Citation

Chang HP, Li CY, Chang YH, Hwang SL, Su YH, Chen CW. Pediatr. Int. 2013; 55(1): 11-16.

Affiliation

Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.

Copyright

(Copyright © 2013, Japan Pediatric Society, Publisher John Wiley and Sons)

DOI

10.1111/j.1442-200X.2012.03723.x

PMID

22978427

Abstract

BACKGROUND: This study was designed, using three national datasets including the Taiwan Death Registry, Taiwan Birth Registry, and National Meteorological Dataset, to examine the socio-demographic, geographic and meteorological correlates of sudden infant death syndrome (SIDS). METHODS: One thousand six hundred seventy-one cases of SIDS occurring between 1994 and 2003 and 8,355 matched controls were included in this nested case-control study. RESULTS: Over the study period, the annual rate of SIDS declined only slightly, with an averaged annual rate of 57.9/10(5) . Male infants [AOR, 1.19; 95% CI-1.06, 1.33], preterm births [AOR, 1.69; 95% CI-1.33, 2.13], low birth weight [AOR, 2.87; 95% CI- 2.30, 3.59], and birth order > =3 [AOR, 1.62; 95% CI-1.37, 1.92] were the demographic risk factors for SIDS. Additionally, parental age with < 25 years [AOR, 1.37; 95% CI- 1.09, 1.71], urbanization [AOR, 1.46; 95% CI-1.20, 1.78], lower paternal education (elementary and less) [AOR, 1.28; 95% CI-1.01, 1.64], and parental age difference greater than 10 years [AOR, 1.72; 95% CI-1.24, 2.39] were also associated with increased risks of SIDS. We also noted that daily average temperature ranging from 9.2 to 14.2°C [AOR, 2.10; 95% CI-1.67, 2.64] emerged the most increased risk, while temperature of 26.4°C or higher [AOR 0.60, 0.61] was significantly associated with the most reduced risk. CONCLUSION: Socio-demographic, geographic and meteorological data can be used to identify families in greater need of early guidance and to promote various prevention measures to avoid the occurrence of SIDS.

Language: en