Population-based cohort study of SIDS death rates in the United States, 2000-2007 Public

Abstract

SIDS, defined as the sudden death of an infant under 1 year of age, which remains unexplained after a thorough case investigation, including performance of a complete autopsy, examination of the death scene, and review of the clinical history, is a major cause of infant mortality in the U.S. Prior to 2000 SIDS has been reported to vary by race/ethnicity. This analysis updates previously published SIDS studies examining differences in SIDS by race/ethnicity, including information from 2000-2007. We wanted to determine if the burden of SIDS was still heaviest on non-Hispanic black and non-Hispanic American Indian/Alaskan Native infants. We used linked birth/death certificate data from 2000-2007 to determine SIDS rates and compare them among the racial/ethnic groups. Logistic modeling found maternal age, birthweight, maternal education, gender, maternal tobacco use, prenatal visit in the first trimester, marital status and birth order to all be significant factors. Logistic regression revealed a more complex association of race/ethnicity with SIDS. American Indian/Alaskan Native infants born to mothers less than 20 years old were not at increased risk whereas those born to mothers greater than 20 years old were at 1.52 times at risk of SIDS. Infants born to Asian mothers had improved protective odds ratios over time, from an adjusted odds ratio of 0.59 in 2000 to an adjusted odds ratio of 0.51 in 2007.

Table of Contents

Table of Contents

Chapter 1: Background and Literature Review - 1 Chapter 2: Manuscript - 6 Title, Authors, Abstract - 6 Methods - 8 Results - 10 Discussion - 12 References - 17 Tables - 20 Chapter 3: Additional Analyses - 24 Indirect Adjustment - 24 Additional Logistic Model - 25 Tables -27

Chapter 4: Summary, Public Health Implications, Possible Future Directions -32

About this Master's Thesis

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School	Rollins School of Public Health
Department	Epidemiology
Subfield / Discipline	Global Epidemiology - MPH & MSPH
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Mot-clé	United States infant mortality SIDS
Committee Chair / Thesis Advisor	Hogue, Carol J, Emory University
Committee Members	Shapiro-Mendoza, Carrie, CDC
Partnering Agencies	Emory University schools, faculty or affiliated programs CDC

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