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首页> 外文期刊>Annals of epidemiology >Economic antecedents of prone infant sleep placement among black mothers.
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Economic antecedents of prone infant sleep placement among black mothers.

机译：黑人母亲容易发生婴儿睡眠的经济前提。

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PURPOSE: Black infants die from sudden infant death syndrome at twice the incidence observed among non-Hispanic white infants. Explanations for this disparity include a two-fold greater prevalence of prone (i.e., stomach) infant sleep placement among black caregivers. I test the hypothesis that the contraction of state economies may contribute to this disparity by increasing the risk of prone infant sleep placement among black mothers. METHODS: I retrieved data from the Bureau of Labor Statistics employment series and 33,518 black mothers in 26 states participating in the 1996-2002 Pregnancy Risk Assessment Monitoring System. I use weighted multivariable analyses to control for individual characteristics and state and time trends. RESULTS: Black mothers exhibit an elevated risk of reporting prone placement one month following statewide declines in employment (adjusted odds ratio for a one percent decline = 1.11, 95% CI 1.01 to 1.22). This risk remains elevated after control for individual variables. Incontrast, I find no association between the economy and prone placement among white mothers. CONCLUSIONS: Statewide economic decline may reduce adherence to the recommended non-prone infant sleep position among black, but not white, mothers. Additional research among black caregivers should determine which mechanisms connect economic downturns to prone infant sleep placement.
机译：目的：黑人婴儿死于婴儿猝死综合症，其发生率是非西班牙裔白人婴儿的两倍。造成这种差异的原因包括，黑人看护者中婴儿俯卧（即胃）患病率高出两倍。我检验了以下假设，即国家经济的收缩可能会通过增加黑人母亲中婴儿容易卧床的风险来加剧这种差距。方法：我从劳工统计局的就业系列数据和参与1996-2002年怀孕风险评估监控系统的26个州的33,518名黑人母亲中获取了数据。我使用加权多变量分析来控制个体特征以及状态和时间趋势。结果：在全州范围内的就业下降后，黑人母亲在一个月内表现出俯卧的风险较高（调整后的优势比下降1％= 1.11，95％CI 1.01至1.22）。控制个别变量后，该风险仍然较高。与此相反，我发现经济与白人母亲之间的容易安置之间没有关联。结论：全州经济下滑可能会降低黑人（而非白人）母亲对建议的非俯卧婴儿睡眠位置的依从性。在黑人看护者中进行的其他研究应确定哪些机制将经济不景气与容易发生的婴儿睡眠安排联系起来。

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