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Published on: August 25, 2014
Bed sharing and the sudden infant death syndrome
H Klonoff-Cohen1, S L Edelstein
1Department of Family and Preventive Medicine, University of California, San Diego, La Jolla 92037-0607, USA.
Insights
This study found no significant link between routine bed sharing and sudden infant death syndrome (SIDS). While bed sharing was more common in some racial groups, it did not increase SIDS risk.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Sudden Infant Death Syndrome (SIDS) remains a significant concern in infant mortality.
- Parental sleep practices, including bed sharing, are often investigated as potential risk factors for SIDS.
- Cultural and racial differences in infant care practices may influence sleep arrangements.
Purpose of the Study:
- To investigate the association between routine bed sharing and the risk of Sudden Infant Death Syndrome (SIDS).
- To compare bed sharing practices between infants who died of SIDS and a control group of living infants.
- To examine potential racial or ethnic differences in bed sharing behaviors.
Main Methods:
- A case-control study was conducted in Southern California.
- 200 infants who died of SIDS were compared with 200 matched living controls.
- Data collected included routine bedding, day/night sleeping arrangements, and sleeping arrangement at time of death, with analysis of racial differences.
Main Results:
- 22.4% of infants who died of SIDS were sharing a bed at the time of death.
- Daytime bed sharing was significantly more common in African-American and Latin American families compared to white families.
- The adjusted odds ratio for SIDS associated with routine daytime bed sharing was 1.38 and nighttime bed sharing was 1.21, neither reaching statistical significance.
Conclusions:
- No significant relationship was found between routine bed sharing and the occurrence of Sudden Infant Death Syndrome (SIDS).
- Significant differences in bed sharing practices were observed among different racial and ethnic groups.
- Further research may be needed to understand the complex factors contributing to SIDS and cultural variations in infant sleep.
Objective:
To determine whether infants who died of the sudden infant death syndrome routinely shared their parents' bed more commonly than control infants.
Design:
Case-control study.
Setting:
Southern California.
Subjects:
200 white, African-American, Latin American, and Asian infants who died and 200 living controls, matched by birth hospital, date of birth, sex, and race.
Main Outcome Measures:
Routine bedding (for example, crib, cradle), day and night time sleeping arrangement (for example, alone or sharing a bed); for cases only, sleeping arrangement at death. Differences in bed sharing practices among races.
Results:
Of the infants who died of the syndrome, 45 (22.4%) were sharing a bed. Daytime bed sharing was more common in African-American (P < 0.001) and Latin American families (P < 0.001) than in white families. The overall adjusted odds ratio for the syndrome and routine bed sharing in the daytime was 1.38 (95% confidence interval 0.59 to 3.22) and for night was 1.21 (0.59 to 2.48). These odds ratios were adjusted for routine sleep position, passive smoking, breast feeding, intercom use, infant birth weight, medical conditions at birth, and maternal age and education. There was no interaction between bed sharing and passive smoking or alcohol use by either parent.
Conclusions:
Although there was a significant difference between bed sharing among African-American and Latin American parents compared with white parents, there was no significant relation between routine bed sharing and the sudden infant death syndrome.
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