Evidence map›Paper›PMID 26996672›Full record

ArticlePublic health nutrition2016

High education and increased parity are associated with breast-feeding initiation and duration among Australian women.

Natalie Holowko, Mark Jones, Ilona Koupil, Leigh Tooth, Gita Mishra

Abstract read
In one paragraph

Article in Public health nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

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

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

  1. Pooled it
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  16. Modifiable Individual Factors Associated with Breastfeeding: A Cohort Study in China.International journal of environmental research and public health · 2019
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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.

Natalie Holowko1Centre for Longitudinal and Life Course Research,School of Public Health,The University of Queensland,Brisbane,Queensland,Australia.ORCID 0000-0002-9124-3264
Mark Jones1Centre for Longitudinal and Life Course Research,School of Public Health,The University of Queensland,Brisbane,Queensland,Australia.
Ilona Koupil2Centre for Health Equity Studies (CHESS),Stockholm University/Karolinska Institute,Stockholm,Sweden.ORCID 0000-0002-7034-1922
Leigh Tooth1Centre for Longitudinal and Life Course Research,School of Public Health,The University of Queensland,Brisbane,Queensland,Australia.
Gita Mishra1Centre for Longitudinal and Life Course Research,School of Public Health,The University of Queensland,Brisbane,Queensland,Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBreast-feeding is associated with positive maternal and infant health and development outcomes. To assist identifying women less likely to meet infant nutritional guidelines, we investigated the role of socio-economic position and parity on initiation of and sustaining breast-feeding for at least 6 months.

designProspective cohort study.

settingAustralia. SUBJECTS: Parous women from the Australian Longitudinal Study on Women's Health (born 1973-78), with self-reported reproductive and breast-feeding history (N 4777).

resultsWhile 89 % of women (83 % of infants) had ever breast-fed, only 60 % of infants were breast-fed for at least 6 months. Multiparous women were more likely to breast-feed their first child (~90 % v. ~71 % of primiparous women), and women who breast-fed their first child were more likely to breast-feed subsequent children. Women with a low education (adjusted OR (95 % CI): 2·09 (1·67, 2·62)) or a very low-educated parent (1·47 (1·16, 1·88)) had increased odds of not initiating breast-feeding with their first or subsequent children. While fewer women initiated breast-feeding with their youngest child, this was most pronounced among high-educated women. While ~60 % of women breast-fed their first, second and third child for at least 6 months, low-educated women (first child, adjusted OR (95 % CI): 2·19 (1·79, 2·68)) and women with a very low (1·82 (1·49, 2·22)) or low-educated parent (1·69 (1·33, 2·14)) had increased odds of not breast-feeding for at least 6 months.

conclusionsA greater understanding of barriers to initiating and sustaining breast-feeding, some of which are socio-economic-specific, may assist in reducing inequalities in infant breast-feeding.

Indexed as

Breast FeedingEducational StatusParityAustraliaFemaleHumansInfantLongitudinal StudiesPregnancyProspective StudiesSocioeconomic FactorsBreast-feeding durationBreast-feeding initiationInfant feeding guidelinesSocial inequalitiesSocio-economic position

Identifiers

PMID26996672
PMCPMC10270997

What OpenQuestion holds

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Registered trials

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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.