Gibson E, Dembofsky C A, Rubin S, Greenspan J S
Department of Pediatrics, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia 19107 PA, USA.
Clin Pediatr (Phila). 2000 May;39(5):285-9. doi: 10.1177/000992280003900505.
Since the 1992 American Academy of Pediatrics (AAP) recommendation to put babies to sleep in the nonprone position and the subsequent 1994 "Back to Sleep" campaign, the U.S. rate of sudden infant death syndrome (SIDS) has decreased more than 40%. This study reports sleep position practices in the greater Philadelphia area during 1996 and 1997. Four hundred and ten parents of infants 6 months of age or less answered a questionnaire by interview in Philadelphia clinics and private pediatric offices from December 1995 through February 1997. Sleep position practices and other SIDS risk factors were measured among demographic groups and compared with reported rates in a similar population from 1993 and 1994. Data were analyzed by Chi square after analysis of correlation coefficients. Significance is reported at p < 0.05. Seventy-two percent of all infants surveyed slept nonprone (NP) compared to 31.8% in 1993 and 59.1% in 1994. The population was 61% African-American (AA), 62% clinic patients. The breast feeding rate was 31%, maternal smoking 17%, and cosleeping 46%. AA infants (67% vs. 82%), infants receiving care at a clinic (66% vs. 84%), and infants > 3 months old (65% vs. 76%) are less likely to be placed nonprone. Most parents who place infants on their back report it was recommended by a medical professional (56%). The majority of those placing infants prone do so because their infant is more comfortable or sleeps better (65%), although 73% said their physician/nurse discussed sleep position with them. Nonprone sleeping continues to increase since the initiation of the "Back to Sleep" campaign. Disparity between some demographic groups persists. An excessive number of African-American families and clinic families still choose a prone sleep position. Many who do so cite increased infant comfort, despite knowledge of the AAP recommendation.
自1992年美国儿科学会（AAP）建议让婴儿以非俯卧姿势入睡以及随后1994年的“仰睡”运动开展以来，美国婴儿猝死综合征（SIDS）的发生率下降了40%以上。本研究报告了1996年和1997年大费城地区的睡眠姿势习惯。1995年12月至1997年2月期间，410名6个月及以下婴儿的父母在费城诊所和私人儿科诊所接受访谈时回答了一份问卷。在不同人口群体中测量了睡眠姿势习惯和其他SIDS风险因素，并与1993年和1994年类似人群的报告发生率进行了比较。在分析相关系数后，采用卡方检验对数据进行分析。显著性水平报告为p < 0.05。在所有接受调查的婴儿中，72%以非俯卧（NP）姿势入睡，而1993年为31.8%，1994年为59.1%。调查对象中61%为非裔美国人（AA），62%为诊所患者。母乳喂养率为31%，母亲吸烟率为17%，同床睡眠率为46%。非裔美国婴儿（67%对82%）、在诊所接受护理的婴儿（66%对84%）以及3个月以上的婴儿（65%对76%）采用非俯卧姿势的可能性较小。大多数让婴儿仰睡的父母表示这是医学专业人员建议的（占56%）。大多数让婴儿俯卧的父母这样做是因为他们的婴儿感觉更舒适或睡得更好（占65%），尽管73%的人表示他们的医生/护士与他们讨论过睡眠姿势。自“仰睡”运动发起以来，非俯卧睡眠的比例持续上升。一些人口群体之间的差异仍然存在。过多的非裔美国家庭和诊所家庭仍然选择俯卧睡眠姿势。尽管了解美国儿科学会的建议，但许多这样做的人表示是为了让婴儿更舒适。
