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Revisiting Safe Sleep Recommendations for African-American Infants: Why Current Counseling is Insufficient
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  • 作者:Laura M. Gaydos (1)
    Sarah C. Blake (1)
    Julie A. Gazmararian (2)
    Whitney Woodruff (3)
    Winifred W. Thompson (4)
    Safiya George Dalmida (5)

    1. Department of Health Policy and Management
    ; Rollins School of Public Health ; Emory University ; Atlanta ; GA ; USA
    2. Department of Epidemiology
    ; Rollins School of Public Health ; Emory University ; Atlanta ; GA ; USA
    3. Emory University Hospital
    ; Atlanta ; GA ; USA
    4. Department of Behavioral Sciences and Health Education
    ; Rollins School of Public Health ; Emory University ; Atlanta ; GA ; USA
    5. School of Nursing
    ; Emory University ; Atlanta ; GA ; USA
  • 关键词:SIDS ; Sleep safety ; African ; American ; Co ; sleeping
  • 刊名:Maternal and Child Health Journal
  • 出版年:2015
  • 出版时间:March 2015
  • 年:2015
  • 卷:19
  • 期:3
  • 页码:496-503
  • 全文大小:211 KB
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  • 刊物主题:Public Health; Sociology, general; Population Economics; Pediatrics; Gynecology; Maternal and Child Health;
  • 出版者:Springer US
  • ISSN:1573-6628
文摘
The American Academy of Pediatrics recommends that children be placed in the supine position on firm bedding and not bed share with parents or other children. Health professionals increasingly understand that many African-American parents do not follow these recommendations, but little research exists on provider reactions to this non-compliance. This study was intended to better understand how low-income, African-American mothers understand and act upon safe sleep recommendations for newborns and how providers counsel these mothers. We conducted focus groups with 60 African-American, low-income, first-time mothers and telephone interviews with 20 providers serving these populations to explore provider counseling and patient decision making. The large majority of mothers reported understanding, but not following, the safe-sleeping recommendations. Key reasons for non-compliance included perceived safety, convenience, quality of infant sleep and conflicting information from family members. Mothers often take measures intended to mitigate risk associated with noncompliance, instead increasing SIDS risk. Providers recognize that many mothers are non-compliant and attribute non-compliance largely to cultural and familial influence. However, few provider attempts are made to mitigate SIDS risks from non-compliant behaviors. We suggest that counseling strategies should be adapted to: (1) provide greater detailed rationale for SIDS prevention recommendations; and (2) incorporate or acknowledge familial and cultural preferences. Ignoring the reasons for sleep decisions by African-American parents may perpetuate ongoing racial/ethnic disparities in SIDS.

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