Evidence map›Paper›PMID 16881874›Full record

ArticleMaternal & child nutrition2005

Sociocultural influences on infant feeding decisions among HIV-infected women in rural Kwa-Zulu Natal, South Africa.

Lucy N Thairu, Gretel H Pelto, Nigel C Rollins, Ruth M Bland, Ncamisile Ntshangase

Registry-linked trialAbstract read
In one paragraph

Article in Maternal & child nutrition, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01948557 (A Cohort Study To Assess The Impact Of A Breastfeeding Counselling And Support Strategy To Promote Exclusive Breastfeeding On Post-Natal Transmission Of HIV In African Women), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01948557 nacompletednot on this map

A Cohort Study To Assess The Impact Of A Breastfeeding Counselling And Support Strategy To Promote Exclusive Breastfeeding On Post-Natal Transmission Of HIV In African Women

TypeinterventionalSponsorUniversity of KwaZuluRan2001 to 2006Enrolled3,465ConditionsHIVArmsInfant feeding counselling and support
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Infant and Young Child Feeding in the Context of HIV:medRxiv : the preprint server for health sciences · 2023
    Article
  8. Article
  9. Stakeholder Attitudes towards Donating and Utilizing Donated Human Breastmilk.International journal of environmental research and public health · 2019
    Article
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  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lucy N ThairuDivision of Nutritional Sciences, Cornell University, Ithaca, NY 14850, USA. lnt3@cornell.edu
Gretel H Pelto
Nigel C Rollins
Ruth M Bland
Ncamisile Ntshangase

Funding

Training in International Maternal and Child NutritionD43TW001271 · FIC · CORNELL UNIVERSITY ITHACA · PI RASMUSSEN, KATHLEEN M · 2001 to 2005
$879k
FIC NIH HHS 1 D43 TW01271
6 · The paper itself

Abstract

The promotion of exclusive breastfeeding for 6 months, followed by rapid transition to alternative food sources may be an important public health approach to the reduction of mother-to-child transmission of HIV through breastmilk. The basic ethical principle of 'informed choice' requires that HIV positive women are provided with adequate information about their options. However, information is only one factor that affects their decisions. The objective of this ethnographic study was to identify sociocultural influences on infant feeding decisions in the context of a large cohort study designed to assess the impact of a breastfeeding counselling and support strategy to promote exclusive breastfeeding on postnatal transmission of HIV in African women. Following an initial period of exploratory interviewing, ethnographic techniques were used to interview 22 HIV positive women about their views on infant feeding and health. Interviews were tape-recorded, transcribed and analysed with a text analysis program. Five themes of influences on feeding decisions emerged: (1) social stigma of HIV infection; (2) maternal age and family influences on feeding practices; (3) economic circumstances; (4) beliefs about HIV transmission through breastmilk; and (5) beliefs about the quality of breastmilk compared to formula. The study highlights the role of cultural, social, economic and psychological factors that affect HIV positive women's infant feeding decisions and behaviour.

Indexed as

Cultural CharacteristicsInfant FoodAdultBreast FeedingCohort StudiesDecision MakingFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalInterviews as TopicMaternal AgeMilk, Human

Identifiers

PMID16881874
PMCPMC6874389

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.