Socioeconomic position and factors associated with use of a nonsupine infant sleep position: Findings from the canadian maternity experiences survey

J. Smylie, D.B. Fell, B. Chalmers, R. Sauve, C. Royle, B. Allan and P. O'Campo

American Journal of Public Health, 2014, vol. 104, issue 3, 539-547

Abstract: Objectives. With a focus on socioeconomic position, we examined the association between maternal education and nonsupine infant sleep position, and examined patterns of effect modification with additional sociodemographic, maternal, infant, and health services predictors. Methods. Data were from the Maternity Experiences Survey, a national population-based sample of 76 178 new Canadian mothers (unweighted n = 6421) aged 15 years or older interviewed in 2006-2007. Using logistic regression, we developed multivariate models for 3 maternal education strata. Results. Level of maternal education was significantly and inversely related to nonsupine infant sleep position. Stratified analyses revealed different predictive factors for nonsupine infant sleep position across strata of maternal education. Postpartum home visits were not associated with use of this sleep position among new mothers with less than high school completion. Adequacy of postpartum information regarding sudden infant death syndrome was not associated with nonsupine infant sleep position in any of the educational strata. Conclusions. These findings suggest a need to revisit Back to Sleep health promotion strategies and to ensure that these interventions are tailored to match the information needs of all families, including mothers with lower levels of formal education.

Keywords: adolescent; article; body posture; Canada; confidence interval; female; human; infant; maternal behavior; mother; mother child relation; psychological aspect; qualitative research; sleep; social class; statistical model; young adult, Adolescent; Canada; Confidence Intervals; Female; Humans; Infant; Logistic Models; Maternal Behavior; Mother-Child Relations; Mothers; Prone Position; Qualitative Research; Sleep; Social Class; Young Adult (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.301061_1

DOI: 10.2105/AJPH.2012.301061

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