Evidence map›Paper›PMID 31181090›Full record

ArticlePloS one2019

Intimate partner violence and subsequent premature termination of exclusive breastfeeding: A cohort study.

Frederikke Kjerulff Madsen, Christina Elise Holm-Larsen, Chunsen Wu, Jane Rogathi, Rachel Manongi, Declare Mushi, Dan Wolf Meyrowitsch, Tine Gammeltoft, Geofrey Nimrody Sigalla, Vibeke Rasch

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Risk of interpersonal violence during and after pregnancy among people with schizophrenia: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
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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

10 authors.

Frederikke Kjerulff MadsenResearch Unit of Gynaecology and Obstetrics, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-8631-7874
Christina Elise Holm-LarsenResearch Unit of Gynaecology and Obstetrics, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-7718-271X
Chunsen WuResearch Unit of Gynaecology and Obstetrics, University of Southern Denmark, Odense, Denmark.
Jane RogathiInstitute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Rachel ManongiInstitute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Declare MushiInstitute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Dan Wolf MeyrowitschDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Tine GammeltoftDepartment of Anthropology, University of Copenhagen, Copenhagen, Denmark.
Geofrey Nimrody SigallaInstitute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Vibeke RaschResearch Unit of Gynaecology and Obstetrics, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to examine whether exposure to Intimate Partner Violence (IPV) is associated with premature termination of Exclusive Breastfeeding (EB). Per WHO recommendations, this was defined as ceasing breastfeeding or supplementing with other foods or liquids before the child was 6 months old.

methodIt is a prospective cohort study set in Moshi, Tanzania consisting of 1128 pregnant women with live singleton births. Women were enrolled during pregnancy and followed up with interviews during pregnancy, after birth and 2-3 years postpartum, using structured questionnaires. Emotional, physical and sexual IPV exerted by the current partner was assessed at 34 weeks gestational age with WHO questionnaires. Months of EB was assessed 2-3 years postpartum. Premature termination of EB was defined as less than 6 months of EB. Analyses were made using a logistic regression model adjusted for maternal age, education, HIV-status, alcohol use during pregnancy and parity. Confounding variables were determined using a theoretical framework approach, i.e. a Directed Acyclic Graph model to minimize bias.

resultsWomen who were exposed to IPV had more than 50% higher odds of terminating EB before the child was 6 months old compared to women who were not exposed (aOR = 1.62, 95%CI: 1.27-2.06). Women exposed to all three types of IPV had twice the odds of early termination of EB (aOR = 1.95, 1.12; 3.37). Furthermore, the odds were tripled if exposure happened specifically during the index pregnancy (aOR = 2.93 95%CI: 1.3; 6.6). Stratified analyses showed the most severely affected groups were the mothers older than 30 and those who gave birth to girls.

conclusionsThe results indicated that exposure to IPV is associated with increased risk of premature termination of EB. The odds increase with multiple types of the IPV, especially when exposed during the index pregnancy.

Indexed as

AdultBreast FeedingFemaleGestational AgeHumansInfantIntimate Partner ViolenceLogistic ModelsMaternal AgePostpartum PeriodPregnancyPregnant PeoplePrenatal CareProspective StudiesSexual BehaviorSexual Partners

Identifiers

PMID31181090
PMCPMC6557484

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.