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Trends in sudden infant death syndrome in australia from 1980 to 2002

Abstract  Analysis was undertaken of trends in sudden infant death syndrome (SIDS) in Australia from 1980 to 2002 using Australian Bureau of Statistics data. The results showed a decline in the SIDS mortality rate from an average of 195.6 deaths per 100,000 live births in the period 1980–1990 to an average of 96.5 deaths per 100,000 live births in the period 1991–1996 and 51.7 deaths per 100,000 live births in the period 1997–2002. The Poisson regression coefficients for SIDS fitted to the rates at the Australia level indicated that the Reduce the Risks (RTR) campaign led to a significant decline of almost 40% when contrasting the pre- and post-campaign periods. Despite recent suggestions that the fall in SIDS rate has been due to natural variations in incidence, the data clearly show that the decline in SIDS rates coincided almost immediately with the introduction of the RTR campaign and has been sustained over time. There was no evidence of diagnostic transfer or of a postponement of death from infancy to early childhood years. Unless this dramatic fall was caused by as yet undetected factors, the campaign is the only plausible explanation for the markedly reduced SIDS rate in Australia. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s12024-007-9011-yAuthors Edouard Tursan d’Espaignet, Hunter New England Area Health Service Hunter New England Population Health Locked Bag 10 Wallsend NSW 2287 AustraliaMax Bulsara, The University of Western Australia, Telethon Institute for Child Health Research School of Population Health, The University of Western Australia and Centre for Child Health Research Perth AustraliaLuke Wolfenden, Hunter New England Area Health Service Hunter New England Population Health Newcastle AustraliaRoger W. Byard, University of Adelaide Discipline of Pathology Adelaide AustraliaFiona J. Stanley, The University of Western Australia, The Telethon Institute for Child Health Research Centre for Child Health Research Perth Australia Journal Forensic Science, Medicine, and PathologyOnline ISSN 1556-2891Print ISSN 1547-769X (Source: Forensic Science, Medicine, and Pathology)

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