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      Factors Associated With Choice of Infant Sleep Position

      research-article
      , MD, MHPE a , , , MPH b , , PhD c , , MD b
      Pediatrics
      American Academy of Pediatrics

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          Abstract

          Placing infants supine for sleep is crucial to decreasing deaths. In this article, we report choices mothers make when deciding how to position infants for sleep.

          Abstract

          BACKGROUND AND OBJECTIVES:

          The American Academy of Pediatrics recommends infants be placed supine for sleep. Our objectives in this study were to, in a nationally representative sample, examine (1) prevalence of maternal intention regarding infant sleeping position and of actual practice and (2) factors associated with their choices.

          METHODS:

          We recruited mothers from 32 US hospitals, oversampling African American and Hispanic mothers, in a nationally representative sample of mothers of infants aged 2 to 6 months. Survey questions assessed choice of usual infant sleeping position, all sleeping positions, intention for sleep position, as well as actual practice. Multivariable logistic regression analyses controlled for demographic, receipt of doctor advice, and theory of planned behavior variables (attitudes, subjective norms, and perceived control).

          RESULTS:

          Of the 3297 mothers, 77.3% reported they usually placed their infants in the supine position for sleep, but fewer than half reported that they exclusively did so. Only 43.7% of mothers reported that they both intended to and then actually placed their infants exclusively supine. African American mothers and those who did not complete high school were more likely to intend to use the prone position. Theory of planned behavior factors (attitudes, subjective norms, and perceived control) and doctor advice were associated with maternal choice.

          CONCLUSIONS:

          Not all mothers place their infants exclusively supine for sleep. Many mothers intend to place their infants supine yet often do not do so in actual practice. Factors potentially amenable to intervention including attitudes, subjective norms, and doctor advice are associated with intention and practice.

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          Author and article information

          Journal
          Pediatrics
          Pediatrics
          pediatrics
          pediatrics
          Pediatrics
          Pediatrics
          American Academy of Pediatrics (Elk Grove Village, IL, USA )
          0031-4005
          1098-4275
          September 2017
          1 September 2018
          : 140
          : 3
          Affiliations
          [a ]Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut;
          [b ]Slone Epidemiology Center, School of Medicine, and
          [c ]Department of Biostatistics, School of Public Health, Boston University, Boston, Massachusetts
          Author notes
          Address correspondence to Eve R. Colson, MD, MHPE, Department of Pediatrics, Yale School of Medicine, PO Box 208064, New Haven, CT 06520-8064. E-mail: eve.colson@ 123456yale.edu
          Article
          PMC5574721 PMC5574721 5574721 peds.2017-0596
          10.1542/peds.2017-0596
          5574721
          28827382
          35c20339-8a50-4906-b2d7-e40a77b1b144
          Copyright © 2017 by the American Academy of Pediatrics
          Page count
          Figures: 1, Tables: 4, Equations: 0, References: 15, Pages: 10
          Categories
          23.00
          23.04
          Article
          Custom metadata
          v1

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