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Article: Maternal smoking: An increasing unique risk factor for sudden infant death syndrome in Sweden

TitleMaternal smoking: An increasing unique risk factor for sudden infant death syndrome in Sweden
Authors
KeywordsMaternal smoking
Post-campaign
Postneonatal deaths
SIDS
Issue Date2004
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journal.asp?ref=1328-8067&site=1
Citation
Acta Paediatrica, International Journal Of Paediatrics, 2004, v. 93 n. 4, p. 471-478 How to Cite?
AbstractAim: To assess the change of risk factors that are specific to sudden infant death syndrome (SIDS) after the initialization of a campaign to reduce the risk (RTR) of SIDS compared to non-SIDS postneonatal deaths. Methods: Data were extracted from the Swedish Medical Birth Registry, 1982-1991 and 1993-1998. 1105 infants died from SIDS during the postneonatal period, 2115 postneonatal deaths were from other causes and 11050 live birth controls were selected. Risk factors previously identified to be related to SIDS were defined as high parity, prematurity, young maternal age, low Apgar score, birth during the night, single motherhood, multiple births, maternal smoking, male gender, short length standard deviation score (SDS) and small weight-to-length SDS. Results: Non-SIDS deaths were more significantly related to a low 5-min Apgar score, smaller weight-to-length SDS, and/or short length SDS values; while SIDS deaths were more closely related to mothers with higher parity or multiple births, mothers who smoked during pregnancy and single-parent (mother) families. Maternal smoking was even more prominent among SIDS deaths in the post-campaign period. The adjusted odds ratios, compared with non-SIDS deaths, increased from 1.84 (95% CI: 1.48, 2.28) in the pre-campaign period to 4.11 (95% CI: 2.72, 6.21) in the post-campaign period. Conclusions: Maternal smoking during pregnancy remains the most important modifiable risk factor for SIDS in the post-campaign period in comparison with non-SIDS postneonatal deaths. Other than putting babies in a supine sleeping position, maternal smoking should be the next most important issue to be considered, if there is to be a second campaign.
Persistent Identifierhttp://hdl.handle.net/10722/87608
ISSN
2015 Impact Factor: 1.647
2015 SCImago Journal Rankings: 0.794
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChong, DSYen_HK
dc.contributor.authorYip, PSFen_HK
dc.contributor.authorKarlberg, Jen_HK
dc.date.accessioned2010-09-06T09:32:02Z-
dc.date.available2010-09-06T09:32:02Z-
dc.date.issued2004en_HK
dc.identifier.citationActa Paediatrica, International Journal Of Paediatrics, 2004, v. 93 n. 4, p. 471-478en_HK
dc.identifier.issn0803-5253en_HK
dc.identifier.urihttp://hdl.handle.net/10722/87608-
dc.description.abstractAim: To assess the change of risk factors that are specific to sudden infant death syndrome (SIDS) after the initialization of a campaign to reduce the risk (RTR) of SIDS compared to non-SIDS postneonatal deaths. Methods: Data were extracted from the Swedish Medical Birth Registry, 1982-1991 and 1993-1998. 1105 infants died from SIDS during the postneonatal period, 2115 postneonatal deaths were from other causes and 11050 live birth controls were selected. Risk factors previously identified to be related to SIDS were defined as high parity, prematurity, young maternal age, low Apgar score, birth during the night, single motherhood, multiple births, maternal smoking, male gender, short length standard deviation score (SDS) and small weight-to-length SDS. Results: Non-SIDS deaths were more significantly related to a low 5-min Apgar score, smaller weight-to-length SDS, and/or short length SDS values; while SIDS deaths were more closely related to mothers with higher parity or multiple births, mothers who smoked during pregnancy and single-parent (mother) families. Maternal smoking was even more prominent among SIDS deaths in the post-campaign period. The adjusted odds ratios, compared with non-SIDS deaths, increased from 1.84 (95% CI: 1.48, 2.28) in the pre-campaign period to 4.11 (95% CI: 2.72, 6.21) in the post-campaign period. Conclusions: Maternal smoking during pregnancy remains the most important modifiable risk factor for SIDS in the post-campaign period in comparison with non-SIDS postneonatal deaths. Other than putting babies in a supine sleeping position, maternal smoking should be the next most important issue to be considered, if there is to be a second campaign.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journal.asp?ref=1328-8067&site=1en_HK
dc.relation.ispartofActa Paediatrica, International Journal of Paediatricsen_HK
dc.rightsActa Paediatrica. Copyright © Blackwell Publishing Ltd.en_HK
dc.subjectMaternal smokingen_HK
dc.subjectPost-campaignen_HK
dc.subjectPostneonatal deathsen_HK
dc.subjectSIDSen_HK
dc.titleMaternal smoking: An increasing unique risk factor for sudden infant death syndrome in Swedenen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0803-5253&volume=93&spage=471&epage=478&date=2004&atitle=Maternal+smoking:+an+increasing+unique+risk+factor+for+sudden+infant+death+syndrome+in+Swedenen_HK
dc.identifier.emailYip, PSF: sfpyip@hku.hken_HK
dc.identifier.emailKarlberg, J: jpekarl@hkucc.hku.hken_HK
dc.identifier.authorityYip, PSF=rp00596en_HK
dc.identifier.authorityKarlberg, J=rp00400en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1080/08035250310023495en_HK
dc.identifier.pmid15188973-
dc.identifier.scopuseid_2-s2.0-1842687921en_HK
dc.identifier.hkuros85957en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-1842687921&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume93en_HK
dc.identifier.issue4en_HK
dc.identifier.spage471en_HK
dc.identifier.epage478en_HK
dc.identifier.isiWOS:000220449200010-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridChong, DSY=7005265413en_HK
dc.identifier.scopusauthoridYip, PSF=7102503720en_HK
dc.identifier.scopusauthoridKarlberg, J=7005218406en_HK

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