Are safe sleep messages supportive of breastfeeding? An examination of campaign materials from major U.S. metropolitan areas
Methods: We examined safe sleep campaign materials from 18 U.S. cities that met our inclusion criteria for size and large African American population, evaluating a variety of characteristics including the extent of emphasis on the full range of AAP recommendations including the importance of breastfeeding. We noted evidence of any evaluations of reach or effectiveness.
Results: Of 27 documents examined, most focused primarily on an “ABC” message (Alone, Back, Crib). Only a third (9 of 27) mentioned breastfeeding as protective. Over half (15 of 27) encouraged room sharing, but in most cases these messages were not prominent. We found no evidence that any of the campaigns were systematically evaluated.
Conclusions: Results of our scan support the assertion that safe sleep campaigns tend to focus on simple “ABC” messages at the expense of more complex messages that address the full range of Safe to Sleep recommendations, including the importance of room sharing and breastfeeding.
Learning Areas:Public health or related education
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Explain the relationship among caretaker-infant co-sleeping, breastfeeding and risk for SUID/SIDS, and disparities in those behaviors and outcomes. List safe sleep recommendations made by the American Academy of Pediatrics (AAP) Describe the extent to which typical safe sleep public education campaigns reflect the full range of AAP recommendations (including breastfeeding) Discuss the need for evaluation studies to determine the reach and impact of safe sleep messages
Keyword(s): Breastfeeding, Infant Mortality
Qualified on the content I am responsible for because: I am a faculty member in Maternal and Child Health and have been principal or co-principle investigator on federally and non-federally funded projects focusing on a wide variety of women's health and MCH topics. I currently have funding from the UIC Institute on Government and Public Affairs to conduct policy-relevant research on recommendations regarding parent-infant bedsharing as it relates to risk for infant death.
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.