Objectives: To ascertain whether the number of sudden infant deaths as a result of suffocation in cribs, in adult beds, on sofas or chairs, and on other sleep surfaces was increasing whether attributable to increased reporting, diagnostic shift, or an actual increase in suffocation deaths and to compare the risk of reported accidental suffocation for infants on sleep surfaces designed for infants with the risk on adult beds. We compared infants' ages and other demographic data, the sleep location and surface used, and the reported mechanism or pattern of death. For , we used data on sleep location from an annual survey of randomly selected households of living infants younger than 8 months, collected as part of the National Infant Sleep Position Study at the National Institute of Child Health and Human Development, to calculate risk for death as a result of suffocation in cribs, in adult beds, and on sofas or chairs. Results: From the s, cases of infant suffocation were considered; from the s, cases. The number of reported suffocation deaths in cribs fell from to , the number of reported deaths in adult beds increased from to , and the number of reported deaths on sofas or chairs increased from 33 to Using cribs as the reference group and adjusting for potential confounders, the multivariate ORs showed that infant deaths in adult beds were 8.
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