Evidence map›Paper›PMID 28976114›Full record

Trial reportMaternal & child nutrition2018

Economic determinants of breastfeeding in Haiti: The effects of poverty, food insecurity, and employment on exclusive breastfeeding in an urban population.

Carolyn Lesorogol, Caitlin Bond, Sherlie Jean Louis Dulience, Lora Iannotti

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Maternal & child nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.8field-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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Article
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  11. Determinants of continued breastfeeding in children aged 12-23 months in three regions of Haiti.Revista panamericana de salud publica = Pan American journal of public health · 2024
    Article
  12. Article
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  14. Review
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  16. Determinants of exclusive breastfeeding among Haitian children under 6 months of age.Revista panamericana de salud publica = Pan American journal of public health · 2022
    Article
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  19. Article
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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 1 institution in 1 country.

Carolyn LesorogolBrown School, Washington University in St Louis, St Louis, Missouri, USA.ORCID 0000-0001-8946-0289
Caitlin BondBrown School, Washington University in St Louis, St Louis, Missouri, USA.
Sherlie Jean Louis DulienceBrown School, Washington University in St Louis, St Louis, Missouri, USA.
Lora IannottiBrown School, Washington University in St Louis, St Louis, Missouri, USA.
Washington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is limited and inconsistent empirical evidence regarding the role of economic factors in breastfeeding practices, globally. Studies have found both negative and positive associations between low income and exclusive breastfeeding (EBF). Employment, which should improve household income, may reduce EBF due to separation of mother and infant. In the context of a randomized controlled study of lipid-based complementary feeding in an urban slum in Cap Haitien, Haiti, we examined the economic factors influencing breastfeeding practices using mixed methods. Findings demonstrate relationships between urban context, economic factors, and breastfeeding practices. Poverty, food insecurity, time constraints, and limited social support create challenges for EBF. Maternal employment is associated with lower rates of EBF and less frequent breastfeeding. Extreme food insecurity sometimes leads to increased exclusive breastfeeding among Haitian mothers, what we call "last resort EBF." In this case, women practice EBF because they have no alternative food source for the infant. Suggested policies and programs to address economic constraints and promote EBF in this population include maternal and child allowances, quality child care options, and small-scale household urban food production.

Indexed as

Breast FeedingEmploymentFemaleFood SupplyHaitiHumansInfantMalePovertyUrban Populationeconomic factorsexclusive breastfeedingHaitimixed methods

Identifiers

PMID28976114
PMCPMC6866005
OpenAlexW2763920964

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.