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Secular changes in sleep position during infancy: 1995-1998.

Michael J Corwin1, Samuel M Lesko, Timothy Heeren

  • 1Department of Pediatrics, Boston University Schools of Medicine and Public Health, Boston, Massachusetts, USA. mjcorwin@bu.edu

Pediatrics
|January 2, 2003
PubMed
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Safe infant sleep practices, like placing babies on their back (supine position), are not reaching all families. Prone sleeping remains a concern for minority and low-income groups, increasing sudden infant death syndrome risk.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Prone sleeping in infants is a known risk factor for sudden infant death syndrome (SIDS).
  • Public health campaigns have aimed to reduce infant sleep in the prone position.
  • Understanding trends and disparities in infant sleep position is crucial for targeted interventions.

Purpose of the Study:

  • To compare factors associated with infant sleep position between 1995-1996 and 1997-1998.
  • To assess secular trends in the use of prone infant sleep position from 1995 to 1998.
  • To stratify trends by race and maternal education level.

Main Methods:

  • Prospective cohort study of 12,029 mothers in eastern Massachusetts and northwest Ohio.
  • Infant birth weight was >= 2500 g.

Related Experiment Videos

  • Descriptive statistics and multivariate odds ratios analyzed maternal and infant characteristics related to prone and supine sleeping.

    • Main Results:

    • A decline in prone sleeping and an increase in supine sleeping were observed from 1995 to 1998.
    • By 1997-1998, prone sleeping at 1 month was <10% only in white, Asian, married, older (>25 years), college-educated, or higher-income families.
    • At 3 months, prone sleeping increased in these groups, while 27% of infants of non-college-educated Black and Hispanic mothers still slept prone, with only 20-30% in the supine position.

    Conclusions:

    • Recommendations for supine sleep position have not effectively reached Black and Hispanic families.
    • Families with low income and less than a college education also show lower adherence to safe sleep recommendations.
    • Targeted public health messaging is needed to address disparities in infant safe sleep practices.