Tirosh E, Becker T, Mansour Y, Cohen A, Jaffe M
The Jacobo Lichtman Apnea Investigation Unit, Department of Pediatrics, Bnai Zion Medical Center, Haifa, Israel.
Eur J Epidemiol. 2000 Mar;16(3):281-6. doi: 10.1023/a:1007682605820.
In a previous study, a significant increased risk for unexpected death in infancy (UDI) among Arab infants as compared to Jews (RR: 5.2) was found. The incidence has significantly decreased in both groups during the 'back to sleep' campaign. The objective of this study was to compare the prevalence of three risk factors, i.e. positioning, night dressing/covering and heating practices in these ethnic groups. A community sampling procedure was employed, resulting in the participation of 264 Jewish and 146 Arab mothers of infants between 1 and 4 months, born at term and with no chronic illness at the time of the study. A questionnaire in Arabic and Hebrew was designed, pertaining to sleep positioning at the time of the study and of the previous infant, prior to the SIDS prevention campaign, as well as clothing and heating practices. Significantly, more Arab infants were put to sleep in a supine or side position as compared to Jewish infants both during the study (p = 0.002) as well as prior to the SIDS campaign (p = 0.001). No ethnic difference was related to clothing practices. Open heating, however, was significantly more common in the Arab sector (p = 0.001). A logistic procedure for each of the practices indicated that ethnicity is related significantly to both sleep position (p = 0.002) and beating practices (p = 0.001). Prone sleep positioning was still prevalent (32.2%) more so among Jews (35.2%) than Arabs (27%).
Sleep positioning and overdressing do not appear to be the major attributable risk factors for UDI among Arab infants as compared to Jews. The compliance with positioning recommendations is lower than expected in both ethnic groups.
在之前的一项研究中，发现阿拉伯婴儿在婴儿期意外死亡（UDI）的风险相较于犹太婴儿显著增加（相对风险：5.2）。在“仰睡”运动期间，两组的发病率均显著下降。本研究的目的是比较这两个族群中三个风险因素的流行情况，即睡眠姿势、夜间穿着/覆盖物和取暖方式。采用社区抽样程序，共有264名犹太母亲和146名阿拉伯母亲参与，她们的婴儿年龄在1至4个月之间，足月出生且在研究时无慢性病。设计了一份阿拉伯语和希伯来语的问卷，内容涉及研究时以及在预防婴儿猝死综合征运动之前前一个婴儿的睡眠姿势，以及穿着和取暖方式。值得注意的是，无论是在研究期间（p = 0.002）还是在预防婴儿猝死综合征运动之前（p = 0.001），与犹太婴儿相比，更多的阿拉伯婴儿以仰卧或侧卧姿势入睡。在穿着方式上没有种族差异。然而，开放式取暖在阿拉伯社区更为常见（p = 0.001）。对每种方式进行的逻辑分析表明，种族与睡眠姿势（p = 0.002）和取暖方式（p = 0.001）均显著相关。俯卧睡眠姿势仍然很普遍（32.2%），犹太人（35.2%）比阿拉伯人（27%）更普遍。
与犹太婴儿相比，睡眠姿势和过度穿衣似乎不是阿拉伯婴儿发生UDI的主要可归因风险因素。两个族群对姿势建议的依从性均低于预期。
