Maternal-infant bedsharing

Risk factors for bedsharing in a population-based survey of new mothers and implications for SIDS risk reduction

Martin B. Lahr, Kenneth D. Rosenberg, Jodi Lapidus

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Objectives: Maternal-infant bedsharing is a common but controversial practice. Little has been published about who bedshares in the United States. This information would be useful to inform public policy, to guide clinical practice and to help focus research. The objective was to explore the prevalence and determinants of bedsharing in Oregon. Methods: Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) surveys a population-based random sample of women after a live birth. Women were asked if they shared a bed with their infant "always," "almost always," "sometimes" or "never." Results: 1867 women completed the survey in 1998-99 (73.5% weighted response rate). Of the respondents, 20.5% reported bedsharing always, 14.7% almost always, 41.4% sometimes, and 23.4% never. In multivariable logistic regression, Hispanics (adjusted odds ratio [ORa] 1.69, 95% Confidence Interval [CI] 1.17-2.43), blacks (ORa 3.11, 95% CI 2.03-4.76) and Asians/Pacific Islanders (ORa 2.14, 95% CI 1.51-3.03), women who breastfed more than 4 weeks (ORa 2.65, 95% CI 1.72-4.08), had annual family incomes less than $30,000 (ORa 2.44, 95% CI 1.44-4.15), or were single (ORa 1.55, 95% CI 1.03-2.35) were more likely to bedshare frequently (always or almost always). Among Hispanic and black women, bedsharing did not vary significantly by income level. Bedsharing black, American Indian/Alaska Native and white infants were much more likely to be exposed to smoking mothers than Hispanic or Asian/Pacific Islander infants (p <0001). Conclusions: Bedsharing is common in Oregon. The women most likely to bedshare are non-white, single, breastfeeding and low-income. Non-economic factors are also important, particularly among blacks and Hispanics. Campaigns to decrease bedsharing by providing cribs may have limited effectiveness if mothers are bedsharing because of cultural norms.

Original languageEnglish (US)
Pages (from-to)277-286
Number of pages10
JournalMaternal and Child Health Journal
Volume11
Issue number3
DOIs
StatePublished - May 2007

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Sudden Infant Death
Risk Reduction Behavior
Odds Ratio
Mothers
Confidence Intervals
Hispanic Americans
Population
Infant Equipment
North American Indians
Live Birth
Public Policy
Breast Feeding
Surveys and Questionnaires
Logistic Models
Smoking
Pregnancy
Research

Keywords

  • Bedsharing
  • Class
  • Ethnicity
  • Infant mortality
  • Public health
  • Race
  • SIDS

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Maternal-infant bedsharing : Risk factors for bedsharing in a population-based survey of new mothers and implications for SIDS risk reduction. / Lahr, Martin B.; Rosenberg, Kenneth D.; Lapidus, Jodi.

In: Maternal and Child Health Journal, Vol. 11, No. 3, 05.2007, p. 277-286.

Research output: Contribution to journalArticle

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