Pacifier Use and Sids: Evidence for a Consistently Reduced Risk
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Pacifier use at sleep time decreases sudden infant death syndrome (SIDS) risk. It is yet unclear whether pacifier use can modify the impact of other sleep-related factors upon SIDS risk. The objective of this study was to examine the association between pacifier use during sleep and SIDS in relation to other risk factors and to determine if pacifier use modifies the impact of these risk factors. Data source was a population based case–control study of 260 SIDS deaths and 260 matched living controls. Pacifier use during last sleep decreased SIDS risk (aOR 0.30, 95% CI 0.17–0.52). Furthermore, pacifier use decreased SIDS risk more when mothers were ≥20 years of age, married, nonsmokers, had adequate prenatal care, and if the infant was ever breastfed. Pacifier use also decreased the risk of SIDS more when the infant was sleeping in the prone/side position, bedsharing, and when soft bedding was present. The association between adverse environmental factors and SIDS risk was modified favorably by pacifier use, but the interactions between pacifier use and these factors were not significant. Pacifier use may provide an additional strategy to reduce the risk of SIDS for infants at high risk or in adverse sleep environments.
KeywordsSIDS Pacifier Sleep position Bed sharing Risk factor
We thank Kristen Wells, PhD for statistical assistance. This study was supported by HRSA grant 1R40MC08963-01 and by funding from First Candle.
- 2.Hoyert, D. L., et al. (2001). Deaths: final data for 1999. National Vital Statistics Report, 49(8), 1–113.Google Scholar
- 5.Mitchell EA, Milerad J. Smoking and sudden infant death syndrome. WFO/TFI Reports 1999:http://tobacco.who.int/en/health/background-papers-ets.html.
- 14.Fleming, P. J., et al. (1996). Environment of infants during sleep and risk of the sudden infant death syndrome: results of 1993–5 case-control study for confidential inquiry into stillbirths and deaths in infancy. Confidential Enquiry into Stillbirths and Deaths Regional Coordinators and Researchers. BMJ, 313(7051), 191–195.PubMedCrossRefGoogle Scholar
- 18.Kattwinkel, J., et al. (2000). Changing concepts of sudden infant death syndrome: implications for infant sleeping environment and sleep position. American Academy of Pediatrics. Task Force on Infant Sleep Position and Sudden Infant Death Syndrome. Pediatrics, 105(3 Pt 1), 650–656.Google Scholar
- 29.Kattwinkel, J., et al. (2005). Task Force on Sudden Infant Death Syndrome, American Academy of Pediatrics. The changing concept of sudden infant death syndrome: diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consider in reducing risk. Pediatrics, 116(5), 1245–1255.CrossRefGoogle Scholar
- 31.Porter, K. S., & Thomas, S. D. (2002). Birth outcomes and infant mortality in Chicago, 1990–1999. Chicago, IL: Chicago Department of Public Health Epidemiology Program.Google Scholar
- 32.Centers for Disease Control and Prevention NCHS. Infant mortality rates, fetal mortality rates, and perinatal mortality rates, according to race: United States, selected years 1950–1999. (Accessed September 7, 2010, at www.cdc.gov/nchs/data/hus/tables/2001/01hus023.pdf).
- 34.Annie E. Casey Foundation. (2008). 2008 KIDS COUNT data book: State profiles of child well-being. Baltimore, MD: Annie E. Casey Foundation.Google Scholar
- 35.Mathews, T. J., & MacDorman, M. F. (2008). Infant mortality statistics from the 2005 period linked birth/infant death data set. National Vital Statistics Report, 57(2), 1–32.Google Scholar
- 36.National Infant Sleep Position survey database. (Accessed September 7, 2010, at http://dccwww.bumc.bu.edu/ChimeNisp/NISP_Data.asp).