Infant sleeping position and the sudden infant death syndrome: systematic review of observational studies and historical review of recommendations from 1940 to 2002
International Journal of EpidemiologyPublished 20 April 2005Open access
Ruth Gilbert, Georgia Salanti, Melissa Harden, Sarah E See
Citations253
SJR quartileQ1
SJR score2.69
SNIP2.48
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TL;DR
Advice to put infants to sleep on the front for nearly a half century was contrary to evidence available from 1970 that this was likely to be harmful and might have prevented over 10 000 infant deaths in the UK and at least 50 000 in Europe, the USA, and Australasia.
Abstract
Advice to put infants to sleep on the front for nearly a half century was contrary to evidence available from 1970 that this was likely to be harmful. Systematic review of preventable risk factors for SIDS from 1970 would have led to earlier recognition of the risks of sleeping on the front and might have prevented over 10 000 infant deaths in the UK and at least 50 000 in Europe, the USA, and Australasia. Attenuation of the observed harm with increased adoption of the front position probably reflects a "healthy adopter" phenomenon in that families at low risk of SIDS were more likely to adhere to prevailing health advice. This phenomenon is likely to be a general problem in the use of observational studies for assessing the safety of health promotion.
Keywords
MedicineNeuroscience
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