Reports of Injury Risks and Reasons for Choice of Sleep Environments for Infants and Toddlers
| Autor: | Mary Batcher, N. J. Scheers, Bradley T. Thach, Chauncey Dayton |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Demographics Epidemiology Mothers Safe sleep environment Beds Crib injuries Logistic regression Choice Behavior Article Infant Equipment Asphyxia 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires 030225 pediatrics Suffocation risk Humans Medicine Accidental suffocation 030219 obstetrics & reproductive medicine business.industry Maternal and child health Infant Care Significant difference technology industry and agriculture Public Health Environmental and Occupational Health Infant Obstetrics and Gynecology equipment and supplies Child Preschool Pediatrics Perinatology and Child Health Wounds and Injuries Female Sleep business Demography |
| Zdroj: | Maternal and Child Health Journal |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-019-02803-7 |
| Popis: | Objective Compare mothers’ reports of injuries for infants and toddlers sleeping with crib-bumpers/mesh-liners/no-barriers and reasons for these sleep environment choices. Methods A cross-sectional survey of mothers subscribing to a parenting magazine and using crib bumpers (n = 224), mesh liners (n = 262), and no barriers (n = 842). Analyses of four possible injuries (face-covered, climb-out/fall, slat-entrapment, hit-head) including multivariate logistic regression adjusted for missing data/demographics and Chi squared analyses of reasons for mothers’ choices. Results Maternal reports of finding infants/toddlers with face covered had 3.5 times higher adjusted odds (aOR) for crib bumper versus mesh liner use. Breathing difficulties and wedgings were reported for infants/toddlers using crib bumpers but not mesh liners. Climb-outs/falls showed no significant difference in aORs for crib bumpers versus no-barriers and mesh liners versus no barriers. Reports of slat-entrapment were less likely for mothers using crib bumpers and mesh liners than using no barrier (aOR = .28 and .32). Reports of hit-heads were less likely for crib bumpers vs no barrier (aOR = .38) with no significant difference between mesh liners versus no barrier use. Mothers using crib bumpers and mesh liners felt their choice prevented slat-entrapment (89%, 91%); 93.5% of crib bumper users felt their choice prevented hit-heads. Significantly more mesh liner than crib bumper users chose them because “There is no suffocation risk” (64.1% vs. 40.6%), while 83.6% of no-barrier users chose them because “I was concerned about suffocation risk.” Conclusions for Practice Mothers appeared to be more concerned about preventing minor risks than suffocation. Understanding reasons for mothers’ use of barriers/no-barriers is important in tailoring counseling for mothers with infants/toddlers. Electronic supplementary material The online version of this article (10.1007/s10995-019-02803-7) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |