Factors associated with racial disparities in maternal-infant bed-sharing: Findings from Wisconsin
Methods. Analysis of the 2007-2010 Wisconsin Pregnancy Risk Assessment and Monitoring System (PRAMS) using separate logistic regression models for African-Americans and Whites.
Results. The sample consisted of 806 African-Americans and 1,680 Whites (N = 2,486). A significantly larger proportion of African-Americans (70.6%) reported bed-sharing than Whites (53.4%). For both races, partner-related stress was significantly associated with bed-sharing; no significant differences were found between the two racial groups. For African-Americans, partner stress (OR: 1.79: 1.22-2.63) and maternal education of 13-15 years (OR: 1.99: 1.16-3.42) or ≥ 16 years (OR: 2.67: 1.14-6.27) was associated with increased odds of bed-sharing. For Whites, partner stress (OR: 1.34: 1.02-1.76), breastfeeding (OR: 2.48: 1.93-3.11), income of $35,000-$49,999 (OR: 1.64: 1.18-2.29), being unmarried (OR: 1.54: 1.08-2.2), needing money for food (OR: 1.58: 1.09-2.3), and non-supine sleep position (OR: 1.75: 1.17-2.61) were associated with bed-sharing.
Conclusion. Differences were found in bed-sharing factors were found between racial groups, which suggests a need for culturally-relevant, tailored safe infant sleep interventions. Providers should ask families about their infant's sleeping environment and address safety issues within that environment. More research is needed on the context and reasons for bed-sharing.
Learning Areas:Assessment of individual and community needs for health education
Public health or related research
Social and behavioral sciences
Compare the different factors associated with bed-sharing between African-American and white families in Wisconsin.
Qualified on the content I am responsible for because: I earned an Interdisciplinary PhD in Health Sciences from the University of Wisconsin-Milwaukee with an interest in population health, and my research interest is focused on the application of mixed methods, community-based research approaches to pregnancy and infant health outcomes (low birth weight, preterm birth, and infant death), specifically addressing racial disparities in these outcomes. My dissertation was focused on examining factors associated with maternal-infant bed-sharing, specifically examining differences by racial group.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.