Minority Health Archive

Changes in the Epidemiologic Profile of Sudden Infant Death Syndrome as Rates Decline Among California Infants: 1990-1995

Adams, Elizabeth J and Chavez, Gilberto F and Steen, Donna and Shah, Rugmini and Iyasu, Solomon (1998) Changes in the Epidemiologic Profile of Sudden Infant Death Syndrome as Rates Decline Among California Infants: 1990-1995. Pediatrics, 102 (6). pp. 1445-1451.

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Abstract

Objectives. To evaluate changes in the rates and epidemiologic patterns of sudden infant death syndrome (SIDS) after implementation of public health campaigns to promote back sleeping and reduce exposure to cigarette smoke and environmental risk factors for SIDS. Methods. California vital statistics data were used to evaluate changes in SIDS rates (deaths/1000 live births) and in the proportions of SIDS deaths by age and season of occurrence for California infants of black or other races from 1990 through 1995. Results. From 1990 through 1995, 3508 SIDS deaths occurred. SIDS rates declined from 2.69 to 2.15 for black infants and from 1.04 to 0.61 for others between 1990 and 1995. Most SIDS deaths occurred during the 2nd to 4th months of life; the proportion of SIDS deaths during this period was unchanged for blacks but decreased for others from 70% to 65%. Of all SIDS deaths, 62% occurred during the colder season (October through March); the proportion of deaths in each season did not change for either race. Conclusion. California SIDS rates declined 20% for blacks and 41% for others between 1990 and 1995. Declines coincided with campaigns to reduce environmental risk factors for SIDS. Blacks continue to be at increased risk for SIDS compared with others, and the SIDS rate for blacks relative to others has increased. Reductions in SIDS mortality coinciding with interventions were smaller for blacks than for others. New strategies are needed to reduce further SIDS rates and narrow the gap between blacks and others.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: sudden infant death syndrome (SIDS), infant mortality, black infants, California
Subjects: Health > Prenatal & Pediatric Health
Health > Public Health > Health Risk Factors
Health > Public Health > Health Risk Factors > Smoking & Tobacco Use
Research
Research > studies
Related URLs:
Depositing User: Kismet Loftin-Bell
Date Deposited: 31 Mar 2011
Last Modified: 16 Jul 2011 08:13
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/198

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