Hirsch Heather M, Mullins Samantha H, Miller Beverly K, Aitken Mary E
Center for Applied Research and Evaluation, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, 72202, USA.
Injury Prevention Center, Arkansas Children's, Little Rock, AR, 72202, USA.
Inj Epidemiol. 2018 Apr 10;5(Suppl 1):9. doi: 10.1186/s40621-018-0140-4.
Sudden Unexpected Infant Death (SUID) results in 3400 sleep-related deaths yearly in the United States, yet caregivers' compliance with safe sleep recommendations remains less than optimal. Paternal caregiver's attitudes toward infant safe sleep messages are largely unaddressed, despite established differences between female and male caregiver perceptions. This study aimed to explore the determinants of safe sleep practices among male caregivers.
Focus groups were conducted in Arkansas with male caregivers of infants ages 2-12 months to discuss infant sleep routines, parental roles, sources for safe sleep information, and messaging suggestions for safe sleep promotion. The Health Belief Model of behavior change framed a moderator guide. Transcript-based analysis was used, and data were managed using HyperRESEARCH (version 2.8.3). The transcribed data were coded to identify significant themes.
Ten focus groups were conducted with 46 participants. Inconsistent adherence to safe sleep practices was reported. Participants were more likely to describe safe location (57% of participants) and supine position behaviors (42%) than an uncluttered bed environment (26%). Caregivers acknowledged the importance of recommended safe sleep behavior, but admitted to unsafe practices, such as co-sleeping and unsafe daytime sleep. Lack of perceived risk, comfort, and/or resources, and disagreement among family members about safety practices were identified as barriers. Participants voiced concerns that current advertising portrays males as incompetent caregivers. Suggestions included portraying positive images of fathers and male caregivers acting to promote safety and the incorporation of statistics about the hazards of unsafe sleep to better engage fathers. Potential distribution venues included sporting events, home improvement and/or automotive stores, and social media from trusted sites (e.g. hospitals or medical professionals).
Male caregivers demonstrate some knowledge base about infant sleep safety, but are not fully practicing all aspects of safe sleep. Targeted messaging towards male caregivers that includes factual information and statistics along with representing males in a positive light is desired.
在美国，婴儿猝死综合征（SUID）每年导致3400例与睡眠相关的死亡，但护理人员对安全睡眠建议的依从性仍不尽如人意。尽管女性和男性护理人员的认知存在既定差异，但父亲对婴儿安全睡眠信息的态度在很大程度上未得到研究。本研究旨在探讨男性护理人员安全睡眠行为的决定因素。
在阿肯色州对年龄在2至12个月婴儿的男性护理人员进行焦点小组访谈，讨论婴儿睡眠习惯、父母角色、安全睡眠信息来源以及促进安全睡眠的信息建议。行为改变的健康信念模型构成了主持人指南。采用基于转录本的分析方法，并使用HyperRESEARCH（版本2.8.3）管理数据。对转录数据进行编码以识别重要主题。
共进行了10个焦点小组访谈，有46名参与者。据报告，他们对安全睡眠行为的依从性不一致。与保持床铺整洁的环境（26%）相比，参与者更有可能描述安全睡眠地点（57%的参与者）和仰卧睡眠姿势行为（42%）。护理人员承认推荐的安全睡眠行为很重要，但也承认存在不安全行为，如共睡和不安全的日间睡眠。缺乏感知风险、舒适度和/或资源，以及家庭成员对安全行为的分歧被确定为障碍。参与者表示担心当前的广告将男性描绘成不称职的护理人员。建议包括描绘父亲和男性护理人员促进安全的正面形象，以及纳入不安全睡眠危害的统计数据，以更好地吸引父亲们。潜在的传播渠道包括体育赛事、家居装修和/或汽车商店，以及来自可信网站（如医院或医疗专业人员）的社交媒体。
男性护理人员对婴儿睡眠安全有一定的知识基础，但并未完全践行安全睡眠的各个方面。需要针对男性护理人员开展有针对性的宣传，包括事实信息和统计数据，并以正面形象展现男性。
