Moving Beyond “Abstinence-Only” Messaging to Reduce Sleep-Related Infant Deaths

Altfeld, Susan; Peacock, Nadine; Rowe, Hillary L.; Massino, Jill; Garland, Caitlin E.; Smith, Sherri L.; Wishart, Marisa

doi:10.1016/j.jpeds.2017.06.069

Cited by 14 publications

(12 citation statements)

References 44 publications

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“…There are no previous studies on how the multiracial mother is given only a single racial designation or the problem that the father is unidentified. For example, just recently Moon et al, Altfeld et al,and Colson et al,[29][30][31] assumed all selfidentified Black/AA mothers have Black/AA infants, with neither mention of the need to consider these mothers' multiracial parentage, if any, nor the race of the father that may be even unknown to the mother.…”

Section: Discussionmentioning

confidence: 99%

Risk Differences in Disease-Specific Infant Mortality Between Black and White US Children, 1968–2015: an Epidemiologic Investigation

Mage

Donner

Holmes

2018

J. Racial and Ethnic Health Disparities

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Disease-specific infant mortality is higher among black/AA except for neoplasm, and increasing percent changes are observed in digestive; genito-urinary; and muscle, skeleton, and connective tissue disorders. These findings are suggestive of the pressing needs to examine the cause of these disparities namely social determinants of health and social inequity for specific risk-adapted intervention in achieving health equity in US infant mortality.

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Section: Discussionmentioning

confidence: 99%

Risk Differences in Disease-Specific Infant Mortality Between Black and White US Children, 1968–2015: an Epidemiologic Investigation

Mage

Donner

Holmes

2018

J. Racial and Ethnic Health Disparities

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“…Safety messaging must acknowledge bedsharing and the bedsharing/breastfeeding relationship and instead of prohibiting bedsharing (an abstinence approach) should focus on how to make it safer (a risk-or harm-reduction approach). Altfeld et al (2017) argue this point, stating that harm and harm reduction exist on a spectrum, meaning that not all environments share the same risk. They believe this approach is advantageous because it need not supplant existing safe sleep messaging; messaging can still recommend room sharing without bedsharing but also provide information on ways to reduce SUID risk in instances where planned or unplanned bedsharing occurs.…”

Section: Resultsmentioning

confidence: 99%

Infant fatality patterns in shared sleep: keys to intervention strategies?

Drago¹,

Pollack-Nelson

Newens³

2021

Proceedings of the Human Factors and Ergonomics Society Annual

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This study examines infant fatalities that occurred while sharing a sleep surface. Fatality data reported to the U.S. Consumer Product Safety Commission (CPSC) during the time period January, 2013 through December, 2017 and involving infants through age 10 months were reviewed. 1,587 Cases were analyzed on the following variables: infant age and sex; sleep environment by product; cause of death; fatality pattern; and breastfeeding, where it was mentioned. 97% Of deaths were due to some form of asphyxia. Adult beds were associated with 78% of shared sleep fatalities, and the primary fatality pattern was overlay (35.4%)/probable overlay (8.8%). Infants <3 months made up 65% of fatalities. The data reflect that bedsharing continues, despite AAP guidelines to the contrary, and that overlay is the primary hazard pattern to be addressed. This paper discusses potential risk reduction strategies that may reduce the potential for overlay fatalities.

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“…The work of anthropologists in shaping policy at the intersection of SIDS and infant sleep location is increasingly being recognized in policy discussions in the United States (e.g., Altfeld et al. ; Gordon, Rowe, and Garcia ; Mileva‐Seitz et al. ) and practice recommendations in the United Kingdom (e.g., UNICEF UK ), and is firmly embedded in policy and practice recommendations addressing breastfeeding initiation and nighttime infant feeding (e.g., Ball and Blair ; Feldman‐Winter and Goldsmith ; Holmes, McLeod, and Bunik ; Rapley ).…”

Section: Transforming the Paradigm: An Integrated Anthropological Appmentioning

confidence: 99%

Toward an Integrated Anthropology of Infant Sleep

Ball

Tomori

McKenna

2019

American Anthropologist

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This article provides a novel synthesis of anthropological research on infant sleep, focusing on work in biological and sociocultural anthropology in the past decade. First, we briefly review early biological anthropological research into infant sleep from 1987 to 2007, which provided the evidence base for the argument that proximate parent-infant sleep combined with lactation represents a complex set of adaptations that constitute the human evolutionary norm. This work challenged the Western pediatric infant sleep research paradigm, which positioned formula-or bottle-fed solitary sleeping infants as the basis for research and universal models about human infant sleep. Next, we address how recent research has built on these foundations and extended anthropological insights into new aspects of infant sleep. Biological anthropologists, who continue to lead this research, have advanced into the hormonal and behavioral ecology of parent-infant sleep and trade-offs in nighttime care and parent-infant conflict. Moreover, they have made significant progress in translating anthropological research into policy and practice in clinical and health delivery settings. Until recently, sociocultural anthropology has primarily addressed infant sleep as part of broader endeavors, without an explicit focus on infant sleep. We highlight key ethnographic works that shed light on the cultural normalcy and interembodied experience of shared maternal-infant sleep with breastfeeding that help de-center Western discourses of infant sleep. We conclude by discussing future research agendas to forward an integrated anthropology of human infant sleep that considers its full biological and sociocultural context. Integrated anthropological approaches to infant sleep not only present a path forward for novel cross-subfield anthropological research but could help guide more effective and equitable approaches to maternal-infant health. [nighttime care, parenting, infancy, sleep]RESUMEN Este artículo provee una síntesis novedosa de la investigación antropológica sobre el sueño de infantes, enfocándose en el trabajo en antropología biológica y sociocultural en la década pasada. Primero, brevemente revisamos la investigación antropológica biológica temprana en el sueño de infantes desde 1987 a 2007, la cual proveyó la evidencia base para el argumento que el sueño padres-infante cercano combinado con la lactación representa un complejo conjunto de adaptaciones que constituye la norma evolucionaria humana. Este trabajo reta el paradigma occidental de la investigación pediátrica en el sueño de infantes, el cual posiciona los bebés durmiendo solitarios alimentados con fórmula o biberón como la base de la investigación y modelos universales acerca del sueño de infantes humanos. Luego, abordamos cómo la investigación reciente ha construido sobre estas bases y extendido los conocimientos antropológicos en nuevos aspectos del sueño de infantes. Antropólogos biológicos, quienes continúan liderando esta investigación, han avanzado en la ecología hormonal y co...

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Moving Beyond “Abstinence-Only” Messaging to Reduce Sleep-Related Infant Deaths

Cited by 14 publications

References 44 publications

Risk Differences in Disease-Specific Infant Mortality Between Black and White US Children, 1968–2015: an Epidemiologic Investigation

Risk Differences in Disease-Specific Infant Mortality Between Black and White US Children, 1968–2015: an Epidemiologic Investigation

Infant fatality patterns in shared sleep: keys to intervention strategies?

Toward an Integrated Anthropology of Infant Sleep

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