{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:23:25Z","timestamp":1787027005751,"version":"build-2736575974"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T00:00:00Z","timestamp":1639094400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Sudden infant death syndrome (SIDS) is the sudden, unexplained death of infants &amp;lt;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.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods and Results:<\/jats:bold>\n                    In this IRB-approved study, infant mortality 2007\u20132016 and death certificate-linked natality 2007\u20132014 were obtained from the NC Department of Health and Human Services. General, NC natality statistics 2007\u20132016 were obtained from CDC Wonder. Association between SIDS\/total infant death and covariates (below) were calculated. Total infant mortality decreased 2007\u20132016 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 &amp;lt;39 weeks, birthweight &amp;lt;2500 g, low maternal education, and maternal tobacco use (\n                    <jats:italic>p<\/jats:italic>\n                    &amp;lt;\n                    <jats:italic>0.01<\/jats:italic>\n                    ). Maternal previous children now deceased also trended toward association with increased SIDS risk.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    A thorough SIDS risk assessment should include maternal, socioeconomic, and environmental risk factors as these are associated with SIDS in our population.\n                  <\/jats:p>","DOI":"10.3389\/fped.2021.770803","type":"journal-article","created":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T04:31:31Z","timestamp":1639110691000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Risk Factors for Sudden Infant Death in North Carolina"],"prefix":"10.3389","volume":"9","author":[{"given":"Merick M.","family":"Yamada","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael 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