美国母亲遵守安全婴儿睡眠建议:与PRAMS 2016-2022年的趋势和差异
Carolyn Edmondson1, Rathika Damodara Shenoy2,3, Jovita Herrera Herrera1
1Clinical Medicine, American University of Antigua, Coolidge, St George, Antigua and Barbuda.
BMJ paediatrics open
|March 12, 2026
概括
母亲对婴儿安全睡眠实践的坚持仍然很低,种族和社会经济群体之间的差异很大. 在产前和产后护理期间加强安全睡眠教育对于婴儿安全至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 社会学 社会学 社会学
背景情况:
- 与睡眠相关的婴儿死亡在美国停滞不前.
- 基于证据的安全睡眠建议存在,但遵守是不理想的.
- 了解母亲的坚持模式和差异是提高婴儿安全的关键.
研究的目的:
- 使用国家数据估计遵守四个安全睡眠建议.
- 检查2016-2022年安全睡眠遵守的时间趋势.
- 评估与非坚持相关的社会人口和行为因素.
主要方法:
- 分析了来自PRAMS第八阶段监测数据 (2016-2022) 的125,931个加权的母体反应.
- 使用逻辑线性回归 (年平均百分比变化) 评估时间趋势.
- 使用多重逻辑回归 (调整的几率比率和95%信心区间) 检查差异.
主要成果:
- 卧卧睡姿的坚持率最高 (79.8%),安全床位的坚持率最低 (32.8%).
- 在安全的床铺 (APC=11.5%) 和安全的睡眠表面 (APC=2.8%) 发现了改善.
- 与非西班牙裔白人母亲相比,非西班牙裔黑人母亲的不安全做法的几率显著更高,西班牙裔母亲,医疗补助/无保险者,未婚者,吸烟者和没有接受医疗保健建议的人都有类似的风险.
结论:
- 母亲对安全睡眠建议的遵守率很低.
- 在安全睡眠实践中,持续的社会人口差异是显而易见的.
- 建议在产前和产后护理中加强安全睡眠咨询的整合.
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