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For Infant Sleep Safety, Beware Of Internet Searches

In 2010, 59% of the U.S. population used internet searches for , and parents searching for information regarding their children were among the top users. In 2011, the (AAP) published recommendations for safety to reduce the risk of (SIDS), suffocation, strangulation, and other accidental sleep-related deaths. However, according to a study scheduled for publication in The Journal of Pediatrics, Google internet searches related to infant sleep safety often do not reflect .

Seventy-two percent of adults thought that they could believe most or all of the health information on the internet, and 70% of adults said that information that they found on the internet impacted their health or their actions pertaining to their health or the health of their children. According to Rachel Y. Moon, MD, pediatrician and SIDS researcher at Children’s National Medical Center, , DC, “It is important for health care providers to realize the extent to which parents may turn to the internet for information about infant sleep safety and then act on that advice, regardless of the reliability of the source.”

Dr. Moon and colleagues from the University of South Carolina School of Medicine, Children’s National Medical Center, and George Washington University School of Medicine and Health Sciences checked the accuracy of information on infant sleep safety available on the internet, using Google, the top search engine in the U.S. Thirteen key phrases were created to reflect specific AAP recommendations for infant sleep safety, and the first 100 search engine websites were analyzed for each phrase (1300 websites total).

Of 1300 website results, 43.5% provided accurate information, 28.1% provided inaccurate information, and 28.4% provided information that was not relevant to infant sleep safety. When the websites that were not relevant were excluded, 60.8% of the websites provided accurate information. The key search phrases with the highest percentage of accurate information were “infant cigarette smoking,” “infant sleep position,” and “infant sleep surface”; those with the highest percentage of inaccurate information were “pacifier infant,” “infant home monitor,” and “infant co-sleeping.”

The most common types of websites resulting from the key search phrases were company/interest groups, retail product reviews, and educational websites. Government and organizational websites had the highest percentage of accurate information (80.1% and 72.5%, respectively). Blogs, retail product reviews, and individuals’ websites had the highest percentage of inaccurate information regarding infant sleep safety (30.9%, 36.2%, and 45.5%, respectively). News websites were accurate only one-half of the time.


The authors recommend that healthcare providers should provide an up-to-date list of websites that accurately reflect AAP recommendations on infant sleep safety. Dr. Moon suggests the following websites as good starting places for infant sleep safety information: Health Finder (http://www.healthfinder.gov), Medline Plus (http://www.nlm.nih.gov/medlineplus), and Health on the Net Foundation (http://www.hon.ch/HONcode). Government and other websites regarding infant sleep safety should periodically review and update their information for accuracy and currency, making sure to cite sources and dates to provide accurate information to parents and caregivers.
Elsevier Health Sciences