Unsafe Infant Sleep Imagery in Retail Marketing: An Assessment of Spokane County Stores

Faculty Mentor

Rumyana Kudeva

Presentation Type

Poster

Start Date

4-14-2026 2:00 PM

End Date

4-14-2026 4:00 PM

Location

PUB NCR

Primary Discipline of Presentation

Public Health

Abstract

It is well documented that marketing imagery influences consumer beliefs and behaviors. It is also known that infant sleep position and environment are contributors to infant safety and overall risk of death. Despite widespread public health messaging promoting safe sleep practices, retail marketing continues to depict infant sleep environments that conflict with the American Academy of Pediatrics' (AAP) guidelines for safe sleep. For this project, we assessed the frequency of unsafe infant sleep imagery on product packaging and in-store marketing displays in Spokane County retail settings. A comprehensive list of Spokane County stores selling infant sleep-related products (defined as intended to be slept on, worn during sleep, or placed in infant sleep spaces) was developed. Infants were defined as being under one year of age per AAP classification. A standardized evaluation tool assessed store type, total sleep-related imagery, frequency and characteristics of unsafe depictions per AAP guidelines, image location and commonly recalled products. Stores were selected and evaluated between January and March 2026. Descriptive statistics will be compiled following the completion of evaluations. We estimate that 25% of observed imagery will on average depict unsafe sleep practices across all settings. We expect to see higher rates of commonly recalled products and unsafe displays in second-hand and infant specialty stores compared with department chain stores. Findings will inform public health education strategies, retailer engagement, and future research on how infant sleep-related images influence consumers.

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Apr 14th, 2:00 PM Apr 14th, 4:00 PM

Unsafe Infant Sleep Imagery in Retail Marketing: An Assessment of Spokane County Stores

PUB NCR

It is well documented that marketing imagery influences consumer beliefs and behaviors. It is also known that infant sleep position and environment are contributors to infant safety and overall risk of death. Despite widespread public health messaging promoting safe sleep practices, retail marketing continues to depict infant sleep environments that conflict with the American Academy of Pediatrics' (AAP) guidelines for safe sleep. For this project, we assessed the frequency of unsafe infant sleep imagery on product packaging and in-store marketing displays in Spokane County retail settings. A comprehensive list of Spokane County stores selling infant sleep-related products (defined as intended to be slept on, worn during sleep, or placed in infant sleep spaces) was developed. Infants were defined as being under one year of age per AAP classification. A standardized evaluation tool assessed store type, total sleep-related imagery, frequency and characteristics of unsafe depictions per AAP guidelines, image location and commonly recalled products. Stores were selected and evaluated between January and March 2026. Descriptive statistics will be compiled following the completion of evaluations. We estimate that 25% of observed imagery will on average depict unsafe sleep practices across all settings. We expect to see higher rates of commonly recalled products and unsafe displays in second-hand and infant specialty stores compared with department chain stores. Findings will inform public health education strategies, retailer engagement, and future research on how infant sleep-related images influence consumers.