Abstract
Ecuador’s annual mortality rate from SIDS is 0.4 per 100 000 people, 4 times higher than neighboring countries Peru, Bolivia, and Brazil. Modifying the infant sleep environment toward safe practice has been demonstrated to be the most effective risk reduction strategy in reducing mortality from SIDS and little is known about sleep practices in Ecuador. The purpose of this study is to describe baseline infant sleep intentions of pregnant women in a peri-urban, low resource community in Ecuador. We also aim to identify demographic and psychosocial factors associated with suboptimal sleep practices in this context to develop long-term strategies to identify infants with high risk for SIDS/SUID. A cross-sectional study design was employed with 100 women in their third trimester of pregnancy. The majority of women were partnered (82%), both parents had approximately 8 years of education, and over half reported that their incomes met or exceeded their basic needs (55%). Significant predictors of safer sleep intention included years of paternal education (P =.019) and income meeting their basic needs (P =.0049). For each additional year of paternal education, families were 23% more likely to report safer intended infant sleep practices. Compared to those whose income did not allow for basic needs, those who had sufficient income to meet (or exceed) basic needs were 425% more likely to report safer intended sleep practices. Targeted interventions to high-risk populations may reduce the burden of SIDS/SUID in this community.
| Original language | English |
|---|---|
| Journal | Global Pediatric Health |
| Volume | 8 |
| DOIs | |
| State | Published - 2021 |
Bibliographical note
Funding Information:The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The project utilized RedCap as a data collection tool and this was supported by the NIH National Center for Advancing Translational Sciences through grant number UL1TR001998. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. This project was funded in part through a grant administered from the University of Kentucky, Department of Pediatrics, from the Children’s Miracle Network Fund.
Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The project utilized RedCap as a data collection tool and this was supported by the NIH National Center for Advancing Translational Sciences through grant number UL1TR001998. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. This project was funded in part through a grant administered from the University of Kentucky, Department of Pediatrics, from the Children?s Miracle Network Fund.
Funding Information:
Dr.’s Ceballos, Young, Bahamonde and Feld devised the project, the study design and the main conceptual ideas. Dr. Ceballos initiated funding from Children’s Miracle Network. Dr. Bahamonde and Pablo Boada worked on the training, organization, and supervision of the study in country. Dr. Ceballos and Dr. Feld met with the research team throughout the process, designed the data collection tools and supervised data management. Dr. Rayens performed the analysis, aided in interpretting the results, and worked on the methods, tables and results of the manuscript. Dr.’s Feld and Ceballos led the writing of the manuscript, but all authors contributed, were engaged, editted, discussed results and commented on the manuscript.
Publisher Copyright:
© The Author(s) 2021.
Keywords
- Ecuador
- SIDS
- SUID
- Safe Infant Sleep
- South America
- bed-sharing
- sleep position
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Pediatrics