Table 1. Maternal, family, and infant characteristics Maternal age at birth (years) Maternal prioritized ethnicity European Māori Otherc Total (n) 209 209 -207 206 209 209 208 207 162 208 206 209 209 207 209 209 - n (%) 177 (84.7) 15 (7.2) 17 (8.2) 9 (4.4) 113 (54.6) 57 (27.5) 28 (13.5) 14 (6.8) 41 (19.9) 29 (14.1) 122 (59.2) 120 (57.4) 33 (15.8) 7 (3.4) 49 (23.4) 193 (92.8) 10 (4.8) 5 (2.4) 74 (35.9) 93 (45.2) 39 (18.9) 20 (9.6) 80 (38.3) 92 (44.0) 17 (8.1) 0.88b 162 (77.5) 24 (11.5) 23 (11.0) Mean (SD) 31.5 (5.0) 2 (1)a 6.8 (4) 12.7 (3.4) 0 (1) 40.0 (1.3) 3522 (484) - Maternal BMI (pre-pregnancy) categories Underweight Healthy Overweight Obese Maternal education Year 11 or lower Year 12 or 13 Post-secondary Degree or higher Maternal employment Working (full-time, part-time, or casual) Maternity leave (paid or unpaid) Student (and possibly working) Not working (includes carers) Parity Maternal EPDS Maternal Stress Maternal AUDIT-C Living arrangements With child’s father/partner With family Other NZDep2006 1-3 (low deprivation) 4-7 8-10 (high deprivation) Family income (NZDd) ≤$30,000 -$70,000 Over $70,000 Not provided Gestation (weeks) Birth weight (g) Infant sex (M:F) Infant prioritised ethnicity European Māori Otherc a median (IQR) b ratio c Other includes Pacific, Asian, Middle Eastern, Latin American, African d NZD, New Zealand dollars. $70,000 represents average annual household income in region Unless otherwise stated, maternal and family data were collected at baseline (third trimester) Table 2. Data source for SUDI Risk score and the number of infants in this study following best practice Best practice Risk factor Data Source Supine sleep position Prone or side sleep position Gilbert et al, 2005 (15) Risk score Odds ratio (95% C.I.) 6.91 (4.63-10.32) Any breastfeeding No breastfeeding Hauck et al, 2011 (18) Usual pacifier use No pacifier use Hauck et al, 2005 (19) Current Study Age (weeks) n 19 195 Following best practice, n (%) Yes No 176 (90.3) 19 (9.7) 2.63 (1.85-3.7)a 8.7c 199 178 (89.4) 21 (10.6) 1.41 (1.12-1.69)b 19 194 36 (18.6) 158 (81.4) No bed sharing & No maternal smoking in pregnancy a b unadjusted odds ratios adjusted odds ratios 37 (19.4) No bed sharing & Maternal smoking in pregnancy Carpenter et al, 2004 (16) 1.98b 3 191 Bed sharing & No maternal smoking in pregnancy Vennemann et al, 2012 (17) 1.66 (0.91-3.01)b - Bed sharing & Maternal smoking in pregnancy Vennemann et al, 2012 (17) 6.27 (3.94-9.99)b - 154 (80.6) 12 (6.3) - - 24 (12.6) - - 1 (0.5) Table 3. Predictors of SUDI risk scores Predictor Maternal age at birth (years) Fractional polynomial transformed predictors 20 25 30 35 40 Linear predictor Maternal prioritized ethnicity European Māori Other Maternal BMI pre-pregnancy (per unit) Maternal education Year 11 or lower Year 12 or 13 Post-secondary Degree or higher Maternal employment Not working Full-time, part-time, casual Parity (per birth) EPDS (per point) Stress (per point) AUDIT-C (per point) Living arrangements Without partner or family With partner With family NZDep2006 (per decile) n 176 176 174 173 176 176 175 175 140 176 173 Unadjusted Ratio of geometric means 95% CI 1.00 0.23 0.16 0.16 0.17 1.00 1.79 0.98 1.01 1.00 0.50 0.39 0.33 1.00 0.64 1.15 1.06 1.02 0.97 1.00 1.35 1.55 1.02 0.12–0.44 0.07–0.34 0.08–0.33 0.09–0.34 1.12–2.88 0.67–1.43 0.99–1.03 0.31–0.80 0.23–0.64 0.21–0.51 0.52–0.79 1.05–1.27 1.03–1.09 0.99–1.06 0.84–1.11 0.57–3.19 0.56–4.28 0.97–1.06 P-value < 0.001 0.053 0.297 < 0.001 0.001 0.004 < 0.001 0.177 0.657 0.697 0.489 Adjusted a (n=170) Ratio of geometric means 95% CI P-value 0.97 1.00 1.21 0.92 1.00 0.61 0.52 0.52 1.00 0.79 1.13 1.03 1.01 - 0.95–1.00 0.75–1.95 0.64–1.32 0.37–1.00 0.31–0.87 0.33–0.83 0.64–0.98 1.01–1.26 1.00–1.06 0.98–1.05 - 0.030 0.649 0.042 0.031 0.028 0.036 0.353 - Family income (NZDb) 176 ≤$30,000 1.00 -$70,000 0.93 0.62–1.39 Over $70,000 0.62 0.41–0.92 Not provided 1.39 0.81–2.37 Gestation (per week) 176 0.98 0.90–1.07 Infant sex 176 Girl 1.00 Boy 0.88 0.70–1.10 a Adjusted for all other variables in the model b NZD, New Zealand dollars. $70,000 represents average annual household income in region Unless otherwise stated, maternal and family data were collected at baseline (third trimester) < 0.001 0.708 0.246 - 1.00 0.94 0.77 1.38 1.00 0.90 0.63–1.41 0.51–1.17 0.80–2.38 0.73–1.10 0.062 0.283 -