Epstein Joyce, Jolly Clare
Foundation for the Study of Infant Deaths.
Community Pract. 2009 Nov;82(11):21-4.
This paper reports on findings from a survey of awareness and credibility of risk factors for sudden infant death and adherence to infant care advice, conducted with 506 mothers of children aged from six months to three years in England in 2007. The survey confirmed that many parents failed to follow recommended infant care practices to reduce the risk of cot death, such as supine sleeping and sleeping the baby in a cot in the same room as them. Notably, substantial proportions of mothers did not believe the evidence-based safe infant care messages that they have heard--about a fifth were not persuaded that exposing a baby to tobacco smoke increases the risk of cot death, over a quarter were not persuaded that prone sleeping is risky, and almost half were not persuaded that side sleeping is risky. The findings are discussed in the context of wider cultural issues bearing on the credibility of health advice. Practical suggestions for health visitors and other community practitioners include innovative ways to involve young, at-risk parents and credible influences upon them such as grandparents, alongside the use and promotion of new free resources from the Foundation for the Study of Infant Deaths.
本文报告了2007年在英格兰对506名6个月至3岁儿童的母亲进行的关于婴儿猝死风险因素的认知和可信度以及对婴儿护理建议的遵循情况的调查结果。该调查证实，许多父母未能遵循推荐的婴儿护理做法以降低婴儿床死亡风险，例如仰卧睡眠以及让婴儿在与他们同一房间的婴儿床中睡觉。值得注意的是，相当比例的母亲不相信她们所听到的基于证据的安全婴儿护理信息——约五分之一的人不相信让婴儿接触烟草烟雾会增加婴儿床死亡风险，超过四分之一的人不相信俯卧睡眠有风险，近一半的人不相信侧睡有风险。研究结果在与健康建议可信度相关的更广泛文化问题背景下进行了讨论。对健康访视员和其他社区从业者的实用建议包括采用创新方法让年轻的高危父母参与进来，以及利用祖父母等对他们有影响力的可靠人物，同时使用和推广婴儿死亡研究基金会提供的新的免费资源。
