| Popis: |
Sudden Infant Death Syndrome (SIDS) is the sudden death of any infant which is unexpected by history and in which a thorough post mortem examination fails to demonstrate an adequate cause of death. This study defines the incidence of SIDS in Hawaii and identifies any factors that may be characteristic of this population. Data collected from the Department of Health Hawaii Health Surveillance Program, and the Neonatal Intensive Care Unit at Kapiolani Women's and Children's Medical Center are used to determine risk factors per 1000 live births for both SIDS and non-SIDS groups. Results reveal that: 1) all socioeconomic groups are affected in the same proportion; 2) 72% of the infants died between 1-3 months; 3) low birth weight is a significant risk factor for SIDS; 4) the rate for twin births is a significant risk factor at 4.24; 5) SIDS occur more frequently in males than in females; and 6) the SIDS rates by race are: 0.71 for Asians, 1.49 for Part Hawaiians, and 1.88 for Blacks. Other significant factors include: time of day of the death, seasonal trends, maternal age, and legitimacy of birth. Factors that are not associated with SIDS include prenatal care, maternal education, previous fetal death, and birth order. These results show that SIDS in Hawaii is epidemiologically similar to the problem reported elsewhere and extends the findings of previous studies in Hawaii. |
