International Child Care Practices Study: infant sleeping environment

E. A.S. Nelson, B. J. Taylor, Alejandre Jenik, John Vance, Karen Walmsley, Katie Pollard, Michelle Freemantle, Dot Ewing, Christa Einspieler, Heidemarie Engele, Petra Ritter, G. Elske Hildes-Ripstein, Monica Arancibia, Xiaocheng Ji, Haiqi Li, E. A.S. Nelson, Crystal Bedard, Karin Helweg-Larsen, Katrine Sidenius, Susan KarlqvistChristian Poets, Eva Barko, Bernadette Kiberd, Mary McDonnell, Gianpaolo Donzelli, Raffaele Piumelli, Luca Landini, Arturo Giustardi, Hiroshi Nishida, Stephanie Fukui, Toshiko Sawaguchi, Masataka Ino, Takeshi Horiuchi, Koki Oguchi, Barry J. Taylor, Sheila Williams, Yildiz Perk, David Tappin, Joseph Milerad, Maria Wennborg, N. Aryayev, V. Nepomyashchaya

Research output: Contribution to journalArticlepeer-review

82 Citations (Scopus)

Abstract

Background: The International Child Care Practices Study (ICCPS) has collected descriptive data from 21 centres in 17 countries. In this report, data are presented on the infant sleeping environment with the main focus being sudden infant death syndrome (SIDS) risk factors (bedsharing and infant using a pillow) and protective factors (infant sharing a room with adult) that are not yet well established in the literature. Methods: Using a standardised protocol, parents of infants were surveyed at birth by interview and at 3 months of age mainly by postal questionnaire. Centres were grouped according to geographic location. Also indicated was the level of SIDS awareness in the community, i.e. whether any campaigns or messages to 'reduce the risks of SIDS' were available at the time of the survey. Results: Birth interview data were available for 5488 individual families and 4656 (85%) returned questionnaires at 3 months. Rates of bedsharing varied considerably (2-88%) and it appeared to be more common in the samples with a lower awareness of SIDS, but not necessarily a high SIDS rate. Countries with higher rates of bedsharing appeared to have a greater proportion of infants bedsharing for a longer duration (>5 h). Rates of room sharing varied (58-100%) with some of the lowest rates noted in centres with a higher awareness of SIDS. Rates of pillow use ranged from 4% to 95%. Conclusions: It is likely that methods of bedsharing differ cross-culturally, and although further details were sought on different bedsharing practices, it was not possible to build up a composite picture of 'typical' bedsharing practices in these different communities. These data highlight interesting patterns in child care in these diverse populations. Although these results should not be used to imply that any particular child care practice either increases or decreases the risk of SIDS, these findings should help to inject caution into the process of developing SIDS prevention campaigns for non-Western cultures.

Original languageEnglish
Pages (from-to)43-55
Number of pages13
JournalEarly Human Development
Volume62
Issue number1
DOIs
Publication statusPublished - 2001

Keywords

  • Child care
  • Infant sleeping environment
  • SIDS

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