Evidence map›Paper›PMID 26515468›Full record

ArticleMaternal and child health journal2016

Predictive Models for Characterizing Disparities in Exclusive Breastfeeding Performance in a Multi-ethnic Population in the US.

Yeyi Zhu, Ladia M Hernandez, Peter Mueller, Yongquan Dong, Steven Hirschfeld, Michele R Forman

Open access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Maternal and child health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Observational
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

6 authors at 2 institutions in 1 country.

Yeyi ZhuDepartment of Nutritional Sciences, University of Texas at Austin, Austin, TX, 78703, USA. yeyi.zhu@nih.gov.
Ladia M HernandezDepartment of Nutritional Sciences, University of Texas at Austin, Austin, TX, 78703, USA.
Peter MuellerDepartment of Mathematics, University of Texas at Austin, Austin, TX, USA.
Yongquan DongDepartment of Nutritional Sciences, University of Texas at Austin, Austin, TX, 78703, USA.
Steven HirschfeldEunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA.
Michele R FormanDepartment of Nutritional Sciences, University of Texas at Austin, Austin, TX, 78703, USA.
The University of Texas at Austin · USEunice Kennedy Shriver National Institute of Child Health and Human Development · US

Funding

NICHD NIH HHS HHSN275200800020C
6 · The paper itself

Abstract

objectivesMaternal lactation performance varies across populations, yet the relative impact of maternal sociodemographics, perinatal factors, and birth outcomes on disparities in exclusive breastfeeding (XBR) outcomes is not well known. We aimed to develop predictive models and compare the relative contribution of predictors for XBR initiation and XBR ≥ 6 months.

methodsInfant feeding data were obtained from women with children aged 0-6 years (n = 1471) in a multi-ethnic cross-sectional study in the US (2011-2012). We compared discriminant ability of predictors for ever XBR and XBR ≥ 6 months using discriminant function analysis, respectively. We also calculated adjusted ORs for factors associated with XBR outcomes and breast-bottle feeding (BrBot) subgroups.

resultsMaternal sociodemographics (education level, marital status, nativity, and age at childbirth) had greater discriminating abilities in predicting ever XBR and XBR ≥ 6 months than birth outcomes and perinatal factors. Foreign-born women were two-fold more likely to initiate XBR but not necessarily continue to 6 months compared to their US-born counterparts. Factors associated with BrBot subgroups differed from those associated with XBR outcomes, whereas maternal age was the only predictor consistently associated with ever XBR, XBR ≥ 6 months, and BrBot subgroups. The areas under the receiver operating characteristic curves for models predicting ever XBR and XBR ≥ 6 months were 0.88 (95 % CI 0.85, 0.91) and 0.90 (95 % CI 0.88, 0.93), respectively.

conclusionsFindings underscore the importance of educational, clinical, and social support to promote XBR in mothers with sociodemographic factors predictive of none or poor XBR outcomes.

Indexed as

AdultBottle FeedingBreast FeedingChild, PreschoolCross-Sectional StudiesEducational StatusEthnicityFemaleHumansInfantInfant, NewbornMaternal AgeMothersPredictive Value of TestsPregnancySocial SupportBreast-bottle feedingBreastfeeding disparityBreastfeeding promotionExclusive breastfeedingMulti-ethnic population

Identifiers

PMID26515468
PMCPMC12965165
OpenAlexW2201622027

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.