Infant sleep location: associated maternal and infant characteristics with sudden infant death syndrome prevention recommendations.
OBJECTIVE
To identify factors associated with infant sleep location.


METHODS
Demographic information and infant care practices were assessed for 708 mothers of infants ages 0 to 8 months at Women, Infants and Children centers. Generalized linear latent mixed models were constructed for the outcome, sleeping arrangement last night (room-sharing without bed-sharing versus bed-sharing, and room-sharing without bed-sharing versus sleeping in separate rooms).


RESULTS
Two-thirds of the mothers were African-American. A total of 48.6% mothers room-shared without bed-sharing, 32.5% bed-shared, and 18.9% slept in separate rooms. Compared with infants who slept in separate rooms, infants who room-shared without bed-sharing were more likely to be Hispanic (odds ratio [OR], 2.58, 95% CI 1.11-5.98) and younger (3.66- and 1.74-times more likely for infants 0-1 month old and 2-3 months old, respectively, as compared with older infants). Compared with infants who bed-shared, infants who room-shared without bed-sharing were more likely to be 0 to 1 month old (OR, 1.57; 95% CI, 1.05-2.35) and less likely to be African-American (OR, 0.43; 95% CI, 0.26-0.70) or have a teenage mother (OR, 0.37; 95% CI, 0.23-0.58).


CONCLUSIONS
Approximately one-third of mothers and infants bed-share, despite increased risk of sudden infant death syndrome (SIDS). The factors associated with bed-sharing are also associated with SIDS, likely rendering infants with these characteristics at high risk for SIDS.
Fu
Linda Y
LY
Goldberg Center for Community Pediatric Health, Children's National Medical Center, Washington, DC 20010, USA. lfu@cnmc.org
Colson
Eve R
ER
Corwin
Michael J
MJ
Moon
Rachel Y
RY
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D001513:Beds / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009035:Mothers; D016017:Odds Ratio; D012890:Sleep; D012959:Socioeconomic Factors; D013398:Sudden Infant Death / Q000453:epidemiology* / Q000517:prevention & control*