Schluter P J, Ford R P, Mitchell E A, Taylor B J
Community Paediatric Unit, Canterbury Health, Christchurch, New Zealand.
J Paediatr Child Health. 1998 Oct;34(5):432-7. doi: 10.1046/j.1440-1754.1998.00268.x.
To examine whether permanent domicile change of the mother, thence the infant, or temporary relocation of the infant away from his or her usual place of residence affects the risk of sudden infant death syndrome (SIDS).
A case-control nation-wide epidemiological study.
New Zealand between the years 1987-90.
From the 485 SIDS diagnoses over this time, parents of 393 (81%) SIDS infants consented to participate and these comprise the cases. Controls were selected by randomly sampling 1800 infants from all babies born over 78% of the country. Parents of 1592 (88%) control infants participated.
Infants away from their usual address were 1.70 (95% CI: 1.09, 2.66) times more likely to die from SIDS than infants sleeping at home, after controlling for likely confounding factors. A partial explanation for this finding was that SIDS infants were less likely to have been mainly breast fed in the last two days and were less likely to have shared a room with at least one adult at the nominated sleep/death. Infants of mothers who shifted house after their birth, infants having mothers who shifted house within a year prior to the study interview date, and infants who slept at numerous different houses were associated with an increased relative risk for SIDS at the univariate level, but not after adjustment.
Infants are less likely to die in their accustomed residential environment. This finding needs confirmation by other studies.
研究母亲及婴儿常住地的变更，或婴儿临时搬离其常住地是否会影响婴儿猝死综合征（SIDS）的风险。
一项全国性病例对照流行病学研究。
1987 - 1990年期间的新西兰。
在这段时间内确诊的485例SIDS病例中，393例（81%）SIDS婴儿的父母同意参与研究，这些构成了病例组。对照组是从该国78%以上地区出生的所有婴儿中随机抽取1800名婴儿。1592例（88%）对照婴儿的父母参与了研究。
在控制了可能的混杂因素后，离开常住地址的婴儿死于SIDS的可能性是在家睡觉婴儿的1.70倍（95%置信区间：1.09, 2.66）。这一发现的部分解释是，SIDS婴儿在过去两天内纯母乳喂养的可能性较小，在指定的睡眠/死亡时间与至少一名成年人同住一室的可能性也较小。出生后母亲搬家的婴儿、在研究访谈日期前一年内母亲搬家的婴儿以及在多个不同房屋睡觉的婴儿，在单变量分析中与SIDS的相对风险增加有关，但在调整后则不然。
婴儿在其习惯的居住环境中死亡的可能性较小。这一发现需要其他研究加以证实。
