Risk Factors for Sudden Infant Death Syndrome and Sleeping Practices in Korea

Ahn, Young Mee; Yang, Kyung‐Moo; Ha, Hongil; Cho, Jung Ae

doi:10.4094/chnr.2020.26.1.82

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…The preliminary items of the K-SSSP were developed based on the SUID-related safe environment guidelines from the AAP [7] and the domestic and international literature [4,5,16,17]. We reviewed the details of the guidelines and protocols and identified the standard content on safe sleep practices such as positioning, as well as points to emphasize for parents in Korea, such as bed-sharing.…”

Section: ) Knowledge Of Suid-related Safe Sleep Practices(k-sssp)mentioning

confidence: 99%

Knowledge on Sudden Unexplained Infant Death-related Safe Sleep Practices and Infant Cardiopulmonary Resuscitation in Pediatric Nurses

Cho¹,

Sohn²,

Lee³

et al. 2020

Child Health Nurs Res

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Purpose: Sudden unexplained infant death (SUID) is a major contributor to infant mortality, and pediatric nurses have the responsibility to educate parents on SUID-reducing strategies. This study was conducted to measure pediatric nurses' knowledge of SUID-related safe sleep practices (K-SSSP) and infant cardiopulmonary resuscitation (K-ICPR).Methods: In total, 136 pediatric nurses were administered a survey including K-SSSP (13 items), K-ICPR (5 items), confidence in K-SSSP education (1 item; 5 points), and other factors relating to SUID experiences or education.Results: The correct answer rates of the K-SSSP and K-ICPR were 62.6% and 62.5%, retrospectively. The mean score for confidence in K-SSSP education was 2.6±0.9. Only 18 nurses (13.2%) responded that they educated parents on the content of the K-SSSP, while 76 nurses had received education on SUID. Positive relationships were observed between K-SSSP scores and higher education, between K-ICPR scores and having own child(ren) and clinical experience, and between confidence in K-SSSP education and higher education or having one's own child(ren). Nurses caring for newborns performed more SUID education than nurses working in other units.Conclusion: There is a profound need to implement a systemic educational program on SUID and strategies to reduce SUID for pediatric nurses.

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Section: ) Knowledge Of Suid-related Safe Sleep Practices(k-sssp)mentioning

confidence: 99%

Knowledge on Sudden Unexplained Infant Death-related Safe Sleep Practices and Infant Cardiopulmonary Resuscitation in Pediatric Nurses

Cho¹,

Sohn²,

Lee³

et al. 2020

Child Health Nurs Res

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“…Sleep practices vary by home structure and sleep-related furniture [ 11 ]. Korea has a unique home culture in which the floor is used as a clean area, unlike in other countries, and Korean house structures are usually designed with this in mind [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Survey of Korean daycare personnel on safe sleep practices related to sudden unexplained infant death: a cross-sectional exploratory study

Ahn¹,

Cho²

2022

Child Health Nurs Res

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Purpose: Safe sleep practices (SSP) are among the main strategies to reduce sleep-related sudden unexplained infant death (SUID). Daycare personnel must be knowledgeable and trained in SSP related to SUID. This study explored the experience, knowledge, and confidence regarding SSP associated with SUID of daycare personnel. Methods: A cross-sectional survey was conducted with 395 staff members at 61 daycare centers to measure their experience related to SSP (10 items), related to sleep position and location, bedding materials, and other topics; knowledge of SSP (18 items); and confidence in SSP (1 item) related to SUID. Results: A substantial proportion (23.6%) of respondents used the lateral or prone positions for infant sleep. On average, 4.5 bedding materials were used for infant sleep. Participants showed a lack of knowledge about SSP as indicated by a 56.6% knowledge of SSP related to SUID correct answer rate. Personnel who received SUID education were more knowledgeable and had more confidence regarding SSP than those who did not. More knowledge and confidence related to SSP were associated with better adherence to SSP. Conclusion: Standard SSP guidelines should be developed based on South Korea's culture of childcare for educating both childcare professionals and parents at home.

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“…Sleep practices are cultural phenomena, which are transmitted through long-term processes in a given society, shaped by familial resources social structures, and environmental factors. Our previous article addressed the cultural issues accounting for SIDS in respect to infant caring practices (ICP) and residential structures across societies and cultures [ 16 ]. The article specifically dealt with cultural variations in sleep practices, with significant implications for SIDS reduction strategies between Western and Asian countries.…”

Section: Introductionmentioning

confidence: 99%

Cultural variation in factors associated with sudden infant death during sleep

Ahn

Yang

et al. 2021

BMC Pediatr

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Background Despite the significant reduction decades ago in sudden unexpected death in infancy (SUDI), decline of rates has slowed and stalled in some countries, including the USA. This led to an appreciation of ethnic variations in SUDI rates and the need to increase cultural sensitivity regarding sleep practices and circumstantial factors of SUDI. The study explored SUDI-related factors, in journal articles from two geo-cultural regions (Asian and Western countries), particularly for factors related to infant sleep practices. Methods A systematic review was conducted to identify SUDI-related factors in articles from PubMed, Scopus, and the Korean Citation Index from January 1992 to April 2019. From each article, SUDI-related factors were retrieved and categorized through the identification, aggregation, and categorization of factors into the areas of the triple risk model (TRM) of SUDI by their meanings and commonality. Significant trends in the frequency of factors were analyzed across time and between the two geo-cultural regions (Asian and Western countries) of article. Results From a review of 218 articles (38 Asian and 180 Western articles), 84 SUDI-related factors were identified: 39 factors for TRM 1, 44 factors for TRM 2, and one factor for TRM 3. Four of the top-ranked 10 factors were found in both cultural zones: sleep position, male sex, bed-sharing, and genetics. Both cultural zones identified sleep position (44.0%), bed-sharing (22.0%), and rooming-in (16.5%) as the three most important sleep-related factors for SUDI. Variations between the cultural zones were observed in the place of SUDI occurrence, overheating, swaddling or bedding standards, and smoking. Conclusions Regardless of the urgent need to identify SUDI-related factors in low-SUDI societies, Asian cultures showed a significant lack of articles on SUDI. Several sociocultural issues were recognized such as the meaning of bed-sharing and rooming-in, along with residential styles and traditional health beliefs on sleep-related SUDI factors. Particularly little attention towards smoking was found in Asian articles in terms of frequency, suggesting the need to enhance SUDI reduction strategies by incorporating gender-sensitive smoking cessation interventions. This review of SUDI factors requests child health professionals to be alert to sociocultural variations in sleep practices and SUDI factors.

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Risk Factors for Sudden Infant Death Syndrome and Sleeping Practices in Korea

Cited by 4 publications

References 19 publications

Knowledge on Sudden Unexplained Infant Death-related Safe Sleep Practices and Infant Cardiopulmonary Resuscitation in Pediatric Nurses

Knowledge on Sudden Unexplained Infant Death-related Safe Sleep Practices and Infant Cardiopulmonary Resuscitation in Pediatric Nurses

Survey of Korean daycare personnel on safe sleep practices related to sudden unexplained infant death: a cross-sectional exploratory study

Cultural variation in factors associated with sudden infant death during sleep

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