PEDIATRICS Vol. 74 No. 2 August 1984, pp. 171-182
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Cosleeping in Urban Families with Young Children in the United States

Betsy Lozoff MD, MS1, Abraham W. Wolf PhD1, and Nancy S. Davis MSW1

1 From the Departments of Pediatrics and Psychiatry, Rainbow Babies and Childrens Hospital, Cleveland Metropolitan General Hospital, Case Western Reserve University School of Medicine, Cleveland

The prevalence and correlates of sleeping in the parental bed among healthy children between 6 months and 4 years of age are described. One hundred fifty children were enrolled in an interview study on the basis of "well-child" care appointments in representative pediatric facilities. The sample created was similar in demographic characteristics to census data for the Cleveland area. In this cross section of families in a large US city, cosleeping was a routine and recent practice in 35% of white and 70% of black families. Cosleeping in both racial groups was associated with approaches to sleep management at bedtime that emphasized parental involvement and body contact. Specifically, cosleeping children were significantly more likely to fall asleep out of bed and to have adult company and body contact at bedtime. Among white families only, cosleeping was associated with the older child, lower level of parental education, less professional training, increased family stress, a more ambivalent maternal attitude toward the child, and disruptive sleep problems in the child.

Key Words: sleep • sleep problems • child rearing practices • stress • racial differences

Submitted on July 25, 1983
Accepted on October 4, 1983




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