Relationship between bed sharing and breastfeeding: longitudinal, population-based analysis
Peter S Blair1, Jon Heron, Peter J Fleming
1Department of Community-Based Medicine, University of Bristol, Bristol, United Kingdom. p.s.blair@bris.ac.uk
Insights
Bed sharing patterns in children were identified, with constant and early bed sharers showing a stronger association with prolonged breastfeeding. This highlights the link between bed sharing and breastfeeding duration.
Area of Science:
- Pediatrics
- Sociology
- Public Health
Background:
- Bed sharing is a common infant sleep practice with varying cultural acceptance.
- Understanding longitudinal patterns of bed sharing is crucial for parental guidance.
- Previous research has explored bed sharing but often lacks long-term, population-based data.
Purpose of the Study:
- To investigate longitudinal patterns of bed sharing from birth to four years.
- To identify characteristics associated with different bed sharing patterns.
- To examine the relationship between bed sharing patterns and breastfeeding duration.
Main Methods:
- Prospective, population-based study in the United Kingdom.
- Data collected from 14,062 live births at five time points up to age four.
- Latent class analysis used to identify distinct bed sharing groups.
Main Results:
- Four bed sharing patterns identified: non-sharers (66%), early (13%), late (15%), and constant (6%).
- Bed sharing groups showed slight increases in boy/girl ratio and nonwhite ethnicity.
- All bed sharing patterns were significantly associated with breastfeeding at 12 months, with constant sharers having the highest odds (OR: 5.29).
Conclusions:
- Bed sharing patterns are associated with breastfeeding duration.
- Advice regarding bed sharing should consider its relationship with breastfeeding.
- Further research can explore the nuances of these associations for evidence-based recommendations.
Objectives:
This is an investigation into the longitudinal patterns of bed sharing, the characteristics associated with those patterns, and the relationship with breastfeeding.
Methods:
The study used prospective, population-based data from the United Kingdom to investigate nocturnal bed sharing at 5 time points from birth to 4 years of age. Of 14 062 live births, 7447 (53%) had data available for all time points.
Results:
Latent class analysis identified 4 mutually exclusive groups, broadly described as nonsharers (66%), early bed sharers (only in infancy) (13%), late bed sharers (after the first year) (15%), and constant bed sharers (throughout the 4 years) (6%). The boy/girl ratio and the proportion of families of nonwhite ethnicity were slightly higher in all 3 bed-sharing groups, compared with the non-bed-sharing group. Higher maternal educational achievement and higher social class were positively associated with early bed sharing, negatively associated with late bed sharing, and not associated with constant bed sharing. The 3 bed-sharing patterns were related significantly to breastfeeding at 12 months (P < .001), whether the families shared beds late (odds ratio: 1.72 [95% confidence interval: 1.36-2.18]), early (odds ratio: 2.36 [95% confidence interval: 1.87-2.97]), or for the whole period (odds ratio: 5.29 [95% confidence interval: 4.05-6.91]). The prevalence of breastfeeding was significantly higher among the groups that shared beds constantly or early for each of the first 15 months after birth.
Conclusions:
Advice on whether bed sharing should be discouraged needs to take into account the important relationship with breastfeeding.
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