Air mattresses use one or more air chambers instead of springs to provide support. Quality and price can range from inexpensive ones used occasionally for camping, to high-end luxury beds. Air mattresses designed for typical bedroom use cost about the same as inner-spring mattresses with comparable features. Air bladder construction varies from a simple polyethylene bag to internally baffled, multiple chambers of [[latex]] (vulcanized rubber) or [[vinyl]] with bonded cotton exteriors. Mattresses may have a layer of foam above the air chambers for added cushioning, and may be enclosed in a cover. Some such beds are termed soft-sided air beds.

Permanent use adjustable-firmness "airbeds" became popular particularly after market leader [[Select Comfort]] began a major marketing campaign around 2001. The original airbed was manufactured by Comfortaire in 1981, which was later purchased by Select Comfort. There are several other manufacturers. Some allow independent adjustment of each side of the bed. They are made in a variety of models from basic, no-frills ones that measure about 7" in height, to high-profile, 15" tall hybrids that contain several types of foam, pillow tops, and digital pumps with memory for individual pressure settings. Studies suggest that adjustable-firmness beds are better for back pain.

Adjustable-firmness mattresses for medical use have special control mechanisms. In the 1990s self-adjusting air beds that automatically change their pressure periodically, or inflate and deflate several air chambers alternately, were introduced. The intention of these periodic changes is to reduce problems with decubitus ulcers ([[Bedsore|bed sores]]), though the effectiveness of these techniques was still being researched.

Air mattresses for camping are available which are filled with foam which itself provides little support, but expands when the air valve is opened allowing air to enter, so the mattress (nearly) inflates by itself. This is especially useful for campers who carry their equipment as, unlike with normal air mattresses, no pump is needed for inflating. Available brands include Aerobed, Coleman, [[Therm-a-Rest]] and others.

The U.S. Consumer Product Safety Commission advises consumers not to let infants sleep on air mattresses. This is motivated by reports of deaths, mostly infants younger than 8 months of age, who were placed to sleep on air mattresses, and either suffocated in a face down position on an air mattress or died due to suffocation after falling into gaps between the mattress and bed frame, or the mattress and adjacent furniture or wall.

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