Evidence map›Paper›PMID 23798701›Full record

ArticleArchives of disease in childhood2013

Breast feeding and intergenerational social mobility: what are the mechanisms?

A Sacker, Y Kelly, M Iacovou, N Cable, M Bartley

Open access · hybridAbstract read
In one paragraph

Article in Archives of disease in childhood, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Decline in the negative association between low birth weight and cognitive ability.Proceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  9. Fit to WHO weight standard of European infants over time.Archives of disease in childhood · 2016
    Article
  10. Review
  11. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

A SackerResearch Department of Epidemiology and Public Health, University College London, London, UK. sacker@ucl.ac.uk
Y Kelly
M Iacovou
N Cable
M Bartley
University College London · GBUniversity of Essex · GB

Funding

Medical Research Council G1001799
6 · The paper itself

Abstract

objectiveTo investigate the association between breast feeding and intergenerational social mobility and the possible mediating role of neurological and stress mechanisms.

designSecondary analysis of data from the 1958 and the 1970 British Cohort Studies.

settingLongitudinal study of individuals born in Britain during 1 week in 1958 and 1970.

participants17 419 individuals participated in the 1958 cohort and 16 771 in the 1970 cohort. The effect of breast feeding on intergenerational social mobility from age 10/11 to age 33/34 was analysed after multiple imputations to fill in missing data and propensity score matching on a wide range of confounders measured in childhood (1958 cohort N=16 039-16 154; 1970 cohort N=16 255-16 361).

main outcome measuresOwn Registrar General's Social Class (RGSC) at 33/34 years adjusted for father's RGSC at 10/11 years, gender and their interaction.

resultsBreastfed individuals were more likely to be upwardly mobile (1958 cohort: OR 1.24 95% CI 1.12 to 1.38; 1970 cohort: OR 1.24 95% CI 1.12 to 1.37) and less likely to be downwardly mobile (1958 cohort: OR 0.81 95% CI 0.73 to 0.90; 1970 cohort: OR 0.79 95% CI 0.71 to 0.88). In an ordinal regression model, markers of neurological development (cognitive test scores) and stress (emotional stress scores) accounted for approximately 36% of the relationship between breast feeding and social mobility.

conclusionsBreast feeding increased the odds of upward social mobility and decreased the odds of downward mobility. Consistent with a causal explanation, the findings were robust to matching on a large number of observable variables and effect sizes were alike for two cohorts with different social distributions of breast feeding. The effect was mediated in part through neurological and stress mechanisms.

Indexed as

AdolescentAdultBreast FeedingChildCohort StudiesFemaleHumansLongitudinal StudiesMaleSocial MobilityStress, PsychologicalUnited KingdomYoung AdultBreastfeedingChild PsychologyNeurodevelopment

Identifiers

PMID23798701
PMCPMC3756446
OpenAlexW2165281584

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.