Effect of “This Side Up” T-shirts on Infant Sleep Position
- 191 Downloads
Objectives: To assess the impact of “This Side Up” T-shirts on parental practices in Nebraska. Methods: A random sample of 3,210 Nebraska women who gave birth in 2004, stratified by race/ethnicity, was mailed a brief questionnaire on their receipt of a T-shirt and SIDS risk reduction materials at their birthing hospital, and on infant sleep position. Results: Response rates were low (25.9%), ranging from 10.6% for Native American mothers to 46.4% for White mothers. Half (52.0%) had received a T-shirt and 71.6% had received SIDS information. Two-thirds (64.0%) reported that their infants slept on their backs; African-American and Hispanic infants were significantly less likely to back sleep. In univariate logistic regression models, African-American race, Hispanic ethnicity and maternal age 30–39 were significant negative predictors of back sleeping; White race and having received a SIDS brochure were positive predictors. In the fully controlled model African American and Asian race and Hispanic ethnicity were negative predictors of back sleeping; neither receiving SIDS information nor the infant T-shirt was significant. Effects of maternal age and a SIDS informational brochure appeared in models stratified by race/ethnicity. Conclusions: In these data, receiving an infant T-shirt was not related to how mothers placed their infants to sleep. Additional research is needed on effective methods of delivering targeted counseling and promoting safe sleep practices among families, particularly among racial and ethnic subgroups.
KeywordsSIDS Sleep position Social marketing T-shirt Evaluation
- 1.American Academy of Pediatrics, Task Force on Sudden Infant Death Syndrome. The changing concept of Sudden Infant Death Syndrome: Diagnostic coding shifts, controversies regarding sleeping environment, and new variables to consider in reducing risk. Pediatrics 2005;116:1245–55.CrossRefGoogle Scholar
- 3.Nebraska Health and Human Services System. Nebraska's Blue Ribbon Panel on Infant Mortality. Available through the Office of Family Health, Nebraska Health and Human Services System; 402/471-2907 or firstname.lastname@example.org. 2000.Google Scholar
- 8.Nebraska Health and Human Services System. Pregnancy Risk Assessment Monitoring System (PRAMS). 1999 data are available at http://www.hhs.state.ne.us/srd/prams.htm. 2000–2002 data are available through the Office of Family Health, Nebraska Health and Human Services System; 402/471-2907 or email@example.com.Google Scholar