Feld Hartley, Ceballos Osorio Janeth, Bahamonde Marisol, Young Thomas, Boada Pablo, Rayens Mary Kay
University of Kentucky, Lexington, KY, USA.
Universidad San Francisco de Quito, Quito, Pichincha, Ecuador.
Glob Pediatr Health. 2021 Aug 31;8:2333794X211044112. doi: 10.1177/2333794X211044112. eCollection 2021.
Ecuador's annual mortality rate from SIDS is 0.4 per 100 000 people, 4 times higher than neighboring countries Peru, Bolivia, and Brazil. Modifying the infant sleep environment toward safe practice has been demonstrated to be the most effective risk reduction strategy in reducing mortality from SIDS and little is known about sleep practices in Ecuador. The purpose of this study is to describe baseline infant sleep intentions of pregnant women in a peri-urban, low resource community in Ecuador. We also aim to identify demographic and psychosocial factors associated with suboptimal sleep practices in this context to develop long-term strategies to identify infants with high risk for SIDS/SUID. A cross-sectional study design was employed with 100 women in their third trimester of pregnancy. The majority of women were partnered (82%), both parents had approximately 8 years of education, and over half reported that their incomes met or exceeded their basic needs (55%). Significant predictors of safer sleep intention included years of paternal education ( = .019) and income meeting their basic needs ( = .0049). For each additional year of paternal education, families were 23% more likely to report safer intended infant sleep practices. Compared to those whose income did not allow for basic needs, those who had sufficient income to meet (or exceed) basic needs were 425% more likely to report safer intended sleep practices. Targeted interventions to high-risk populations may reduce the burden of SIDS/SUID in this community.
厄瓜多尔婴儿猝死综合征的年死亡率为每10万人中有0.4人，比邻国秘鲁、玻利维亚和巴西高出4倍。改变婴儿睡眠环境以采取安全做法已被证明是降低婴儿猝死综合征死亡率最有效的风险降低策略，而关于厄瓜多尔的睡眠习惯知之甚少。本研究的目的是描述厄瓜多尔一个城郊低资源社区中孕妇的婴儿睡眠基线意向。我们还旨在确定在这种情况下与次优睡眠习惯相关的人口统计学和心理社会因素，以制定长期策略来识别有婴儿猝死综合征/不明原因猝死高风险的婴儿。采用横断面研究设计，对100名处于妊娠晚期的女性进行了研究。大多数女性处于伴侣关系（82%），父母双方都接受了大约8年的教育，超过一半的人报告说他们的收入达到或超过了基本需求（55%）。更安全睡眠意向的显著预测因素包括父亲的受教育年限（=0.019）和收入满足基本需求（=0.0049）。父亲每多接受一年教育，家庭报告更安全的婴儿预期睡眠习惯的可能性就增加23%。与那些收入无法满足基本需求的人相比，那些有足够收入满足（或超过）基本需求的人报告更安全预期睡眠习惯的可能性高出425%。针对高危人群的有针对性干预措施可能会减轻该社区婴儿猝死综合征/不明原因猝死的负担。
