0071/2016 - Intenção das mães em colocar o bebê para dormir em decúbito dorsal: um estudo de base populacional Identifying mothers’ intention to place infant in supine sleep position: a population-based study
Este estudo teve por objetivo conhecer a opinião das mães e identificar fatores associados à intenção de colocar o bebê para dormir em decúbito dorsal em Rio Grande, RS. Foi aplicado questionário padronizado a todas as mães que tiveram filho nas duas únicas maternidades entre 01/01 a 31/12/2010 e que residiam neste município. Utilizou-se teste do qui-quadrado para comparar proporções e regressão de Poisson com ajuste robusto da variância na análise multivariável. A medida de efeito utilizada foi razão de prevalências (RP). Dentre as 2.395 (97,2% do total) mães entrevistadas, 20,5% (IC95%: 18,4%-21,6%) manifestaram intenção de colocar o bebe para dormir de barriga para cima. Esta intenção variou de 11% (IC95%: 8,1-13,7) entre mães com três ou mais filhos a 35% (IC95% 31,1-40,2) entre aquelas com 12 anos ou mais de escolaridade. Após analise ajustada, mães de menor idade, maior escolaridade e renda familiar, que realizaram pré-natal na rede privada, ou que tiveram três ou mais filhos apresentaram RP significativamente maior para colocar o bebê para dormir de barriga para cima em relação as demais. Campanhas de incentivo a esta pratica devem priorizar mães de pior nível socioeconômico, de maior idade e que realizam pré-natal em unidades básicas de saúde.
Palavras-chave:
morte súbitadecúbito dorsallactente
Abstract:
This study aims to identify mother’s opinion on infant sleep position and the factors associated with the intention to place the infant in the supine position in Rio Grande, Southern Brazil. A standardized questionnaire was applied to all mothers living in this municipality who had baby in the two local hospitals during 2010. Chi square test was used to compare proportions and Poisson regression analysis with robust adjustment of variance in the multivariable analisys. The effect measure used was prevalence ratio (PR). Among the 2,395 (97.2% of total) mothers interviewed, 20% of mothers (CI 95%: 18,4%-21,6%) intended to place the newborn to sleep in the supine position. This prevalence varied from 11% (IC95%: 8,1-13,7) for mothers with three or more children to 35% (IC95% 31,1-40,2) among those with 12 or more years of schooling. After adjusted analisy, mothers of younger age, higher education and familiy income, who attended prenatal care in the private system, or who have had three or more children had significantly higher PR to place the baby to sleep in the supine position compared to others. Campaigns encouraging sleep in supine position should focus primarily on mothers of lower socioeconomic level, greater age and those performing prenatal care in the basic health units.
Identifying mothers’ intention to place infant in supine sleep position: a population-based study
Resumo (abstract):
This study aims to identify mother’s opinion on infant sleep position and the factors associated with the intention to place the infant in the supine position in Rio Grande, Southern Brazil. A standardized questionnaire was applied to all mothers living in this municipality who had baby in the two local hospitals during 2010. Chi square test was used to compare proportions and Poisson regression analysis with robust adjustment of variance in the multivariable analisys. The effect measure used was prevalence ratio (PR). Among the 2,395 (97.2% of total) mothers interviewed, 20% of mothers (CI 95%: 18,4%-21,6%) intended to place the newborn to sleep in the supine position. This prevalence varied from 11% (IC95%: 8,1-13,7) for mothers with three or more children to 35% (IC95% 31,1-40,2) among those with 12 or more years of schooling. After adjusted analisy, mothers of younger age, higher education and familiy income, who attended prenatal care in the private system, or who have had three or more children had significantly higher PR to place the baby to sleep in the supine position compared to others. Campaigns encouraging sleep in supine position should focus primarily on mothers of lower socioeconomic level, greater age and those performing prenatal care in the basic health units.
Cesar, Juraci Almeida, Acevedo, Jayshlyn D., Kaczan, Camilla R., Venzo, Julio Cesar P., Costa, Laura R., Silva, Luiza C. M., Neumann, Nelson A.. Intenção das mães em colocar o bebê para dormir em decúbito dorsal: um estudo de base populacional. Cien Saude Colet [periódico na internet] (2016/fev). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/intencao-das-maes-em-colocar-o-bebe-para-dormir-em-decubito-dorsal-um-estudo-de-base-populacional/15493?id=15493
