Factors associated with choice of infant sleep location

Ann Kellams, Fern R. Hauck, Rachel Y. Moon, Stephen M. Kerr, Timothy Heeren, Michael J. Corwin, Eve Colson

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


OBJECTIVE: To assess the prevalence of and factors associated with actual recent practice and near-future intention for infant sleep location in a national sample. METHODS: There were 3260 mothers from 32 US hospitals who responded to a survey at infant age 2 to 6 months regarding care practices, including usual and all infant sleep locations in the previous 2 weeks and intended location for the next 2 weeks. Mothers were categorized as (1) having practiced and/or intending to practice exclusive room-sharing without bed-sharing, (2) having practiced anything other than exclusive room-sharing but intending to practice exclusive room-sharing, (3) intending to have the infant sleep in another room; and (4) intending to practice bed-sharing all night or part of the night. Multivariable multinomial logistic regression examined associations between sleep-location category, demographics, feeding method, doctor advice, and theory of planned behavior domains (attitudes, social norms, and perceived control). RESULTS: Fewer than half (45.4%) of the mothers practiced and also intended to practice roomsharing without bed-sharing, and 24.2% intended to practice some bed-sharing. Factors associated with intended bed-sharing included African American race and exclusive breastfeeding; however, the highest likelihood of bed-sharing intent was associated with perceived social norms favoring bed-sharing (adjusted odds ratio [aOR] 5.84; 95% confidence interval [CI] 4.14-8.22) and positive attitudes toward bed-sharing (aOR 190.1; 95% CI 62.4-579.0). Women with a doctor's advice to room-share without bed-sharing intended to practice bed-sharing less (aOR 0.56; 95% CI 0.36-0.85). CONCLUSIONS: Sleep-location practices do not always align with the recommendation to roomshare without bed-sharing, and intention does not always correspond with previous practice. Attitudes, perceived social norms, and doctor advice are factors that are amenable to change and should be considered in educational interventions.

Original languageEnglish
Article numbere20191523
Issue number3
StatePublished - Mar 1 2020


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