Organization of Infant Sleep Environment and Parents’ Characteristics Associated with Co-Sleeping with Infants: Cross Sectional Survey Study
Background. There is limited Russian data on infant sleep environment. Updating this data within large-scale studies, as well as identifying risk factors of unsafe organization of infant sleep environment are crucial for targeted preventive work and implementation of effective educational program. O...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
"Paediatrician" Publishers LLC
2024-12-01
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| Series: | Вопросы современной педиатрии |
| Subjects: | |
| Online Access: | https://vsp.spr-journal.ru/jour/article/view/3654 |
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| Summary: | Background. There is limited Russian data on infant sleep environment. Updating this data within large-scale studies, as well as identifying risk factors of unsafe organization of infant sleep environment are crucial for targeted preventive work and implementation of effective educational program. Objective. The aim of the study is to examine infant sleep environment organization and parents’ characteristics associated with co-sleeping with children. Methods. The study included mothers of infants referred to a doctor in 8 children’s out-patient clinics (in cities of Syktyvkar, Yakutsk, Petrozavodsk, Arkhangelsk, and Severodvinsk). Socio-demographic and behavioral characteristics of parents were recorded. The organization of infant sleep was evaluated by the presence of separate baby bed, its appearance, location, use of pillow, blanket, presence of any other objects in the bed, co-sleeping in the same bed with parents, baby’s posture during sleep, use of special sleep devices and soother. Results. 2,990 mothers took part in the survey. Co-sleeping was practiced in 1849 (61.8%) families, allowed infant to sleep on the side or stomach — in 1133 (37.9%), confirmed the use of pillows — in 720 (24.1%). There are toys and care items in 1179 (39.9%) babies’ beds during their sleep. According to multi-factor analysis: co-sleeping is associated with low (< 50 thousand rubles/month) family income — odds ratio (OR) 1.55 (95% confidence interval (CI) 1.30–1.86), artificial or mixed infant feeding — OR 0.55 (95% CI 0.47–0.64), and family alcohol intake — OR 0.65 (95% CI 0.42–0.99). Conclusion. High prevalence of unsafe organization of infant sleep environment was revealed. Modifiable risk factors are the infant’s posture during sleep, use of soft bedding, and co-sleeping with the infant. |
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| ISSN: | 1682-5527 1682-5535 |