突发婴儿死亡综合征的主要流行病学变化:英国一项为期20年的基于人口的研究
Peter S Blair1, Peter Sidebotham, P Jeremy Berry
1Institute of Child Life and Health, Department of Clinical Science, University of Bristol, UK.
Lancet (London, England)
|January 31, 2006
概括
婴儿突然死亡综合征 (SIDS) 流行病学已经发生转变,共睡死亡增加,特别是在沙发上. 预防策略必须解决社会经济因素和不安全的睡眠环境.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 儿科 儿科 儿科
背景情况:
- 婴儿突然死亡综合征 (SIDS) 流行病学可能在1991年英国"回到睡眠"运动之后发生了变化.
- 该活动建议背上睡觉,从而降低了SIDS死亡率.
- 纵向数据分析用于评估这些流行病学转变.
研究的目的:
- 为了评估20年来SIDS流行病学的变化.
- 评估"回到睡眠"运动对SIDS风险因素的影响.
- 确定SIDS病例的当前趋势和相关的人口统计数据.
主要方法:
- 利用来自家庭访问的基于人口的数据,对369例意外婴儿死亡 (1984-2003) 进行了分析.
- 包括300例SIDS病例和69例阿文的解释死亡.
- 将数据与1300名1993-1996年的对照婴儿进行了比较.
主要成果:
- 在父母共同睡觉期间SIDS死亡的比例从12%上升到50%.
- 在父母床上的SIDS死亡人数实际减少了一半;沙发共睡死亡人数增加.
- 增加SIDS风险因素包括贫困的社会经济背景,母亲吸烟和早产.
结论:
- 导致SIDS的关键因素在过去二十年里发生了变化.
- 在沙发上共同睡觉带来了一个新的,不清楚的风险;建议避免.
- 现在大多数SIDS死亡发生在贫困家庭中,需要有针对性的控制数据来预防.
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