Evidence map›Paper›PMID 30168899›Full record

ArticleMaternal & child nutrition2019

Violations of the International Code of Marketing of Breast-milk Substitutes in Mexico.

Sonia Hernández-Cordero, Ana Lilia Lozada-Tequeanes, Teresa Shamah-Levy, Chessa Lutter, Teresita González de Cosío, Pedro Saturno-Hernández, Juan Rivera Dommarco, Laurence Grummer-Strawn

Open access · hybridAbstract read
In one paragraph

Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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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

8 authors at 4 institutions in 3 countries.

Sonia Hernández-CorderoHealth Department, Universidad Iberoamericana, Mexico City, Mexico.ORCID 0000-0001-8668-6848
Ana Lilia Lozada-TequeanesCentro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
Teresa Shamah-LevyCentro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
Chessa LutterRTI International, Washington, DC.ORCID 0000-0003-1601-4645
Teresita González de CosíoHealth Department, Universidad Iberoamericana, Mexico City, Mexico.
Pedro Saturno-HernándezCentro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
Juan Rivera DommarcoCentro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
Laurence Grummer-StrawnWorld Health Organization, Geneva, Switzerland.
Instituto Nacional de Salud Pública · MXIbero American University · MXRTI International · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

This study estimated the prevalence of violations of the International Code of Marketing of Breast-milk Substitutes (BMS) and subsequent resolutions of the World Health Assembly (Code) at health facilities, points of sale (POS), and on BMS labelling and media in Mexico. We carried out a cross-sectional survey among 693 mothers with children aged less than 24 months and 48 health providers at public and private health facilities in two states of Mexico. Observational assessment at 20 POS and the health facilities was conducted as well as an analysis of labels on BMS products for sale. Women attending public and private health facilities reported receiving free BMS samples in the previous 6 months (11.1%), and about 80% reported seeing BMS promotion in the mass media. Health providers reported contact with BMS manufacturer representatives in the previous 6 months (15.5%), and only 41.6% of the health providers had knowledge of the Code. BMS promotions were identified at nearly all POS. Analysis of 190 BMS labels showed that 30% included pictures/text idealizing the use of BMS, and all labels incorporated health and nutrition claims. Violations of the Code are prevalent within the health services, POS, and labelling of BMS products. The high percentage of health providers with no knowledge of the Code calls for action at national level to better disseminate and comply with the Code. A transparent, free from commercial influence, and continual monitoring system for Code compliance is needed, including a follow-up component on sanctions for contraventions of the Code.

Indexed as

AdultCross-Sectional StudiesFemaleGlobal HealthHealth PersonnelHumansInfantInfant FormulaInfant, NewbornMarketingMexicoYoung Adultbreastfeedingbreast milk substitutesInternational Code of Marketing of Breast-milk SubstitutesMexicoviolations

Identifiers

PMID30168899
PMCPMC7199041
OpenAlexW2889050354

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.