TY - JOUR
T1 - Maternal assessment of physician qualification to give advice on AAP-recommended infant sleep practices related to SIDS
AU - Smith, Lauren A.
AU - Colson, Eve R.
AU - Rybin, Denis
AU - Margolis, Amy
AU - Colton, Theodore
AU - Lister, George
AU - Corwin, Michael J.
N1 - Funding Information:
This study was supported by the National Institute of Child Health and Human Development grant U10 HD029067–14 , awarded to Michael Corwin, MD. For their assistance in completing this project, we thank the following WIC center staff: Janet Bedsole and the staff at the Bessemer Health Center WIC center in Birmingham, Ala; Karen Newsome, Joyce Deveraux, and the staff at the Lancaster-Kiest and West Ledbetter WIC centers in Dallas, Tex; Constance Adair and the staff at the Herman Kiefer Health Center in Detroit, Mich; Judy Parrott and the staff at the Hinds County WIC food center in Jackson, Miss; Jody Henderson and staff at the Coahoma County WIC food center in Clarksdale, Miss; and Debra Diehl and the staff at the Yale New Haven Hospital WIC center in New Haven, Conn. We also thank Erica Marshall for her assistance with preparing the manuscript and Marian Willinger for her review of the manuscript.
PY - 2010/11
Y1 - 2010/11
N2 - Objective: The American Academy of Pediatrics (AAP) strongly recommends the supine-only sleep position for infants and issued 2 more sudden infant death syndrome (SIDS) reduction recommendations: avoid bed sharing and use pacifiers during sleep. In this study, we investigated the following: 1) if mothers from at risk populations rate physicians as qualified to give advice about sleep practices and 2) if these ratings were associated with reports of recommended practice. Methods: A cross-sectional survey of mothers (N=2355) of infants aged <8 months was conducted at Women, Infants, and Children (WIC) Program centers in 6 cities from 2006 to 2008. The predictor measures were maternal rating of physician qualification to give advice about 3 recommended sleep practices and reported nature of physician advice. The dependent measures were maternal report of usage of recommended behavior: 1) "infant usually placed supine for sleep," 2) "infant usually does not share a bed with an adult during sleep," and 3) "infant usually uses a pacifier during sleep." Results: Physician qualification ratings varied by topic: sleep position (80%), bed sharing (69%), and pacifier use (60%). High ratings of physician qualification were associated with maternal reports of recommended behavior: supine sleep (adjusted odds ratio [AOR] 2.1, 95% confidence interval [CI], 1.6-2.6); usually no bed sharing (AOR 1.5, 95% CI, 1.2-1.9), and usually use a pacifier during sleep (AOR 1.2, 95% CI, 1.0-1.5). Conclusions: High maternal ratings of physician qualification to give advice on 2 of the 3 recommended sleep practices targeted to reduce the risk of SIDS were significantly associated with maternal report of using these behaviors. Lower ratings of physician qualification to give advice about these sleep practices may undermine physician effectiveness in promoting the recommended behavior.
AB - Objective: The American Academy of Pediatrics (AAP) strongly recommends the supine-only sleep position for infants and issued 2 more sudden infant death syndrome (SIDS) reduction recommendations: avoid bed sharing and use pacifiers during sleep. In this study, we investigated the following: 1) if mothers from at risk populations rate physicians as qualified to give advice about sleep practices and 2) if these ratings were associated with reports of recommended practice. Methods: A cross-sectional survey of mothers (N=2355) of infants aged <8 months was conducted at Women, Infants, and Children (WIC) Program centers in 6 cities from 2006 to 2008. The predictor measures were maternal rating of physician qualification to give advice about 3 recommended sleep practices and reported nature of physician advice. The dependent measures were maternal report of usage of recommended behavior: 1) "infant usually placed supine for sleep," 2) "infant usually does not share a bed with an adult during sleep," and 3) "infant usually uses a pacifier during sleep." Results: Physician qualification ratings varied by topic: sleep position (80%), bed sharing (69%), and pacifier use (60%). High ratings of physician qualification were associated with maternal reports of recommended behavior: supine sleep (adjusted odds ratio [AOR] 2.1, 95% confidence interval [CI], 1.6-2.6); usually no bed sharing (AOR 1.5, 95% CI, 1.2-1.9), and usually use a pacifier during sleep (AOR 1.2, 95% CI, 1.0-1.5). Conclusions: High maternal ratings of physician qualification to give advice on 2 of the 3 recommended sleep practices targeted to reduce the risk of SIDS were significantly associated with maternal report of using these behaviors. Lower ratings of physician qualification to give advice about these sleep practices may undermine physician effectiveness in promoting the recommended behavior.
KW - Back to Sleep campaign
KW - Infant mortality disparities
KW - Sleep position
KW - Sudden infant death syndrome
UR - http://www.scopus.com/inward/record.url?scp=78349267143&partnerID=8YFLogxK
U2 - 10.1016/j.acap.2010.08.006
DO - 10.1016/j.acap.2010.08.006
M3 - Article
C2 - 21075318
AN - SCOPUS:78349267143
SN - 1876-2859
VL - 10
SP - 383
EP - 388
JO - Academic Pediatrics
JF - Academic Pediatrics
IS - 6
ER -