ArticlePloS one2018
Exclusive breastfeeding changes in Brazil attributable to pacifier use.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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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.
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Who cites it
9 citing papers in PubMed.
- Inhibiting and protective factors of exclusive breastfeeding in an Island population in Spain: a longitudinal study.International breastfeeding journal · 2025Article
- Prevalence, barriers and determinants of exclusive breastfeeding among Palestinian mothers: a multicenter study.Journal of health, population, and nutrition · 2025Article
- Breastfeeding, first-food systems and corporate power: a case study on the market and political practices of the transnational baby food industry in Brazil.Globalization and health · 2024Article
- The Impact of Mode of Delivery and Postpartum Conditions on Breastfeeding: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Prevalence and predictors of breastfeeding in the MINA-Brazil cohort.Revista de saude publica · 2024Article
- Infant feeding practices in three Latin American countries in three decades: what demographic, health, and economic factors are relevant?Frontiers in nutrition · 2023Article
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- Risk factors for discontinuation of exclusive breast feeding within 1month: a retrospective cohort study in Japan.International breastfeeding journal · 2022Article
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Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIdentifying key interventions to increase exclusive breastfeeding duration has been a challenge. Pacifier use has been associated with exclusive breastfeeding discontinuation in Brazil. However, the proportion of the improvement in exclusive breastfeeding duration attributable to pacifier use remains unknown. RESEARCH
aimQuantify the proportion of increases in exclusive breastfeeding prevalence that can be attributed to reduced pacifier use over time.
methodsSecondary data analyses of two nationally representative cross-sectional surveys conducted in States' capitals in 1999 and in 2008 (N = 42,395 Brazilian infants under 6 months of age). We estimated the fraction of exclusive breastfeeding prevalence improvements that could be attributed to pacifier use based on multilevel regression analysis.
resultsFrom 1999 to 2008, there was an increase of 15.2 percentage points in exclusive breastfeeding prevalence and a decrease of approximately 17 percentage points in the prevalence of pacifier use among infants under 6 months. Reduction in pacifier use explained an increase in 5.5 percentage points' exclusive breastfeeding rates. If pacifier use were to decrease from 41.6% (prevalence in 2008) to 14% (as found in New Zealand), there would be an expected additional increase in exclusive breastfeeding of approximately 12 percentage points.
conclusionsAbout one-third of the improvements in EBF prevalence observed in Brazil over a decade can be attributed to the corresponding decline in pacifier use.
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