Knight Jennifer, Webster Vana, Kemp Lynn, Comino Elizabeth
Research Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of NSW, Sydney, New South Wales, Australia.
J Paediatr Child Health. 2013 Dec;49(12):1025-31. doi: 10.1111/jpc.12306. Epub 2013 Jun 20.
The study aims to understand sudden infant death syndrome (SIDS) risk and preventive practices in an urban Aboriginal community, through exploration of mothers' knowledge and practices and examination of coroner case records.
Data were collected from the mothers of Aboriginal infants participating in the Gudaga Study, a longitudinal birth cohort study. At 2-3 weeks post-natal, mothers were asked about SIDS risk-reduction practices, infant sleeping position and smoking practices within the home. Questions were repeated when study infants were 6 months of age. During the first 18 months of the study, three infants within the cohort died. All deaths were identified as SIDS related. The Coroner reports for these infants were reviewed.
At the 2-3 weeks data collection point, approximately 66.2% (n = 98) of mothers correctly identified two or more SIDS risk-reduction strategies. At this same data point, approximately 82% (n = 122) of mothers were putting their infants to sleep on their backs (supine). Higher maternal education was significantly associated (P < 0.01), with identification of two or more correct SIDS risk-reduction strategies and supine sleeping position at 2-3 weeks. The Coroner considered two infants who had been sleeping in an unsafe sleeping environment.
Rates of SIDS deaths within the study community were much higher than the national average. Most mothers were putting their infant to sleep correctly even though they may be unaware that their practice was in accordance with recommended guidelines. Best practice safe sleeping environments are difficult to achieve for some families living in low socio-economic settings.
本研究旨在通过探究母亲的知识与行为以及审查验尸官的病例记录，了解一个城市原住民社区中的婴儿猝死综合征（SIDS）风险及预防措施。
数据收集自参与古达加研究（一项纵向出生队列研究）的原住民婴儿的母亲。在产后2至3周时，询问母亲关于降低SIDS风险的措施、婴儿睡眠姿势以及家中吸烟情况。当研究婴儿6个月大时重复这些问题。在研究的前18个月中，队列中的三名婴儿死亡。所有死亡均被认定与SIDS相关。对这些婴儿的验尸官报告进行了审查。
在2至3周的数据收集点，约66.2%（n = 98）的母亲正确识别出两种或更多降低SIDS风险的策略。在同一数据点，约82%（n = 122）的母亲让婴儿仰卧睡觉。母亲受教育程度较高与在2至3周时识别出两种或更多正确的降低SIDS风险策略以及仰卧睡眠姿势显著相关（P < 0.01）。验尸官认为有两名婴儿一直睡在不安全的睡眠环境中。
研究社区内的SIDS死亡率远高于全国平均水平。大多数母亲让婴儿以正确姿势入睡，尽管她们可能并未意识到自己的做法符合推荐指南。对于一些生活在社会经济地位较低环境中的家庭而言，实现最佳安全睡眠环境存在困难。
