Evidence map›Paper›PMID 26999011›Full record

Trial reportJournal of tropical pediatrics2016

Exclusive Breast-feeding Protects against Mother-to-Child Transmission of HIV-1 through 12 Months of Age in Tanzania.

Karim P Manji, Christopher Duggan, Enju Liu, Ronald Bosch, Rodrick Kisenge, Said Aboud, Ronald Kupka, Wafaie W Fawzi

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of tropical pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Infant and Young Child Feeding in the Context of HIV:medRxiv : the preprint server for health sciences · 2023
    Article
  4. Viruses and Human Milk: Transmission or Protection?Advances in nutrition (Bethesda, Md.) · 2023
    Review
  5. Article
  6. Article
  7. 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

8 authors at 4 institutions in 2 countries.

Karim P ManjiDepartment of Paediatrics and Child Health, Muhimbili University of Health and Allied Sciences (MUHAS), Dar-es-Salaam, Tanzania kpmanji@gmail.com.
Christopher DugganDepartments of Nutrition and Global Health and Population, Harvard T.H. Chan School of Public Health/Department of Gastroenterology, Boston Children's Hospital Harvard Medical School, Boston, MA, USA.
Enju LiuDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Ronald BoschDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Rodrick KisengeDepartment of Paediatrics and Child Health, Muhimbili University of Health and Allied Sciences (MUHAS), Dar-es-Salaam, Tanzania.
Said AboudDepartment of Microbiology and Immunology, MUHAS, Dar-es-Salaam, Tanzania.
Ronald KupkaDepartments of Nutrition and Global Health and Population, Harvard T.H. Chan School of Public Health/Department of Gastroenterology, Boston Children's Hospital Harvard Medical School, Boston, MA, USA.
Wafaie W FawziDepartments of Global Health and Population, Nutrition, and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Muhimbili University of Health and Allied Sciences · TZHarvard Global Health Institute · USHarvard University · USBoston Children's Hospital · US

Funding

STRUCTURE-FUNCTION RELATIONSHIPS IN THE ALIMENTARY TRACTP30DK034854 · NIDDK · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI JERROLD R. TURNER · 1986 to 2026
$32.4M
Trial of Vitamins among Children of HIV-infected MothersR01HD043688 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI FAWZI, WAFAIE W · 2003 to 2007
$2.7M
Patient-oriented Research in Pediatric Diarrheal DiseasesK24HD058795 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2010 to 2014
$956k
Patient-oriented Research in Pediatric Diarrheal DiseasesK24DK104676 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2015 to 2019
$903k
NICHD NIH HHS K24 HD058795NICHD NIH HHS R01 HD043688NIDDK NIH HHS K24 DK104676NIDDK NIH HHS P30 DK034854
6 · The paper itself

Abstract

The jury on transmission of HIV through breast-feeding is still on. Data from a clinical trial in children born to HIV-positive mothers were evaluated with respect to their relationship to mother-to-child transmission. A total of 1629 infants who were not infected at age 6 weeks, had HIV results available at 12 months and who were breast-fed were included in this study. Exclusive breast feeding (EBF) rates declined from 85% at 2 months to < 30% by 4 months. EBF was associated with a sustained and significant reduction in HIV infection. With every incremental month of EBF, HIV infection was reduced by 16% [multivariable (risk ratio) RR: 0.84, CI: 0.72-0.98, p = 0.03] from enrollment to 6 months of age and by 18% (multivariable RR: 0.82, CI: 0.72-0.94, p = 0.005) from enrollment to 12 months of age. EBF significantly reduces the risk of vertical HIV transmission through 12 months of age.

Indexed as

AdultAnti-HIV AgentsBreast FeedingDouble-Blind MethodFemaleHIV-1HIV InfectionsHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalLamivudineMaleMilk, HumanMothersPregnancyAnti-HIV AgentsLamivudineExclusive Breast Feeding, HIV and PMTCT

Identifiers

PMID26999011
PMCPMC6089093
OpenAlexW2304475539

What OpenQuestion holds

Textmetadata
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.