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婴儿抚养方式的种族差异及其与婴儿猝死综合征(SIDS)发病率的可能关系。

Ethnic differences in infant-rearing practices and their possible relationship to the incidence of sudden infant death syndrome (SIDS).

作者信息

Farooqi S, Perry I J, Beevers D G

机构信息

University Department of Medicine, Dudley Road Hospital, Birmingham, England.

出版信息

Paediatr Perinat Epidemiol. 1993 Jul;7(3):245-52. doi: 10.1111/j.1365-3016.1993.tb00402.x.

DOI:10.1111/j.1365-3016.1993.tb00402.x
PMID:8378167
Abstract

The aetiology of sudden infant death syndrome (SIDS) is still uncertain, although associations with overheating and the prone sleeping position have been reported. In the UK, the incidence of SIDS is considerably lower in infants of Asian origin, but as yet no explanation for this has been suggested. We have studied a group of 202 white and 172 Asian multiparous mothers attending an antenatal clinic to compare the sleeping position and home environment of infants in each ethnic group. We found that significantly more white infants (31%) than Asians (11%) were placed in the prone position at night and that 94% of Asian infants slept in their parents' bedroom, compared with 61% of whites. These observations demonstrate marked differences in the infant rearing practices favoured by Asians and whites and lend support to the concept that the prone position and separate bedrooms may be contributors to the development of sudden infant death.

摘要

尽管有报道称婴儿猝死综合征(SIDS)与过热及俯卧睡眠姿势有关,但其病因仍不明确。在英国,亚洲裔婴儿中SIDS的发病率显著低于白人婴儿,但目前尚无对此现象的解释。我们研究了一组在产前诊所就诊的202名白人经产妇和172名亚洲经产妇,比较了每个种族婴儿的睡眠姿势和家庭环境。我们发现,夜间处于俯卧位的白人婴儿(31%)显著多于亚洲婴儿(11%),并且94%的亚洲婴儿与父母同睡在卧室,而白人婴儿这一比例为61%。这些观察结果表明,亚洲人和白人在婴儿养育方式上存在显著差异,并支持俯卧位和单独睡一间卧室可能是婴儿猝死综合征发生的原因之一这一观点。

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引用本文的文献

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Ethnic variation in unexplained deaths in infancy, including sudden infant death syndrome (SIDS), England and Wales 2006-2012: national birth cohort study using routine data.2006-2012 年英格兰和威尔士婴儿不明原因死亡(包括婴儿猝死综合征)的种族差异:使用常规数据的全国出生队列研究。
J Epidemiol Community Health. 2018 Oct;72(10):911-918. doi: 10.1136/jech-2018-210453. Epub 2018 Jul 4.
2
A qualitative study in parental perceptions and understanding of SIDS-reduction guidance in a UK bi-cultural urban community.一项关于英国双文化城市社区中父母对降低婴儿猝死综合征指导的认知与理解的定性研究。
BMC Pediatr. 2016 Jan 30;16:23. doi: 10.1186/s12887-016-0560-7.
3
Bed sharing and smoking in the sudden infant death syndrome.
婴儿猝死综合征中的同床睡眠与吸烟问题。
BMJ. 1994 Jan 15;308(6922):204-5. doi: 10.1136/bmj.308.6922.204b.
4
Sudden infant death syndrome among Asians in Britain.英国亚裔婴儿猝死综合征
BMJ. 1994 Nov 5;309(6963):1232. doi: 10.1136/bmj.309.6963.1232a.