Table 3.
Sleep behaviors and parenting practices at 16 weeks among firstborn (FB) and secondborn (SB) siblings enrolled in the INSIGHT and SIBSIGHT studies (n=107 dyads
| FB | SB | Similarity within families | Birth order effect SB vs. FBa | ||||
|---|---|---|---|---|---|---|---|
| Variables | % | % | % agreement | Fisher’s exact test p-value | OR | 95% CI | p-value |
| Bedtime routine, % | |||||||
| Duration >15-≤45 minb | 42 | 43 | 64 | 0.009 | 1.1 | 0.7–1.8 | 0.71 |
| Components | |||||||
| Read book | 45 | 25 | 64 | 0.01 | 0.4 | 0.2–0.7 | <0.001 |
| Rocking | 63 | 58 | 73 | <0.001 | 0.8 | 0.5–1.3 | 0.35 |
| Bath | 61 | 49 | 67 | <0.001 | 0.6 | 0.4–0.9 | 0.03 |
| Music | 19 | 14 | 82 | 0.001 | 0.7 | 0.4–1.3 | 0.25 |
| Watch television | 9 | 2 | 89 | 1.00 | 0.2 | 0.0–0.9 | 0.04 |
| Bottle feed/breastfeed | 94 | 94 | 88 | 1.00 | 1.2 | 0.4–3.8 | 0.78 |
| Fed as last activity | 35 | 26 | 73 | <0.001 | 0.7 | 0.4–1.1 | 0.10 |
| Sleep location and behaviors, % | |||||||
| Bedtime 8PM or earlier | 32 | 38 | 69 | 0.001 | 1.4 | 0.8–2.3 | 0.23 |
| Sleeps in own room | 65 | 51 | 75 | <0.001 | 0.6 | 0.4–0.8 | 0.004 |
| Falls asleep swaddled | 28 | 33 | 69 | 0.006 | 1.3 | 0.7–2.1 | 0.39 |
| Falls asleep with pacifier | 36 | 27 | 71 | 0.001 | 0.7 | 0.4–1.1 | 0.11 |
| Falls asleep with white noise | 30 | 35 | 71 | <0.001 | 1.2 | 0.8–2.0 | 0.35 |
| Falls asleep being held | 45 | 43 | 70 | <0.001 | 0.9 | 0.6–1.4 | 0.72 |
| Falls asleep alone in room, in crib (self-soothes) | 46 | 37 | 71 | <0.001 | 0.7 | 0.4–1.1 | 0.11 |
| Falls asleep in ≤15 min | 63 | 66 | 55 | 0.84 | 1.2 | 0.7–2.1 | 0.56 |
| Night waking, % | |||||||
| ≥ 2 per night | 33 | 41 | 62 | 0.06 | 1.4 | 0.9–2.4 | 0.16 |
| ≥ 2 night feedingsc | 31 | 37 | 64 | 0.05 | 1.3 | 0.8–2.2 | 0.33 |
| Parenting strategies | |||||||
| Give a few minutes to fall back asleep | 58 | 50 | 67 | <0.001 | 0.7 | 0.5–1.1 | 0.13 |
| Pick up and hold/rock back to sleep | 34 | 34 | 66 | 0.02 | 1.0 | 0.6–1.7 | 1.00 |
| Rub/pat but do not pick up | 19 | 20 | 77 | 0.02 | 1.1 | 0.6–1.9 | 0.84 |
| Feed back to sleep | 65 | 65 | 70 | <0.001 | 1.0 | 0.6–1.6 | 1.00 |
| Give pacifier | 37 | 40 | 69 | <0.001 | 1.1 | 0.7–1.8 | 0.60 |
| Change diaper | 68 | 59 | 61 | 0.10 | 0.7 | 0.4–1.1 | 0.12 |
| Sleep safety, % | |||||||
| Supine position | 91 | 89 | 91 | <0.001 | 0.8 | 0.4–1.5 | 0.53 |
| Unapproved object in crib (e.g., blanket, pillow)d | 42 | 29 | 70 | <0.001 | 0.6 | 0.4–0.9 | 0.02 |
OR and P value from generalized linear mixed model controlling for study group;
n=106 dyads;
n=105 dyads;
n=103 dyads;