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Maternal and Child Health Journal

, Volume 23, Issue 12, pp 1670–1678 | Cite as

Accidental Infant Suffocation and Strangulation in Bed: Disparities and Opportunities

  • Joanna DrowosEmail author
  • Aaron Fils
  • Maria C. Mejia de Grubb
  • Jason L. Salemi
  • Roger J. Zoorob
  • Charles H. Hennekens
  • Robert S. Levine
Article

Abstract

Objectives (a) Update previous descriptions of trends in ASSB; (b) determine if factors previously associated with ASSB are replicated by updated data; and (c) generate new hypotheses about the occurrence of ASSB and racial inequalities in ASSB mortality. Methods National Center for Health Statistics files (International Classification of Diseases, Tenth Edition) Code W75 to describe race–ethnicity-specific ASSB occurrence. Results (a) ASSB mortality continues to increase significantly; for 1999–2016, 4.4-fold for NHB girls (45.8 per 100,000 in 2016), 3.5-fold for NHB boys (53.8), 2.7-fold for NHW girls (15.8) and 4.0-fold for NHW boys (25.9); (b) F actors previously associated with ASSB (unmarried mothers and mothers with low educational attainment, low infant birth weight, low gestational age, lack of prenatal care, male infant, multiple birth, high birth order) continue to be associated with both overall ASSB and inequalities adversely affecting NHB; (c) (1) geographic differences and similarities in ASSB occurrence support hypotheses related to positive deviance; (2) lower ASSB mortality for births attended by midwives as contrasted to physicians generate hypotheses related to both medical infrastructure and maternal engagement; (3) high rates of ASSB among infants born to teenage mothers generate hypotheses related to the possibility that poor maternal health may be a barrier to ASSB prevention based on education, culture and tradition. Conclusions for Practice These descriptive data may generate new hypotheses and targets for interventions for reducing both ASSB mortality and racial inequalities. Analytic epidemiologic studies designed a priori to do so are required to address these hypotheses.

Keywords

Accidental suffocation and strangulation in bed (ASSB) Sudden unexpected infant deaths (SUID) Infant mortality Racial disparities United States (US) 

Notes

Funding

No external funding was received.

Supplementary material

10995_2019_2786_MOESM1_ESM.pdf (273 kb)
Supplementary material 1 (PDF 273 kb)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Joanna Drowos
    • 1
    Email author
  • Aaron Fils
    • 2
  • Maria C. Mejia de Grubb
    • 3
  • Jason L. Salemi
    • 3
  • Roger J. Zoorob
    • 3
  • Charles H. Hennekens
    • 1
    • 3
  • Robert S. Levine
    • 1
    • 3
  1. 1.Charles E. Schmidt College of MedicineFlorida Atlantic UniversityBoca RatonUSA
  2. 2.University of MiamiCoral GablesUSA
  3. 3.Department of Family and Community MedicineBaylor College of MedicineHoustonUSA

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