TY - JOUR
T1 - Inconsistency Between Pictures on Baby Diaper Packaging in Europe and Safe Infant Sleep Recommendations
AU - de Visme, Sophie
AU - Korevaar, Daniel A.
AU - Gras-le Guen, Christèle
AU - Flamant, Alix
AU - Bevacqua, Martina
AU - Stanzelova, Anna
AU - Trinh, Nhung T. H.
AU - Ciobanu, Dalia-Alexandra
AU - Carvalho, Ana Araújo
AU - Kyriakoglou, Ifigeneia
AU - Fuentes, Maria
AU - Refes, Yacine
AU - Briand-Huchet, Elisabeth
AU - Sellier, Anne-Laure
AU - Harrewijn, Inge
AU - Cohen, J. rémie F.
AU - Chalumeau, Martin
N1 - Publisher Copyright: © 2023 Elsevier Inc.
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Objective: To describe the level of inconsistency between pictures on baby diaper packaging and safe infant sleep recommendations (SISRs) in Europe. Study design: We attempted to identify all packaging of baby diapers sold in 11 European countries for infants weighing less than 5 kg through internet searches from July 2022 through February 2023. For each type of package, we extracted whether there was a picture depicting a baby, whether the baby was sleeping, and whether the picture of the sleeping baby was inconsistent with ≥1 of 3 SISRs: (i) nonsupine sleeping position, (ii) soft objects or loose bedding, or (iii) sharing a sleep surface with another person. Data were aggregated at the country level, and a random-effects meta-analysis of proportions was used to obtain summary estimates. The outcome was the summary estimate of the proportion of pictures that were inconsistent with SISRs. Results: We identified 631 baby diaper packaging types of which 49% (95% CI: 42-57; n = 311) displayed a picture of a sleeping baby. Among those 311 packages, 79% (95% CI 73-84) were inconsistent with ≥1 SISR, including a nonsupine sleeping position, 45% (95% CI 39-51), soft objects or loose bedding such as pillows or blankets, 51% (95% CI 46-57), and sharing a sleep surface with another person, 10% (95% CI 4-18). Conclusions: Pictures on baby diaper packaging in Europe are often inconsistent with SISRs. The prevention of sudden unexpected death in infancy requires action from manufacturers and legislators to stop parents’ exposure to misleading images that may lead to dangerous practices.
AB - Objective: To describe the level of inconsistency between pictures on baby diaper packaging and safe infant sleep recommendations (SISRs) in Europe. Study design: We attempted to identify all packaging of baby diapers sold in 11 European countries for infants weighing less than 5 kg through internet searches from July 2022 through February 2023. For each type of package, we extracted whether there was a picture depicting a baby, whether the baby was sleeping, and whether the picture of the sleeping baby was inconsistent with ≥1 of 3 SISRs: (i) nonsupine sleeping position, (ii) soft objects or loose bedding, or (iii) sharing a sleep surface with another person. Data were aggregated at the country level, and a random-effects meta-analysis of proportions was used to obtain summary estimates. The outcome was the summary estimate of the proportion of pictures that were inconsistent with SISRs. Results: We identified 631 baby diaper packaging types of which 49% (95% CI: 42-57; n = 311) displayed a picture of a sleeping baby. Among those 311 packages, 79% (95% CI 73-84) were inconsistent with ≥1 SISR, including a nonsupine sleeping position, 45% (95% CI 39-51), soft objects or loose bedding such as pillows or blankets, 51% (95% CI 46-57), and sharing a sleep surface with another person, 10% (95% CI 4-18). Conclusions: Pictures on baby diaper packaging in Europe are often inconsistent with SISRs. The prevention of sudden unexpected death in infancy requires action from manufacturers and legislators to stop parents’ exposure to misleading images that may lead to dangerous practices.
KW - legislation
KW - meta-analysis
KW - packaging
KW - sudden infant death
UR - http://www.scopus.com/inward/record.url?scp=85174388962&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jpeds.2023.113763
DO - https://doi.org/10.1016/j.jpeds.2023.113763
M3 - Article
C2 - 37778411
SN - 0022-3476
VL - 264
JO - Journal of pediatrics
JF - Journal of pediatrics
M1 - 113763
ER -