{"doi":"10.3389/fped.2021.770803","title":"Risk Factors for Sudden Infant Death in North Carolina","abstract":"Background: Sudden infant death syndrome (SIDS) is the sudden, unexplained death of infants <1 year old. SIDS remains a leading cause of death in US infants. We aim to identify associations between SIDS and race/ethnicity, birth weight/gestational age, and socioeconomic/environmental factors in North Carolina (NC) to help identify infants at risk for SIDS. Methods and Results: In this IRB-approved study, infant mortality 2007–2016 and death certificate-linked natality 2007–2014 were obtained from the NC Department of Health and Human Services. General, NC natality statistics 2007–2016 were obtained from CDC Wonder. Association between SIDS/total infant death and covariates (below) were calculated. Total infant mortality decreased 2007–2016 by an average of 14 deaths/100,000 live births per year, while SIDS incidence remained constant. Risk ratios of SIDS/total infant deaths, standardized to Non-Hispanic White, were 1.76/2.41 for Non-Hispanic Black and 0.49/0.97 for Hispanic infants. Increased SIDS risk was significantly and independently associated with male infant sex, Non-Hispanic Black maternal race/ethnicity, young maternal age, low prenatal care, gestational age <39 weeks, birthweight <2500 g, low maternal education, and maternal tobacco use ( p < 0.01 ). Maternal previous children now deceased also trended toward association with increased SIDS risk. Conclusions: A thorough SIDS risk assessment should include maternal, socioeconomic, and environmental risk factors as these are associated with SIDS in our population.","journal":"Frontiers in Pediatrics","year":2021,"id":195270,"datarank":0.3453877639491069,"base_score":2.302585092994046,"endowment":2.302585092994046,"self_citation_contribution":0.3453877639491069,"citation_network_contribution":0.0,"self_endowment_contribution":0.3453877639491069,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9224,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":766006,"name":"Michael B. Rosamilia","orcid":"0000-0003-1927-7176","position":1,"is_corresponding":false},{"id":310753,"name":"Karen Chiswell","orcid":"0000-0002-0279-9093","position":2,"is_corresponding":false},{"id":716407,"name":"Alfred D’Ottavio","orcid":"0000-0002-4056-7576","position":3,"is_corresponding":false},{"id":414553,"name":"Tracy Spears","orcid":"0000-0002-7169-5853","position":4,"is_corresponding":false},{"id":766510,"name":"Claire Osgood","orcid":null,"position":5,"is_corresponding":false},{"id":458912,"name":"Marie Lynn Miranda","orcid":"0000-0002-5670-0837","position":6,"is_corresponding":false},{"id":275139,"name":"Nina Forestieri","orcid":"0000-0001-7894-0279","position":7,"is_corresponding":false},{"id":409481,"name":"Jennifer S. Li","orcid":"0000-0002-3254-1712","position":8,"is_corresponding":false},{"id":328412,"name":"Andrew P. Landstrom","orcid":"0000-0002-1878-9631","position":9,"is_corresponding":false},{"id":766509,"name":"Merick M. Yamada","orcid":null,"position":0,"is_corresponding":true}],"reference_count":34,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-18T23:50:03.719152Z","pmid":"34956982","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}