This study aimed to assess whether previously established risk factors for sudden infant death syndrome (SIDS) are still valid now that the incidence in the Netherlands has dropped to 0.26 per 1000 liveborn infants.
A distinction was made between immutable and mutable risk factors.
This case-control study (part of the European Concerted Action on SIDS) comprised 73 SIDS cases and 146 controls and lasted from March 1995 to September 1996.
Adjustments were made for sleeping position and bedding factors by treating them as covariables.
Apart from these factors, well known risk factors that remain of importance in the Netherlands are : male sex, young maternal age, twins, and low socioeconomic status.
These factors are largely immutable.
Other well known risk factors which might reflect attitudes to child care and could possibly be mutable are : smoking, alcohol consumption by the mother, bottle feeding, and change ofbabycare routine.
Intervention strategies should focus on early signalling, thereby assisting parents in changing these unfavourable parenting attitudes.
Information on optimal child care and extra support by public health nurses specifically aimed at families at risk could help to decrease further the incidence of SIDS in the Netherlands.
Mots-clés Pascal : Mort subite, Etude cas témoin, Facteur risque, Etude statistique, Pays Bas, Europe, Validité, Dépistage, Prévention, Nourrisson, Homme, Nouveau né pathologie
Mots-clés Pascal anglais : Sudden death, Case control study, Risk factor, Statistical study, Netherlands, Europe, Validity, Medical screening, Prevention, Infant, Human, Newborn diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0535184
Code Inist : 002B27B11. Création : 23/03/1999.