations were found between reactive bed-sharing and sleep disturbances or psychopathology after controlling for sociodemographics, baseline status of the outcome and time between interviews. Conclusions Reactive bed-sharing is relatively common among preschoolers, varies significantly by sociodemographic factors, declines during the preschool years and is more persistent among nightly than weekly bed-sharers. Reactive bed-sharing may be an indicator of sleep disturbances and/or anxiety but there is no evidence that bed-sharing is an antecedent or consequence of sleep disturbances or psychopathology.

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Parent Decision-Making and How to Influence Decisions

Ward

Moon

2020

Infant Safe Sleep

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Infant Safe Sleep Practices in the United States

Abstract: Risk of sleep-related infant deaths can be reduced by improving safe sleep practices.

Cited by 5 publications

References 7 publications

An evaluation of factors associated with safe infant sleep practices among perinatal home visiting participants in Florida, United States

An evaluation of factors associated with safe infant sleep practices among perinatal home visiting participants in Florida, United States

Associations of preschool reactive bed-sharing with sociodemographic factors, sleep disturbance, and psychopathology

Parent Decision-Making and How to Influence Decisions

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