dc.contributor.author |
Fuamatu, N. |
en |
dc.contributor.author |
Finau, S. |
en |
dc.contributor.author |
Tukuitonga, C. |
en |
dc.contributor.author |
Finau, E. |
en |
dc.date.accessioned |
2009-06-09T03:44:25Z |
en |
dc.date.available |
2009-06-09T03:44:25Z |
en |
dc.date.issued |
2000 |
en |
dc.identifier.citation |
New Zealand Medical Journal 113 (1116), 354-357. 2000 |
en |
dc.identifier.issn |
0028-8446 |
en |
dc.identifier.other |
11130368 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/4277 |
en |
dc.description |
An open access copy of this article is available and complies with the copyright holder/publisher conditions. |
en |
dc.description.abstract |
Aims. To define ethnic origin and verify the diagnosis of sudden infant deaths among Pacific peoples in Auckland 1988-1996, and to elicit socio-economic and demographic characteristics. Methods. Police (P47) and coroner reports were analysed for an ethnic classification and diagnosis. Postneonatal and sudden infant death syndrome (SIDS) register and New Zealand Information Services data were analysed for additional Pacific cases. Rates of Pacific SIDS in Auckland were calculated. A Pacific SIDS database was developed and families were tracked. Face to face interviews covering the SIDS event were undertaken with selected families. Data were coded, stratified and a thernatic approach to analysis was utilised. Results. There were 52 cases of SIDS and the ethnic origins were thirteen Samoans, nine Cook Islanders, seven Tongans, fifteen multiple ethnicity, and eight could not be verified. The annual rates of Pacific SIDS varied from less than one (in 1989) to 4.5 (in 1995) per 1000 Pacific live births, 34 cases (65%) could not be contacted and eighteen were traced. Nine in-depth interviews were conducted with caregivers of these cases. All babies had slept in the supine position, seven were breastfed, and five of the mothers were non-smokers. Eight babies slept in the same room with their primary caregiver, with seven sleeping in their own bed. All of the mothers had had continuous access to childcare and support from their families, and seven had had previous children. Grief counselling for partners and children was identified as necessary by almost all the mothers. Conclusions. This preliminary study concludes that the rate of Pacific SIDS increased in 1995 and remains a serious problem. Ethnic misclassification and under reporting of SIDS cases is apparent among Pacific infants. There is a need to establish a national infant mortality database that collects accurate data incorporating standardised ethnic specific categories. Official routine and data sources also need to incorporate standardised ethnic specific categories. A national prospective study is required to study SIDS in Pacific communities as a basis for effective prevention strategies. |
en |
dc.publisher |
NZMA |
en |
dc.relation.ispartofseries |
New Zealand Medical Journal |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
http://journal.nzma.org.nz/journal/copyright.html |
en |
dc.source.uri |
http://www.nzma.org.nz/journal/113-1116 |
en |
dc.title |
Sudden infant death syndrome among the Auckland Pacific communities 1988-1996: Is it increasing? |
en |
dc.type |
Journal Article |
en |
dc.subject.marsden |
Fields of Research::320000 Medical and Health Sciences |
en |
pubs.issue |
1116 |
en |
pubs.begin-page |
354 |
en |
pubs.volume |
113 |
en |
dc.description.version |
VoR - Version of Record |
en |
dc.rights.holder |
Copyright: New Zealand Medical Association (NZMA) |
en |
pubs.end-page |
357 |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |