Work

The Relationship Between Diaper Insecurity and Safe Infant Sleep Practices: A Prospective Survey of Kansas Birthing Persons

Year: 2026

Type: article

Abstract: Safe sleep practices, including use of sleep-appropriate clothing, are crucial for reducing sleep-related deaths. Diapers are part of infant sleepwear, but many caregivers cannot afford them. This study explored diaper insecurity and safe sleep practices, with secondary assessment of social health factors. A 34-question survey examined infant sleep practices, diaper insecurity, and social determinants of health among birthing persons in Kansas who received safe sleep education. Of respondents, 69% (n = 78/113) experienced diaper insecurity, with affected infants being older (6.8 vs 5.3 months, P = .026), non-Hispanic ( P = .049), and on Medicaid ( P = .018). No significant difference in sleep practices was found. Diaper-insecure participants were more likely to report housing insecurity ( P = .029), food insecurity ( P < .001), childcare difficulties ( P = .007) and financial insecurity ( P < .001). These findings showcase the need for screening and interventional support for diaper insecurity, especially for families experiencing challenges related to social health factors, receiving Medicaid, and/or with infants over 6 months old.

Source: Sage Open Pediatrics

DOI: 10.1177/30502225261419917

Authors: Alexis Segura, Ashley Hervey, Carolyn R. Ahlers-Schmidt

Institution: University of Kansas

Language: English

Topic: Food Security and Health in Diverse Populations

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities, No poverty

Open Access status: hybrid

Funders: School of Medicine, University of Kansas, Kansas Department of Health and Environment