As part of the confidential enquiry into stillbirths and deaths
in infancy (CESDI), a 3-year population-based case-control study was
specifically designed to look at risk factors associated with sudden
infant death syndrome (SIDS) after the dramatic fall in incidence.
The study was conducted between 1993 and 1996 in five English Health
Regions (population 17 million) with parental interviews for each
death and four age-matched controls. The aim of this analysis was to
investigate the extent to which epidemiological characteristics
associated with SIDS were particular to the syndrome or more general
markers for socio-economic deprivation. One control was reassigned
to each case post-matched for infant age, time of sleep and
socio-economic status using components of the Townsend Deprivation
Score. The post-matched analysis involved 323 SIDS infants and 323
controls with a similar socio-economic profile. Notable factors
significant in the original univariable analysis that became
non-significant after post-matching included young maternal age
(median: 23 years 4 months SIDS vs. 23 years 11 months post-matched
controls), being an unsupported mother (13.6% SIDS vs. 11.1%
post-matched controls) and being bottle-fed (56.7% SIDS vs. 55.4%
post-matched controls). Other factors, although clearly related to
deprivation, such as parental smoking, remained significant in both
the univariable and multivariable post-matched analyses.
Affiliations
aInstitute of Child Health,
University of Bristol, Bristol,
bNewcastle Neonatal Service, Royal
Victoria Infirmary, Newcastle upon Tyne,
cDepartment of Child Health,
Postgraduate Medical School, Royal Devon & Exeter Hospital, Exeter, and
dNuffield Institute for Health
Services, Leeds, UK
Correspondence
Correspondence: Dr Peter Blair,
Institute of Child Health, Education Centre, Upper Maudlin Street, Bristol BS2
8AE, UK.
E-mail: p.s.blair@bris.ac.uk
To cite this article
Fleming, Peter J., Blair, Peter S.,
Ward Platt, Martin, Tripp, John & Smith, Iain J. (2003)
Sudden infant death syndrome and
social deprivation: assessing epidemiological factors after post-matching for
deprivation.
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