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Updated: Aug 17, 2026

Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Sociodemographic factors associated with sleeping position and location
P G Tuohy1, A M Counsell, D C Geddis
1Royal New Zealand Plunket Society, Central Regional Office, Wellington.
Insights
New Zealand parents now favor side sleeping for infants, a shift from previous prone positioning. Bed sharing is more common among younger, less educated mothers and lower socioeconomic families.
Area of Science:
- Pediatrics
- Public Health
- Sociology
Background:
- Infant sleeping body position and bed sharing are identified risk factors for Sudden Infant Death Syndrome (SIDS).
- Understanding sociodemographic associations is crucial for targeted prevention strategies.
Purpose of the Study:
- To examine the sociodemographic associations of infant sleeping body position and location in New Zealand.
- To compare current infant sleep practices with historical data.
Main Methods:
- Cross-sectional study analyzing infant sleeping positions and bed-sharing practices.
- Data collected on infant sleep location and maternal/paternal sociodemographic factors.
Main Results:
- Majority (86.4%) of infants sleep on their sides; prone (4.8%) and supine (1.3%) positions are less common.
- Significant sociodemographic variations exist in infant sleeping positions.
- Bed sharing (12.2%) is more prevalent among infants of younger, less educated, non-European mothers, those with high parity, or unmarried mothers.
- Infants of unemployed fathers or those in lower socioeconomic groups are more likely to bed share.
Conclusions:
- Current infant sleep positioning in New Zealand has shifted significantly towards safer side-sleeping practices.
- Targeted interventions are needed to address higher bed-sharing risks in specific sociodemographic groups.
- Continued monitoring of infant sleep practices and SIDS risk factors is essential.
Abstract:
Recent research has implicated infant sleeping body position and bed sharing as risk factors in the sudden infant death syndrome. The sociodemographic associations of infant sleeping body position and location were examined in this study. This showed that the majority (86.4%) of New Zealand parents now place their infants to sleep on their sides. The remainder place their infants supine (1.3%), prone (4.8%), or no particular way (7.5%). In the waking position, 57.9% were usually found on their sides, 18.2% supine, and 6.1% prone. Infant sleeping position showed marked sociodemographic variability. These findings are a marked contrast to previous New Zealand studies which showed a reversed pattern, with most infants put to sleep prone. There were also highly significant sociodemographic differences in the place of sleeping. Overall 12.2% of infants shared a bed, with infants of younger less well educated mothers who were of non-European origin, with a parity of five or more, or unmarried significantly more likely to do so. Infants of unemployed and lower socioeconomic group (Elley-Irving groups 5 and 6) fathers were also more likely to share a parental bed.
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