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https://hdl.handle.net/2440/90205
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Type: | Journal article |
Title: | Bed-sharing and risk of hospitalisation due to pneumonia and diarrhoea in infancy: the 2004 Pelotas Birth Cohort |
Author: | Ngale, K. Santos, I. González-Chica, D. De Barros, A. Matijasevich, A. |
Citation: | Journal of Epidemiology and Community Health, 2013; 67(3):245-249 |
Publisher: | BMJ Publishing Group |
Issue Date: | 2013 |
ISSN: | 0143-005X 1470-2738 |
Statement of Responsibility: | Kátia M A Ngale, Iná S Santos, David A González-Chica, Aluísio J D de Barros, Alicia Matijasevich |
Abstract: | OBJECTIVE: To investigate the association between bed-sharing with the mother at 3 months of age and incidence of hospitalisation due to pneumonia and diarrhoea between 3 and 12 months. METHODS: The 2004 Pelotas Birth Cohort included all live births to mothers living in Pelotas, Brazil, in 2004. Information on bed-sharing was obtained at the 3-month follow-up visit, and on hospitalisations at the 12-month visit, both based on mothers' reports. Only singleton infants with complete information on hospitalisation were analysed. RESULTS: 3906 infants were included. The bed-sharing prevalence at 3 months was 46.4% (95% CI 44.9 to 48.0%). The incidence of pneumonia admissions between 3 and 12 months was 3.6% (95% CI 3.3 to 4.2%) and diarrhoea, 0.9% (95% CI 0.6 to 1.2%). In crude analyses, bed-sharing with the mother was associated with higher incidence of hospitalisation due to both pneumonia and diarrhoea. There was interaction between bed-sharing and duration of breastfeeding regarding the chance of admission due to pneumonia. Among infants breastfed for 3 months or less, the chance of hospitalisation due to pneumonia among bed-sharers was almost twice as high as among non-bed-sharers (adjusted OR 1.96; 95% CI 1.08 to 3.55). There was no association between bed-sharing and hospitalisation due to pneumonia among infants breastfed for longer than 3 months in crude or adjusted analyses. The association between bed-sharing and admissions due to diarrhoea lost statistical significance after allowing for confounders. CONCLUSIONS: The effect of bed-sharing in infancy on the risk of hospitalisation due to pneumonia depends on breastfeeding, such that weaned children present higher risk. |
Keywords: | Humans Pneumonia Diarrhea Hospitalization Prevalence Birth Rate Risk Factors Cohort Studies Follow-Up Studies Bedding and Linens Crowding Sleep Breast Feeding Socioeconomic Factors Adult Infant Infant Care Brazil Female |
Description: | Published Online First 25 October 2012 |
Rights: | This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/ |
DOI: | 10.1136/jech-2012-201145 |
Published version: | http://dx.doi.org/10.1136/jech-2012-201145 |
Appears in Collections: | Aurora harvest 2 Public Health publications |
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hdl_90205.pdf | Published version | 253.67 kB | Adobe PDF | View/Open |
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