Lauren E Provini1, Michael J Corwin2, Nicole L Geller2, Timothy C Heeren3, Rachel Y Moon4, Denis V Rybin5, Carrie K Shapiro-Mendoza6, Eve R Colson7. 1. Department of Pediatrics, Yale University School of Medicine, New Haven, CT. 2. Slone Epidemiology Center, Boston University, Boston, MA. 3. Department of Biostatistics, Boston University School of Public Health, Boston, MA. 4. Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, VA. 5. Data Coordinating Center, Boston University School of Public Health, Boston, MA. 6. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. 7. Department of Pediatrics, Yale University School of Medicine, New Haven, CT. Electronic address: eve.colson@yale.edu.
Abstract
OBJECTIVE: To assess the association between maternal birth country and adherence to the American Academy of Pediatrics safe sleep recommendations in a national sample of Hispanic mothers, given that data assessing the heterogeneity of infant care practices among Hispanics are lacking. STUDY DESIGN: We used a stratified, 2-stage, clustered design to obtain a nationally representative sample of mothers from 32 US intrapartum hospitals. A total of 907 completed follow-up surveys (administered 2-6 months postpartum) were received from mothers who self-identified as Hispanic/Latina, forming our sample, which we divided into 4 subpopulations by birth country (US, Mexico, Central/South America, and Caribbean). Prevalence estimates and aORs were determined for infant sleep position, location, breastfeeding, and maternal smoking. RESULTS: When compared with US-born mothers, we found that mothers born in the Caribbean (aOR 4.56) and Central/South America (aOR 2.68) were significantly more likely to room share without bed sharing. Caribbean-born mothers were significantly less likely to place infants to sleep supine (aOR 0.41). Mothers born in Mexico (aOR 1.67) and Central/South America (aOR 2.57) were significantly more likely to exclusively breastfeed; Caribbean-born mothers (aOR 0.13) were significantly less likely to do so. Foreign-born mothers were significantly less likely to smoke before and during pregnancy. CONCLUSIONS: Among US Hispanics, adherence to American Academy of Pediatrics safe sleep recommendations varies widely by maternal birth country. These data illustrate the importance of examining behavioral heterogeneity among ethnic groups and have potential relevance for developing targeted interventions for safe infant sleep.
OBJECTIVE: To assess the association between maternal birth country and adherence to the American Academy of Pediatrics safe sleep recommendations in a national sample of Hispanic mothers, given that data assessing the heterogeneity of infant care practices among Hispanics are lacking. STUDY DESIGN: We used a stratified, 2-stage, clustered design to obtain a nationally representative sample of mothers from 32 US intrapartum hospitals. A total of 907 completed follow-up surveys (administered 2-6 months postpartum) were received from mothers who self-identified as Hispanic/Latina, forming our sample, which we divided into 4 subpopulations by birth country (US, Mexico, Central/South America, and Caribbean). Prevalence estimates and aORs were determined for infant sleep position, location, breastfeeding, and maternal smoking. RESULTS: When compared with US-born mothers, we found that mothers born in the Caribbean (aOR 4.56) and Central/South America (aOR 2.68) were significantly more likely to room share without bed sharing. Caribbean-born mothers were significantly less likely to place infants to sleep supine (aOR 0.41). Mothers born in Mexico (aOR 1.67) and Central/South America (aOR 2.57) were significantly more likely to exclusively breastfeed; Caribbean-born mothers (aOR 0.13) were significantly less likely to do so. Foreign-born mothers were significantly less likely to smoke before and during pregnancy. CONCLUSIONS: Among US Hispanics, adherence to American Academy of Pediatrics safe sleep recommendations varies widely by maternal birth country. These data illustrate the importance of examining behavioral heterogeneity among ethnic groups and have potential relevance for developing targeted interventions for safe infant sleep.
Authors: Carrie K Shapiro-Mendoza; Eve R Colson; Marian Willinger; Denis V Rybin; Lena Camperlengo; Michael J Corwin Journal: Pediatrics Date: 2014-12-01 Impact factor: 7.124
Authors: M Willinger; H J Hoffman; K T Wu; J R Hou; R C Kessler; S L Ward; T G Keens; M J Corwin Journal: JAMA Date: 1998 Jul 22-29 Impact factor: 56.272
Authors: Staci R Eisenberg; Megan H Bair-Merritt; Eve R Colson; Timothy C Heeren; Nicole L Geller; Michael J Corwin Journal: Pediatrics Date: 2015-08 Impact factor: 7.124