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首页> 外文期刊>Tobacco control >Increasing prevalence of smoke-free homes and decreasing rates of sudden infant death syndrome in the United States: an ecological association study
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Increasing prevalence of smoke-free homes and decreasing rates of sudden infant death syndrome in the United States: an ecological association study

机译：生态协会研究显示，美国无烟房屋的患病率上升，婴儿猝死综合征的发生率下降

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Purpose This study utilises an ecological design to analyse the relation between concurrent temporal trends in sudden infant death syndrome (SIDS) rates and prevalence of smoke-free households with infants in the USA, controlling for an important risk factor, infant supine sleep position. Methods Annual state-specific SIDS cases were computed using period linked birth/infant death files; the prevalence of 100% smoke-free homes with infants using Tobacco Use Supplement to the Current Population Survey data, and percentage of infants in supine sleep position from National Infant Sleep Position data, for years 1995-2006. Incidence rate ratios relating trends in SIDS cases and risk factors were determined using time-series negative binomial regression. Population-level health effects were assessed with secondhand smoke (SHS) exposure population attributable fractions and excess attributable SIDS deaths. Results For every 1% absolute increase in the prevalence of smoke-free homes with infants, SIDS rates decreased 0.4% from 1995 to 2006, controlling for supine sleep position. Nationally, it is possible that 20% of the 1326 total SIDS cases were attributable to childhood SHS exposure at home in 2006 with potentially 534 fewer infant deaths attributable to SHS exposure in 2006 than in 1995, owing to an increasing prevalence of 100% smoke-free homes with infants. Cumulatively, 4402 (lower 95% Cl) to 6406 (upper 95% Cl) excess SIDS cases may have been attributable to SHS exposure in the home over the 12-year study period. Conclusions The uptake of voluntary restrictions on smoking inside the home may present a public health benefit for infants in their first year of life. In light of inherent ecological study design limitations, these results warrant further individual level research linking postnatal SHS exposure and SIDS.
机译：目的本研究利用生态学设计来分析美国婴儿猝死综合征（SIDS）的同时发生时间趋势与无烟家庭中婴儿的患病率之间的关系，从而控制重要的危险因素，即婴儿仰卧位。方法使用时期相关的出生/婴儿死亡档案计算每年特定州的SIDS病例；使用1995年至2006年全国人口睡眠状况数据中的“当前人口调查”数据中使用烟草使用补充剂的婴儿中100％无烟房屋的患病率，以及仰卧位置的婴儿百分比。使用时间序列负二项式回归确定与SIDS病例趋势和危险因素相关的发生率比率。通过二手烟（SHS）暴露人群可归因的分数和可归因的SIDS死亡过多来评估人群对健康的影响。结果从1995年到2006年，婴儿无烟住宅的患病率每增加1％，SIDS发生率就下降0.4％，控制了仰卧位。在全国范围内，2006年总计1326个小岛屿发展中国家（SIDS）病例中，有20％归因于儿童在家中接触SHS，2006年与1995年相比，与SHS接触引起的婴儿死亡人数可能比1995年减少534，原因是吸烟率100％带婴儿的免费房屋。在为期12年的研究期内，家庭中SHS暴露累计可能导致4402（低95％Cl）至6406（高95％Cl）过量。结论自愿在家中吸烟是对婴儿出生后第一年的公共健康益处。鉴于固有的生态研究设计局限性，这些结果值得进一步进行有关出生后SHS暴露和SIDS的个体研究。

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  • 来源
    《Tobacco control》 |2012年第1期|p.6-11|共6页
  • 作者

    Ilan Behm; Zubair Kabir; Gregory N Connolly; Hillel R Alpert;

  • 作者单位

    Center for Global Tobacco Control, Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA USA,Harvard School of Public Health, Center for Global Tobacco Control, 677 Huntington Avenue, The Landmark Center, 3rd Floor East, Boston, MA 02115, USA;

    Research Institute for a Tobacco Free Society, Dublin, Republic of Ireland;

    Center for Global Tobacco Control, Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA USA;

    Center for Global Tobacco Control, Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA USA;

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