首页|Infant Sleep Hazards and the Risk of Sudden Unexpected Death in Infancy

Infant Sleep Hazards and the Risk of Sudden Unexpected Death in Infancy

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  • NSTL
  • Elsevier
Objective To examine the effects of infant sofa-sleeping, recent use by caregivers of alcohol, cannabis, and/or other drugs, and bed type and pillows, on the risk of sudden unexpected death in infancy (SUDI) in New Zealand. Study design A nationwide prospective case-control study was implemented between March 2012 and February 2015. Data were collected during interviews with parents/caregivers. "Hazards" were defined as infant exposure to 1 or more of sofa-sleeping and recent use by caregivers of alcohol, cannabis, and other drugs. The interaction of hazards with tobacco smoking in pregnancy and bed sharing, including for very young infants, and the difference in risk for Maori and non-Maori infants, also were assessed. Results The study enrolled 132 cases and 258 controls. SUDI risk increased with infant sofa-sleeping (imputed aOR [IaOR] 24.22, 95% CI 1.65-356.40) and with hazards (IaOR 3.35, 95% CI 1.40-8.01). The SUDI risk from the combination of tobacco smoking in pregnancy and bed sharing (IaOR 29.0, 95% CI 10.10-83.33) increased with the addition of 1 or more hazards (IaOR 148.24, 95% CI 15.72-1398), and infants younger than 3 months appeared to be at greater risk (IaOR 450.61, 95% CI 26.84-7593.14). Conclusions Tobacco smoking in pregnancy and bed sharing remain the greatest SUDI risks for infants and risk increases further in the presence of sofa-sleeping or recent caregiver use of alcohol and/or cannabis and other drugs. Continued implementation of effective, appropriate programs for smoking cessation, safe sleep, and supplying safe sleep beds is required to reduce New Zealand SUDI rates and SUDI disparity among Maori.

NEW-ZEALANDSMOKINGCANNABISSUDI

MacFarlane, Melanie Estelle、Thompson, John M. D.、Wilson, Jessica、Lawton, Beverley、Taylor, Barry、Elder, Dawn E.、Baker, Nick、McDonald, Gabrielle K.、Zuccollo, Jane、Schlaud, Martin、Fleming, Peter、Mitchell, Edwin A.

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Paediat Child & Youth Hlth,Univ Auckland

Ctr Womens Hlth Res,Victoria Univ Wellington

Womens & Childrens Hlth,Univ Otago

Dept Paediat & Child Hlth,Univ Otago

Dept Paediat,Nelson Marlborough Hosp

Natl Perinatal Pathol Serv NPPS,Auckland City Hosp

Dept Epidemiol & Hlth Monitoring,Robert Koch Inst

Bristol Med Sch,Univ Bristol

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2022

10.1016/j.jpeds.2022.01.044

The Journal of pediatrics

The Journal of pediatrics

ISSN：0022-3476
年,卷(期)：2022.245
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