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The prevalence and characteristics associated with parent-infant bed-sharing in England
1FSID Research Department, Division of Child Health, University of Bristol, Bristol, UK. p.s.blair@bris.ac.uk
Insights
Parent-infant bed-sharing is common in England, with nearly half of neonates sharing a bed at some point. This practice is strongly linked to breastfeeding and not associated with socioeconomic status.
Area of Science:
- Public Health
- Sociology
- Pediatrics
Background:
- Parent-infant bed-sharing is a common practice globally.
- Understanding its prevalence and associated factors in England is crucial for public health initiatives.
Purpose of the Study:
- To investigate the prevalence and characteristics of parent-infant bed-sharing in England.
- To identify factors associated with bed-sharing practices.
Main Methods:
- Utilized data from a two-year local longitudinal study and a three-year national cross-sectional study.
- Included 261 infants in North Tees and 1095 infants from five English health regions.
- Collected data on night-time sleeping practices.
Main Results:
- Almost half of neonates (46-47%) bed-shared at some time.
- In the first month, over a quarter of parents (27-30%) slept with their baby.
- Bed-sharing was not linked to maternal age, single parenthood, family size, season, or socioeconomic deprivation.
- Breastfeeding showed a strong association with bed-sharing.
- Prevalence was uniform from 3 to 12 months, with over a fifth (21%) bed-sharing nightly.
Conclusions:
- Parent-infant bed-sharing is a common practice across England.
- The practice is not specific to socioeconomic class.
- Breastfeeding is a significant factor associated with bed-sharing.
Aims:
To investigate the characteristics of parent-infant bed-sharing prevalence in England.
Methods:
Data on night-time sleeping practices from a two year, local, longitudinal study and a three-year, national, cross-sectional study were obtained. A total of 261 infants in North Tees were followed up at 1 and 3 months of age, as were 1095 infants aged 1 week to 1 year from five English health regions.
Results:
Data from both studies found that almost half of all neonates bed-shared at some time with their parents (local = 47%, 95% CI 41 to 54; national = 46%, 95% CI 34 to 58), and on any one night in the first month over a quarter of parents slept with their baby (local = 27%, 95% CI 22 to 33; national = 30%, 95% CI 20 to 42). Bed-sharing was not related to younger mothers, single mothers, or larger families, and was not more common in the colder months, at weekends, or among the more socially deprived families; in fact bed-sharing was more common among the least deprived in the first months of life. Breast feeding was strongly associated with bed-sharing, both at birth and at 3 months. Bed-sharing prevalence was uniform with infant age from 3 to 12 months; on any one night over a fifth of parents (national = 21%, 95% CI 18 to 24) slept with their infants.
Conclusion:
Bed-sharing is a relatively common practice in England, not specific to class, but strongly related to breast feeding.
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