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Epidemiology of co-sleeping and nighttime waking at 12 months in a birth cohort
Iná S Santos1, Denise M Mota, Alicia Matijasevich
1Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas (UFPel), Pelotas, RS, Brazil.
Insights
Co-sleeping and nighttime waking are common in infants at 12 months old. These sleep patterns are associated with maternal socioeconomic factors and child characteristics, suggesting a need for further investigation into long-term effects.
Area of Science:
- Pediatric sleep research
- Maternal and child health
- Epidemiology of infant behavior
Background:
- Co-sleeping and nighttime waking are prevalent infant sleep behaviors.
- Understanding factors influencing these behaviors is crucial for child development.
- The Pelotas 2004 cohort provides a valuable dataset for longitudinal analysis.
Purpose of the Study:
- To determine the prevalence of co-sleeping and nighttime waking in 12-month-old infants.
- To identify sociodemographic and reproductive factors associated with these sleep patterns.
- To explore the relationship between co-sleeping and nighttime waking.
Main Methods:
- Longitudinal study of the Pelotas 2004 birth cohort in Brazil.
- Mothers interviewed at delivery and 12 months postpartum.
- Data collected on sociodemographics, reproductive history, and infant sleep; analyzed using Poisson regression.
Main Results:
- Prevalence of co-sleeping was 45.8%; associated with lower socioeconomic status, less maternal education, younger maternal age, and more previous births.
- Prevalence of nighttime waking was 46.1%; associated with male infants, more previous pregnancies, and maternal employment during pregnancy.
- Co-sleeping was more common in children who experienced nighttime waking.
Conclusions:
- Co-sleeping and nighttime waking are common infant sleep behaviors in the study population.
- These sleep patterns are linked to maternal and child characteristics.
- Further follow-up is needed to understand the persistence and developmental consequences of these sleep habits.
Objective:
To investigate the prevalence and factors associated with co-sleeping and nighttime waking among the children of the Pelotas 2004 cohort at 12 months of age.
Methods:
All children born in the city of Pelotas, RS, Brazil during 2004 were enrolled on a longitudinal study. Mothers were interviewed at delivery and once more at 12 months of age to obtain information on their sociodemographic and reproductive characteristics and on their children's sleep and the environment in which their children sleep. Co-sleeping was defined as habitually sharing the bed with another person. Multivariate analysis was performed using Poisson regression.
Results:
The prevalence of co-sleeping at 12 months was 45.8% (95%CI 44.2-47.3). Co-sleeping was more common among mothers with low socioeconomic status, less education, younger mothers, mothers with more previous births and among children who wake at night. The prevalence of nighttime waking was 46.1% (95%CI 44.6-47.7). Nighttime waking was more common among boys and among the offspring of mothers who had had a greater number of previous pregnancies and of mothers who had been employed while pregnant.
Conclusion:
Co-sleeping and nighttime waking are common among this study population, indicating a need to continue follow-up in order to observe how long these habits persist through childhood and to investigate their consequences for child development and behavior.
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