Smoking in pregnancy is a key factor for sudden infant death among Māori

MacFarlane, Melanie; Thompson, John M. D.; Zuccollo, Jane; McDonald, Gabrielle; Elder, Dawn; Stewart, Alistair; Lawton, Beverley; Percival, Teuila; Baker, Nick; Schlaud, Martin; Fleming, Peter; Taylor, B. J.; Mitchell, Edwin A.

doi:10.1111/apa.14431

Cited by 11 publications

(17 citation statements)

References 12 publications

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“…There are known difficulties in recruiting controls from groups with greater risks and lower socio-economic status, 5 would make undertaking a case-control study in Queensland, difficult, time-consuming and very costly.…”

Section: Limitationsmentioning

confidence: 99%

Prevalence of risk factors for sudden infant death among Indigenous and non‐Indigenous people in Australia

et al. 2020

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Sudden unexpected death in infancy (SUDI) is a research grouping that describes the sudden and unexpected death of an infant aged <1 year, in which there is no immediately apparent cause of death. After a thorough investigation, deaths may be explained (including fatal sleep accidents, infections and congenital abnormalities) or remain unexplained and be attributed to sudden infant death syndrome (SIDS) or undetermined causes (USID). 1,2 Australia's rates of

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Section: Limitationsmentioning

confidence: 99%

Prevalence of risk factors for sudden infant death among Indigenous and non‐Indigenous people in Australia

et al. 2020

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“…A case–control study by MacFarlane et al. showed that the association between known SUDI risk factors such as smoking in pregnancy and bed sharing, and SUDI risks were the same regardless of ethnicity. However, the Maori infants were exposed to both behaviours more frequently.…”

Section: Smoking In Pregnancy Is Linked To High Maori Sudden Unexpectmentioning

confidence: 99%

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Käll¹,

Lagercrantz²

2018

Acta Paediatrica

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“…The SUDI mortality rate for Māori was 1.4 per 1000 live births compared to 0.5/1000 for non‐Māori. The overall SUDI rate was 0.8/1000 .…”

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confidence: 94%

“…SUDI rates for Māori have decreased, partly due to a successful Safe Sleep Programme , but remain higher than for the non‐Māori population. In this issue of Acta Paediatrica , MacFarlane et al address the question why the SUDI incidence is so high among Māoris. Half of the SUDI cases in New Zealand between 2012 and 2015 were Māori, despite that Māori comprise less than a third of live births in the country.…”

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confidence: 99%

Smoking in pregnancy and bed sharing, a fatal combination

Wennergren

2018

Acta Paediatrica

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Smoking in pregnancy and bed sharing, a fatal combinationOver the last three decades, epidemiological research in New Zealand has produced results that really have made a difference for our understanding of how to reduce the risk of cot death. Almost 30 years ago, the New Zealand Cot Death Study convincingly demonstrated that sleeping prone, smoking and bottle-feeding were factors that increased the risk of cot death (1). Further analyses showed that also sleeping in the same bed as an adult increased the risk of cot death, particularly among infants of mothers who smoked (2). Now, the New Zealand Sudden Unexpected Death in Infancy (SUDI) Nationwide Study (2012)(2013)(2014)(2015) has reinvestigated the risk factors identified in the New Zealand Cot Death Study and specifically focused on the sleep environment (3).In New Zealand, there is a high incidence of SUDI in the indigenous population, the M aoris (4). SUDI rates for M aori have decreased, partly due to a successful Safe Sleep Programme (4), but remain higher than for the non-M aori population. In this issue of Acta Paediatrica, MacFarlane et al. (5) address the question why the SUDI incidence is so high among M aoris. Half of the SUDI cases in New Zealand between 2012 and 2015 were M aori, despite that M aori comprise less than a third of live births in the country. The SUDI mortality rate for M aori was 1.4 per 1000 live births compared to 0.5/1000 for non-M aori. The overall SUDI rate was 0.8/1000 (5).The MacFarlane study finds that a combination of smoking in pregnancy and bed sharing leads to an increased SUDI risk for M aori as well as for non-M aori infants. As such, the risk factors for SUDI, and the magnitude of the risks, are the same regardless of ethnicity. However, M aori infants are exposed more frequently to both behaviours because of a higher smoking rate among M aori women. Thus, the higher smoking rate explains the high incidence of SUDI among the M aoris.

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Smoking in pregnancy is a key factor for sudden infant death among Māori

Abstract: The association between known SUDI risk factors, including bed sharing and/or smoking in pregnancy and SUDI risk, is the same regardless of ethnicity. Māori infants are exposed more frequently to both behaviours because of the higher Māori smoking rate.

Cited by 11 publications

References 12 publications

Prevalence of risk factors for sudden infant death among Indigenous and non‐Indigenous people in Australia

Prevalence of risk factors for sudden infant death among Indigenous and non‐Indigenous people in Australia

Highlights in this issue

Smoking in pregnancy and bed sharing, a fatal combination

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