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: Natalya N. Korableva, Vladimir S. Lebedev, Yana A. Munkhalova, Vera B. Egorova, Yuliya R. Zaripova, Darina D. Varlamova, Anna A. Usynina, Irina M. Pastbina, Natalya V. Efimova
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2024-12-01
Series:Вопросы современной педиатрии
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Online Access:https://vsp.spr-journal.ru/jour/article/view/3654
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author Natalya N. Korableva
Vladimir S. Lebedev
Yana A. Munkhalova
Vera B. Egorova
Yuliya R. Zaripova
Darina D. Varlamova
Anna A. Usynina
Irina M. Pastbina
Natalya V. Efimova
author_facet Natalya N. Korableva
Vladimir S. Lebedev
Yana A. Munkhalova
Vera B. Egorova
Yuliya R. Zaripova
Darina D. Varlamova
Anna A. Usynina
Irina M. Pastbina
Natalya V. Efimova
author_sort Natalya N. Korableva
collection DOAJ
description 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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spelling doaj-art-035ca215b2674e2f8fd56eec25a0a2322025-08-20T03:21:55Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352024-12-0123645646510.15690/vsp.v23i6.28372211Organization of Infant Sleep Environment and Parents’ Characteristics Associated with Co-Sleeping with Infants: Cross Sectional Survey StudyNatalya N. Korableva0Vladimir S. Lebedev1Yana A. Munkhalova2Vera B. Egorova3Yuliya R. Zaripova4Darina D. Varlamova5Anna A. Usynina6Irina M. Pastbina7Natalya V. Efimova8Pitirim Sorokin Syktyvkar State UniversityPitirim Sorokin Syktyvkar State UniversityNorth-Eastern Federal UniversityNorth-Eastern Federal UniversityPetrozavodsk State UniversityPetrozavodsk State UniversityNorthern State Medical UniversityNorthern State Medical UniversitySeverodvinsk Medical Center for InfantsBackground. 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.https://vsp.spr-journal.ru/jour/article/view/3654surveysafe sleepinfant mortalitymulti-centre studyorganization of sleep environmentsudden infant death syndromeco-sleepingrisk factors
spellingShingle Natalya N. Korableva
Vladimir S. Lebedev
Yana A. Munkhalova
Vera B. Egorova
Yuliya R. Zaripova
Darina D. Varlamova
Anna A. Usynina
Irina M. Pastbina
Natalya V. Efimova
Organization of Infant Sleep Environment and Parents’ Characteristics Associated with Co-Sleeping with Infants: Cross Sectional Survey Study
Вопросы современной педиатрии
survey
safe sleep
infant mortality
multi-centre study
organization of sleep environment
sudden infant death syndrome
co-sleeping
risk factors
title Organization of Infant Sleep Environment and Parents’ Characteristics Associated with Co-Sleeping with Infants: Cross Sectional Survey Study
title_full Organization of Infant Sleep Environment and Parents’ Characteristics Associated with Co-Sleeping with Infants: Cross Sectional Survey Study
title_fullStr Organization of Infant Sleep Environment and Parents’ Characteristics Associated with Co-Sleeping with Infants: Cross Sectional Survey Study
title_full_unstemmed Organization of Infant Sleep Environment and Parents’ Characteristics Associated with Co-Sleeping with Infants: Cross Sectional Survey Study
title_short Organization of Infant Sleep Environment and Parents’ Characteristics Associated with Co-Sleeping with Infants: Cross Sectional Survey Study
title_sort organization of infant sleep environment and parents characteristics associated with co sleeping with infants cross sectional survey study
topic survey
safe sleep
infant mortality
multi-centre study
organization of sleep environment
sudden infant death syndrome
co-sleeping
risk factors
url https://vsp.spr-journal.ru/jour/article/view/3654
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