Evidence map›Paper›PMID 30297289›Full record

ArticleThe Journal of pediatrics2018

Predicting Maintenance of Any Breastfeeding from Exclusive Breastfeeding Duration: A Replication Study.

Ann M Dozier, Elizabeth A Brownell, Kelly Thevenet-Morrison, Hayley Martin, James I Hagadorn, Cynthia Howard

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-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

5 citing papers in PubMed, 17 citations in OpenAlex.

  1. OXTR rs53576 Variation with Breast and Nipple Pain in Breastfeeding Women.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2021
    Trial
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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

6 authors at 3 institutions in 1 country.

Ann M DozierDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY. Electronic address: ann_dozier@urmc.rochester.edu.
Elizabeth A BrownellThe Connecticut Human Milk Research Center, Division of Neonatology, Connecticut Children's Medical Center, Hartford, CT; Department of Pediatrics, University of Connecticut School of Medicine, Farmington, CT.
Kelly Thevenet-MorrisonDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY.
Hayley MartinDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY.
James I HagadornThe Connecticut Human Milk Research Center, Division of Neonatology, Connecticut Children's Medical Center, Hartford, CT; Department of Pediatrics, University of Connecticut School of Medicine, Farmington, CT.
Cynthia HowardDepartment of Public Health Sciences, Department of Pediatrics, University of Rochester, Rochester, NY; Rochester General Hospital, Rochester, NY.
University of Rochester Medical Center · USUniversity of Connecticut · USRochester General Hospital · US

Funding

Community Partnership for Breastfeeding Promotion and Support: Creating System ChR01HD055191 · NICHD · UNIVERSITY OF ROCHESTER · PI DOZIER, ANN MARIE · 2007 to 2017
$5.4M
NICHD NIH HHS R01 HD055191
6 · The paper itself

Abstract

objectivesTo predict the duration of any breastfeeding using the duration of exclusive breastfeeding in a socioeconomically heterogeneous sample of mothers using receiver operator characteristic (ROC) analysis. STUDY

designThe Mother Baby Health Survey, a birth certificate-linked cross-sectional survey was sent at 4-5 months postpartum to a stratified random sample of socioeconomically and racially diverse women in upstate New York; 797 mothers who initiated exclusive breastfeeding were included in this study. Split-sample validation was employed; eligible subjects were divided into training or test samples at random (80% and 20%, respectively). ROC curves were constructed using the training sample and optimal exclusive breastfeeding duration thresholds were tested using the remaining test sample. Logistic regression using the training sample provided estimates of the predictive ability (sensitivity, specificity, positive predictive value) of thresholds in both unadjusted and adjusted analyses (covariates: age, education, parity, marital status, and race).

resultsThe ROC analysis in this sample demonstrated that 9 weeks of exclusivity was required for maintenance of breastfeeding at 3 months, and 14.9 weeks of exclusivity was required for maintenance at 20 weeks. Unadjusted and adjusted models yielded similar results; women who exclusively breastfed for at least 9 weeks had 2.2 times the risk (95% CI 1.7-2.8) of maintaining any breastfeeding at 3 months.

conclusionsThese results are similar to our previous results, from a less diverse cohort, and support that these thresholds may be useful in clinical settings for helping mothers achieve breastfeeding duration goals.

Indexed as

Breast FeedingMothersSocioeconomic FactorsAdultAttitude to HealthCross-Sectional StudiesEducational StatusFemaleHumansInfantInfant, NewbornLogistic ModelsNew YorkPredictive Value of TestsRisk AssessmentROC Curvebreastfeeding durationexclusive breastfeedingHealthy People 2020 Breastfeeding Targetsreceiver operating characteristic (ROC) curves

Identifiers

PMID30297289
PMCPMC6310007
OpenAlexW2894641592

What OpenQuestion holds

Textmetadata
LicenceTDM
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.