Evidence map›Paper›PMID 27347851›Full record

ArticleBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine2016

Barriers to Human Milk Feeding at Discharge of Very Low-Birthweight Infants: Evaluation of Neighborhood Structural Factors.

Brittany Riley, Michael Schoeny, Laura Rogers, Ifeyinwa V Asiodu, Harold R Bigger, Paula P Meier, Aloka L Patel

Abstract read
In one paragraph

Article in Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Timing and intensity of lactation support influences NICU discharge on maternal milk.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Article
  5. Article
  6. Barriers to optimal breast milk provision in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. A Mixed-Methods Examination of Inpatient Breastfeeding Education Using a Human Factors Perspective.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2021
    Article
  11. Black/African American Breastfeeding Experience: Cultural, Sociological, and Health Dimensions Through an Equity Lens.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2021
    Review
  12. Review
  13. Article
  14. Prevalence and predictors of donor milk programs among U.S. advanced neonatal care facilities.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Barriers to Human Milk Feeding at Discharge of Very-Low-Birth-Weight Infants: Maternal Goal Setting as a Key Social Factor.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
    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

7 authors at 2 institutions in 1 country.

Brittany Riley1 College of Nursing, Rush University Medical Center , Chicago, Illinois.
Michael Schoeny1 College of Nursing, Rush University Medical Center , Chicago, Illinois.
Laura Rogers2 Department of Pediatrics, Rush University Medical Center , Chicago, Illinois.
Ifeyinwa V Asiodu3 College of Nursing, University of Illinois at Chicago , Chicago, Illinois.
Harold R Bigger2 Department of Pediatrics, Rush University Medical Center , Chicago, Illinois.
Paula P Meier1 College of Nursing, Rush University Medical Center , Chicago, Illinois.
Aloka L Patel1 College of Nursing, Rush University Medical Center , Chicago, Illinois.
Rush University Medical Center · USUniversity of Illinois Chicago · US

Funding

Barriers to Continued Provision of Human Milk for Black Mothers of VLBW InfantsR03HD081412 · NICHD · RUSH UNIVERSITY MEDICAL CENTER · PI PATEL, ALOKA LAHOTI · 2014 to 2015
$153k
NICHD NIH HHS R03 HD081412
6 · The paper itself

Abstract

backgroundAlthough 98% of mothers in our cohort initiated human milk (HM) provision for their very low-birthweight (VLBW) infants, fewer black infants received HM at neonatal intensive care unit (NICU) discharge than non-black infants. This study examined neighborhood structural factors associated with HM feeding at discharge to identify potential barriers. MATERIALS AND

methodsSociodemographic and HM data were prospectively collected for 410 VLBW infants and mothers. Geocoded addresses were linked to neighborhood structural factors. Bivariate and multivariate logistic regression analyses were conducted for the entire cohort and racial/ethnic subgroups.

resultsHM feeding at discharge was positively correlated with further distance from Women, Infants, and Children (WIC) office, less violent crime, less poverty, greater maternal education, older maternal age, greater infant gestational age, and shorter NICU hospitalization. Multivariate analysis demonstrated that only maternal race/ethnicity, WIC eligibility, and length of NICU hospitalization predicted HM feeding at discharge for the entire cohort. The interaction between access to a car and race/ethnicity significantly differed between black and white/Asian mothers, although the predicted probability of HM feeding at discharge was not significantly affected by access to a car for any racial/ethnic subgroup.

conclusionsNeighborhood structural factors did not significantly impact HM feeding at discharge. However, lack of access to a car may be a factor for black mothers, potentially representing restricted HM delivery to the NICU or limited social support, and warrants further study.

Indexed as

Infant, Very Low Birth WeightPatient DischargeResidence CharacteristicsAdultBottle FeedingBreast FeedingChicagoEducational StatusFemaleHealth Knowledge, Attitudes, PracticeHumansInfant, NewbornInfant Nutritional Physiological PhenomenaInfant, PrematureIntensive Care Units, NeonatalMothers

Identifiers

PMID27347851
PMCPMC5031119
OpenAlexW2465559675

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.