Pelligra Ralph, Doman Glen, Leisman Gerry
Ames Research Center, National Aeronautics and Space Administration, Moffett Field, CA 94035, USA.
ScientificWorldJournal. 2005 Jul 21;5:550-7. doi: 10.1100/tsw.2005.71.
The Back to Sleep Campaign was initiated in 1994 to implement the American Academy of Pediatrics' (AAP) recommendation that infants be placed in the nonprone sleeping position to reduce the risk of the Sudden Infant Death Syndrome (SIDS). This paper offers a challenge to the Back to Sleep Campaign (BTSC) from two perspectives: (1) the questionable validity of SIDS mortality and risk statistics, and (2) the BTSC as human experimentation rather than as confirmed preventive therapy. The principal argument that initiated the BTSC and that continues to justify its existence is the observed parallel declines in the number of infants placed in the prone sleeping position and the number of reported SIDS deaths. We are compelled to challenge both the implied causal relationship between these observations and the SIDS mortality statistics themselves.
“仰卧睡眠运动”于1994年发起，旨在落实美国儿科学会（AAP）的建议，即让婴儿采用非俯卧睡眠姿势，以降低婴儿猝死综合征（SIDS）的风险。本文从两个角度对“仰卧睡眠运动”（BTSC）提出质疑：（1）SIDS死亡率和风险统计数据的有效性存疑；（2）“仰卧睡眠运动”是人体实验而非已证实的预防性疗法。引发“仰卧睡眠运动”并继续为其存在提供正当理由的主要论点是，观察到采用俯卧睡眠姿势的婴儿数量和报告的SIDS死亡数量同时下降。我们不得不对这些观察结果与SIDS死亡率统计数据之间隐含的因果关系提出质疑。
