当前位置： SCI文献检索 > PEDIATRICS期刊下所有文献 > Stable prevalence but changing risk factors for sudden infant death syndrome in child care settings in 2001.

Stable prevalence but changing risk factors for sudden infant death syndrome in child care settings in 2001.

Abstract：

OBJECTIVE:A total of 20% of sudden infant death syndrome (SIDS) cases in the 1990s occurred in child care settings. This is much higher than the 8% expected from Census Bureau data. Factors that were associated with child care SIDS included older age; white race; older, more educated mothers; and unaccustomed prone position. Since these findings, much emphasis has been placed on promoting a safe sleep environment in child care. The objectives of this study were to determine the proportion of SIDS occurring in child care in 2001 and to assess risk factors for SIDS in child care. METHODS:We conducted a retrospective review of all SIDS deaths that occurred in 2001 in 13 US states. Information regarding demographics, SIDS risk factors, and child care arrangements were collected and analyzed. Deaths that occurred in child care were compared with deaths that occurred during parental care. RESULTS:Of 480 deaths, 79 (16.5%) occurred in child care settings. Of these child care deaths, 36.7% occurred in family child care homes, 17.7% occurred in child care centers, 21.3% occurred in relative care, and 17.7% occurred with a nanny/babysitter at home. Infants in child care were more likely to be older and to die between the hours of 8 am and 4 pm and less likely to be exposed to secondhand smoke. There was no difference in usual, found, or placed sleep position between child care and home deaths. Approximately one half of the infants who died of SIDS in both settings were found prone, and 20% of deaths in both settings were among infants who were unaccustomed to prone sleep. CONCLUSIONS:The proportion of SIDS deaths in child care has declined slightly but still remains high at 16.5%. Infants in child care are no more likely to be placed or found prone and no more likely to be on an unsafe sleep surface. Educational efforts with child care providers have been effective and should be expanded to unregulated child care providers. In addition, there may be other, yet-unidentified factors in child care that place infants in those settings at higher risk for SIDS.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Moon RY,Sprague BM,Patel KM

doi

10.1542/peds.2005-0924

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

972-7

issue

eissn

0031-4005

issn

1098-4275

pii

116/4/972

journal_volume

116

pub_type

杂志文章

在线工具

Stable prevalence but changing risk factors for sudden infant death syndrome in child care settings in 2001.