Cargando…

Cultural variation in factors associated with sudden infant death during sleep

BACKGROUND: Despite the significant reduction decades ago in sudden unexpected death in infancy (SUDI), decline of rates has slowed and stalled in some countries, including the USA. This led to an appreciation of ethnic variations in SUDI rates and the need to increase cultural sensitivity regarding...

Descripción completa

Detalles Bibliográficos
Autores principales: Ahn, Young Mee, Yang, Kyung-moo, Ha, Hong Il, Cho, Jung Ae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8501689/
https://www.ncbi.nlm.nih.gov/pubmed/34627192
http://dx.doi.org/10.1186/s12887-021-02894-8
_version_ 1784580738478243840
author Ahn, Young Mee
Yang, Kyung-moo
Ha, Hong Il
Cho, Jung Ae
author_facet Ahn, Young Mee
Yang, Kyung-moo
Ha, Hong Il
Cho, Jung Ae
author_sort Ahn, Young Mee
collection PubMed
description BACKGROUND: Despite the significant reduction decades ago in sudden unexpected death in infancy (SUDI), decline of rates has slowed and stalled in some countries, including the USA. This led to an appreciation of ethnic variations in SUDI rates and the need to increase cultural sensitivity regarding sleep practices and circumstantial factors of SUDI. The study explored SUDI-related factors, in journal articles from two geo-cultural regions (Asian and Western countries), particularly for factors related to infant sleep practices. METHODS: A systematic review was conducted to identify SUDI-related factors in articles from PubMed, Scopus, and the Korean Citation Index from January 1992 to April 2019. From each article, SUDI-related factors were retrieved and categorized through the identification, aggregation, and categorization of factors into the areas of the triple risk model (TRM) of SUDI by their meanings and commonality. Significant trends in the frequency of factors were analyzed across time and between the two geo-cultural regions (Asian and Western countries) of article. RESULTS: From a review of 218 articles (38 Asian and 180 Western articles), 84 SUDI-related factors were identified: 39 factors for TRM 1, 44 factors for TRM 2, and one factor for TRM 3. Four of the top-ranked 10 factors were found in both cultural zones: sleep position, male sex, bed-sharing, and genetics. Both cultural zones identified sleep position (44.0%), bed-sharing (22.0%), and rooming-in (16.5%) as the three most important sleep-related factors for SUDI. Variations between the cultural zones were observed in the place of SUDI occurrence, overheating, swaddling or bedding standards, and smoking. CONCLUSIONS: Regardless of the urgent need to identify SUDI-related factors in low-SUDI societies, Asian cultures showed a significant lack of articles on SUDI. Several sociocultural issues were recognized such as the meaning of bed-sharing and rooming-in, along with residential styles and traditional health beliefs on sleep-related SUDI factors. Particularly little attention towards smoking was found in Asian articles in terms of frequency, suggesting the need to enhance SUDI reduction strategies by incorporating gender-sensitive smoking cessation interventions. This review of SUDI factors requests child health professionals to be alert to sociocultural variations in sleep practices and SUDI factors.
format Online
Article
Text
id pubmed-8501689
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-85016892021-10-20 Cultural variation in factors associated with sudden infant death during sleep Ahn, Young Mee Yang, Kyung-moo Ha, Hong Il Cho, Jung Ae BMC Pediatr Research BACKGROUND: Despite the significant reduction decades ago in sudden unexpected death in infancy (SUDI), decline of rates has slowed and stalled in some countries, including the USA. This led to an appreciation of ethnic variations in SUDI rates and the need to increase cultural sensitivity regarding sleep practices and circumstantial factors of SUDI. The study explored SUDI-related factors, in journal articles from two geo-cultural regions (Asian and Western countries), particularly for factors related to infant sleep practices. METHODS: A systematic review was conducted to identify SUDI-related factors in articles from PubMed, Scopus, and the Korean Citation Index from January 1992 to April 2019. From each article, SUDI-related factors were retrieved and categorized through the identification, aggregation, and categorization of factors into the areas of the triple risk model (TRM) of SUDI by their meanings and commonality. Significant trends in the frequency of factors were analyzed across time and between the two geo-cultural regions (Asian and Western countries) of article. RESULTS: From a review of 218 articles (38 Asian and 180 Western articles), 84 SUDI-related factors were identified: 39 factors for TRM 1, 44 factors for TRM 2, and one factor for TRM 3. Four of the top-ranked 10 factors were found in both cultural zones: sleep position, male sex, bed-sharing, and genetics. Both cultural zones identified sleep position (44.0%), bed-sharing (22.0%), and rooming-in (16.5%) as the three most important sleep-related factors for SUDI. Variations between the cultural zones were observed in the place of SUDI occurrence, overheating, swaddling or bedding standards, and smoking. CONCLUSIONS: Regardless of the urgent need to identify SUDI-related factors in low-SUDI societies, Asian cultures showed a significant lack of articles on SUDI. Several sociocultural issues were recognized such as the meaning of bed-sharing and rooming-in, along with residential styles and traditional health beliefs on sleep-related SUDI factors. Particularly little attention towards smoking was found in Asian articles in terms of frequency, suggesting the need to enhance SUDI reduction strategies by incorporating gender-sensitive smoking cessation interventions. This review of SUDI factors requests child health professionals to be alert to sociocultural variations in sleep practices and SUDI factors. BioMed Central 2021-10-09 /pmc/articles/PMC8501689/ /pubmed/34627192 http://dx.doi.org/10.1186/s12887-021-02894-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ahn, Young Mee
Yang, Kyung-moo
Ha, Hong Il
Cho, Jung Ae
Cultural variation in factors associated with sudden infant death during sleep
title Cultural variation in factors associated with sudden infant death during sleep
title_full Cultural variation in factors associated with sudden infant death during sleep
title_fullStr Cultural variation in factors associated with sudden infant death during sleep
title_full_unstemmed Cultural variation in factors associated with sudden infant death during sleep
title_short Cultural variation in factors associated with sudden infant death during sleep
title_sort cultural variation in factors associated with sudden infant death during sleep
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8501689/
https://www.ncbi.nlm.nih.gov/pubmed/34627192
http://dx.doi.org/10.1186/s12887-021-02894-8
work_keys_str_mv AT ahnyoungmee culturalvariationinfactorsassociatedwithsuddeninfantdeathduringsleep
AT yangkyungmoo culturalvariationinfactorsassociatedwithsuddeninfantdeathduringsleep
AT hahongil culturalvariationinfactorsassociatedwithsuddeninfantdeathduringsleep
AT chojungae culturalvariationinfactorsassociatedwithsuddeninfantdeathduringsleep