Evidence map›Paper›PMID 28578753›Full record

ArticlePublic health nutrition2017

Grandmothers' knowledge positively influences maternal knowledge and infant and young child feeding practices.

Chandni Karmacharya, Kenda Cunningham, Jowel Choufani, Suneetha Kadiyala

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
2.9field-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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. A Systematic Review of Research on Non-Maternal Caregivers' Feeding of Children 0-3 Years.International journal of environmental research and public health · 2022
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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

4 authors at 3 institutions in 3 countries.

Chandni Karmacharya1Department of Population Health, Faculty of Epidemiology and Population Health,London School of Hygiene and Tropical Medicine,London,UK.
Kenda Cunningham2Helen Keller International Nepal,Kathmandu,Nepal.
Jowel Choufani3Environment and Production Technology Division,International Food Policy Research Institute,Washington,DC,USA.
Suneetha Kadiyala1Department of Population Health, Faculty of Epidemiology and Population Health,London School of Hygiene and Tropical Medicine,London,UK.
London School of Hygiene & Tropical Medicine · GBHelen Keller International Nepal · NPInternational Food Policy Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine associations between grandmothers' knowledge and infant and young child feeding (IYCF) practices and to test whether the associations are independent of or operate via maternal knowledge.

designCross-sectional household survey data from households with a child under 5 years (n 4080). We used multivariate regression analyses, adjusted for child, maternal, grandmother and household characteristics, and district-level clustering, to test associations between grandmothers' knowledge and IYCF practices for children aged 6-24 months living with a grandmother. We used causal mediation to formally test the direct effect of grandmothers' knowledge on IYCF practices v. maternal knowledge mediating these associations.

settingTwo hundred and forty rural communities, sixteen districts of Nepal. SUBJECTS: Children aged 6-24 months (n1399), including those living with grandmothers (n 748).

resultsWe found that the odds of optimal breast-feeding practices were higher (early breast-feeding initiation: 2·2 times, P=0·002; colostrum feeding: 4·2 times, P<0·001) in households where grandmothers had correct knowledge v. those with incorrect knowledge. The same pattern was found for correct timing of introduction of water (2·6), milk (2·4), semi-solids (3·2), solids (2·9), eggs (2·6) and meat (2·5 times; all P<0·001). For the two pathways we were able to test, mothers' correct knowledge mediated these associations between grandmothers' knowledge and IYCF practices: colostrum feeding (b=10·91, P<0·001) and the introduction of complementary foods (b=5·18, P<0·001).

conclusionsGrandmothers' correct knowledge translated into mothers' correct knowledge and, therefore, optimal IYCF practices. Given grandmothers' influence in childcare, engagement of grandmothers in health and nutrition interventions could improve mothers' knowledge and facilitate better child feeding.

Indexed as

GrandparentsHealth Knowledge, Attitudes, PracticeMothersAdolescentAdultAgedAged, 80 and overBreast FeedingChild BehaviorChild, PreschoolCross-Sectional StudiesDietFamily CharacteristicsFemaleFood SupplyHealth BehaviorChild nutritionGrandmothersInfant and young child feedingNepal

Identifiers

PMID28578753
PMCPMC10261267
OpenAlexW2623005371

What OpenQuestion holds

Textmetadata
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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.