Factors Influencing the Racial Disparity in Sudden Infant Death Syndrome (SIDS)
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 10/21/2018 |
| Start Date: | December 2004 |
| End Date: | September 2015 |
The overall purpose of this investigation is to better understand factors contributing to the
high incidence of prone sleep positioning in African-American infants. In addition, the
investigators are interested in investigating other races and ethinicities to understand
their beliefs and perceptions and determine differences socioeconomically and socioculturally
within and between groups. The investigators will address the following specific aims:
(-) To compare knowledge, attitudes, and practices regarding infant sleep position in parents
of higher and lower SES.
(-) To identify risk factors for non-use of recommended supine sleep position in families
with higher and lower SES (-) to develop a phenomenologic understanding of the decisions made
by parents of higher SES and lower SES who do nt use recommended supine sleep position, using
qualitative techniques.
high incidence of prone sleep positioning in African-American infants. In addition, the
investigators are interested in investigating other races and ethinicities to understand
their beliefs and perceptions and determine differences socioeconomically and socioculturally
within and between groups. The investigators will address the following specific aims:
(-) To compare knowledge, attitudes, and practices regarding infant sleep position in parents
of higher and lower SES.
(-) To identify risk factors for non-use of recommended supine sleep position in families
with higher and lower SES (-) to develop a phenomenologic understanding of the decisions made
by parents of higher SES and lower SES who do nt use recommended supine sleep position, using
qualitative techniques.
Epidemiologic studies have demonstrated prone position to be a major risk factor for SIDS.
Studies have consistently demonstrated an increased rate of prone positioning in African
American infants, but very little is known about the reasons why African American parents use
the prone position more often than other racial groups. Furthermore, no studies have taken
advantage of the observed socioeconomic status associated variablility in SIDS and prone
sleeping within the African American community. By examing within-group differences, it is
possible to move beyond comparative racial descriptions (i.e. comparisions of white and
African American) to identification of potentially modifiable factors that might respond to
culturally acceptable interventions within a disadvantaged group.
Studies have consistently demonstrated an increased rate of prone positioning in African
American infants, but very little is known about the reasons why African American parents use
the prone position more often than other racial groups. Furthermore, no studies have taken
advantage of the observed socioeconomic status associated variablility in SIDS and prone
sleeping within the African American community. By examing within-group differences, it is
possible to move beyond comparative racial descriptions (i.e. comparisions of white and
African American) to identification of potentially modifiable factors that might respond to
culturally acceptable interventions within a disadvantaged group.
Inclusion Criteria:
- Parents who are 18 years old wth children less than 6 months old are eligible to
participate if they self-identify as African American, with parents born in the United
States.
Exclusion Criteria:
- If the parent is male, not the custodial parent of the child, unable to complet the
interview in English or if their child has a chronis illness that would preclude use
of the supine sleep position, severe gastroesophageal reflux or recent spinal surgery.
We found this trial at
1
site
111 Michigan Ave NW
Washington, District of Columbia
Washington, District of Columbia
(202) 476-5000
Childrens National Medical Center As the nation’s children’s hospital, the mission of Children’s National Medical...
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