ArticleMaternal and child health journal2015
Revisiting safe sleep recommendations for African-American infants: why current counseling is insufficient.
Article in Maternal and child health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Interventions to Improve Safer Sleep Practices in Families With Children Considered to Be at Increased Risk for Sudden Unexpected Death in Infancy: A Systematic Review.Frontiers in pediatrics · 2021Pooled it
- Decision-making for the infant sleep environment among families with children considered to be at risk of sudden unexpected death in infancy: a systematic review and qualitative metasynthesis.BMJ paediatrics open · 2021Pooled it
- Infant Safe Sleep Interventions, 1990-2015: A Review.Journal of community health · 2016Pooled it
- Mothers Falling Asleep During Infant Feeding.Pediatrics · 2024Trial
- Improving infant sleep safety via electronic health record communication: a randomized controlled trial.BMC pediatrics · 2020Trial
- A Decade of Empowerment: Strengthening Safe Sleep Awareness Among Black Birthing People.Journal of racial and ethnic health disparities · 2026Article
- Maternal adherence to safe infant sleep recommendations in the USA: trends and disparities from PRAMS 2016-2022.BMJ paediatrics open · 2026Article
- Impact of Client Race on Medical Resident Communication About Infant Safe Sleep.Journal of clinical psychology in medical settings · 2026Article
- Improving compliance with safe sleep practices among Black/African American infants discharged from a level III NICU: a quality improvement initiative.BMJ open quality · 2025Article
- Beyond the rules: an integrative review of parental perspectives on safer infant sleep in shared environments.Frontiers in public health · 2025Review
- Using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework to evaluate a state-wide safe infant sleep education program for continuous improvement.Frontiers in public health · 2025Article
- Sources of attitudes towards parent-child co-sleeping and their effects: A systematic scoping review.Family process · 2024Article
- The Relation of Maternal Psychosocial Risk Factors to Infant Safe Sleep Practices.Maternal and child health journal · 2024Article
- Practices and Awareness Regarding an Infant's Sleep Environment among Japanese Caregivers: A Cross-Sectional Survey.International journal of environmental research and public health · 2024Article
- A Hospital-Based Infant Safe Sleep Intervention and Safe Sleep Practices Among Young Women: A Prospective Longitudinal Study.Maternal and child health journal · 2023Article
- Perspectives of Infant Mortality from African American Community Members.Women's health reports (New Rochelle, N.Y.) · 2023Article
- Infant Care Practices, Caregiver Awareness of Safe Sleep Advice and Barriers to Implementation: A Scoping Review.International journal of environmental research and public health · 2022Article
- Examining the Relationship Between Sleep-Related Infant Deaths and Social Determinants of Health in Urban Communities.Journal of racial and ethnic health disparities · 2022Article
- Improving safe sleep practices in an urban inpatient newborn nursery and neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Sudden unexpected infant death rates and risk factors for unsafe sleep practices.World journal of pediatrics : WJP · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The American Academy of Pediatrics recommends that children be placed in the supine position on firm bedding and not bed share with parents or other children. Health professionals increasingly understand that many African-American parents do not follow these recommendations, but little research exists on provider reactions to this non-compliance. This study was intended to better understand how low-income, African-American mothers understand and act upon safe sleep recommendations for newborns and how providers counsel these mothers. We conducted focus groups with 60 African-American, low-income, first-time mothers and telephone interviews with 20 providers serving these populations to explore provider counseling and patient decision making. The large majority of mothers reported understanding, but not following, the safe-sleeping recommendations. Key reasons for non-compliance included perceived safety, convenience, quality of infant sleep and conflicting information from family members. Mothers often take measures intended to mitigate risk associated with noncompliance, instead increasing SIDS risk. Providers recognize that many mothers are non-compliant and attribute non-compliance largely to cultural and familial influence. However, few provider attempts are made to mitigate SIDS risks from non-compliant behaviors. We suggest that counseling strategies should be adapted to: (1) provide greater detailed rationale for SIDS prevention recommendations; and (2) incorporate or acknowledge familial and cultural preferences. Ignoring the reasons for sleep decisions by African-American parents may perpetuate ongoing racial/ethnic disparities in SIDS.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.