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The decline in the incidence of SIDS in Scandinavia and its relation to risk-intervention campaigns. Nordic Epidemiological SIDS Study.

Journal article
Authors Göran Wennergren
Bernt Alm
N Oyen
K Helweg-Larsen
J Milerad
R Skjaerven
Gunnar Norvenius
H Lagercrantz
M Wennborg
A K Daltveit
T Markestad
L M Irgens
Published in Acta paediatrica (Oslo, Norway : 1992)
Volume 86
Issue 9
Pages 963-8
ISSN 0803-5253
Publication year 1997
Published at Institute for the Health of Women and Children, Dept of Paediatrics
Pages 963-8
Language en
Keywords Case-Control Studies, Cause of Death, Cross-Sectional Studies, Female, Humans, Incidence, Infant, Infant, Newborn, Male, Prone Position, Prospective Studies, Risk Factors, Scandinavian and Nordic Countries, epidemiology, Sudden Infant Death, epidemiology, prevention & control
Subject categories Public health science, Epidemiology, Pediatrics


A prospective case-control study of sudden infant death syndrome (SIDS) in Norway, Denmark and Sweden between September 1, 1992 and August 31, 1995 comprised 244 cases and 869 matched controls. After the introduction of risk-intervention campaigns, the SIDS incidence decreased from 2.3/1000 live births in Norway, 1.6 in Denmark and 1.0 in Sweden to 0.6/1000 or fewer in all the Scandinavian countries in 1995. The decrease paralleled a decline in the prone sleeping position and there was an accompanying parallel fall in total postneonatal mortality in all three countries. Thus, the risk-reducing campaigns for SIDS have been successful not only in Norway and Denmark, starting from relatively high incidences, but also in Sweden, starting from a low incidence. During the study period, a gradual increase was observed for the effects of prone sleeping, smoking and bottle-feeding as risk factors for SIDS.

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