Evidence map›Paper›PMID 31295320›Full record

ArticlePloS one2019

Factors affecting exclusive breastfeeding in the first month of life among Amazonian children.

Paola Soledad Mosquera, Bárbara H Lourenço, Suely G A Gimeno, Maíra B Malta, Marcia C Castro, Marly Augusto Cardoso, MINA-Brazil Working Group

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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Biocultural Determinants of Mothers' Complementary Feeding Decisions in the Urban Brazilian Amazon.American journal of human biology : the official journal of the Human Biology Council · 2025
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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

7 authors.

Paola Soledad MosqueraDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.ORCID 0000-0001-8423-7344
Bárbara H LourençoDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.ORCID 0000-0002-2006-674X
Suely G A GimenoDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
Maíra B MaltaDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
Marcia C CastroDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, United States of Ameirca.
Marly Augusto CardosoDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.ORCID 0000-0003-0973-3908
MINA-Brazil Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early life feeding practices can directly affect the growth, development, and survival of a child. This study aimed to estimate the frequency of and factors associated with exclusive breastfeeding (EBF) in the first month of life among Amazonian infants. We used data of 1,523 mother-child pairs of the MINA-Brazil birth cohort study. Mothers were interviewed soon after delivery at baseline and by telephone at 30-45 days postpartum (n = 962, 63.2% of those eligible). Kaplan-Meier survival analysis and accelerated failure-time (AFT) models were used to estimate the probability of EBF and the factors associated with EBF duration in the first month. At 30 days of age, 36.7% of the studied population (95% confidence interval [CI] 33.6-39.8) were exclusively breastfed, with a median duration of 16 days. Considering all eligible children for follow-up, the probability of EBF in the first month was 43.7% (95% CI 40.4-46.8), and the median duration was 30 days. The duration of EBF (time-ratio, TR) was 28% longer among multiparous mothers (TR 1.28; 95% CI 1.11-1.48). The use of a pacifier and the occurrence of wheezing were associated with a reduced EBF duration by 33% (TR 0.67; 95% CI 0.58-0.77) and 19% (TR 0.80; 95% CI 0.70-0.93), respectively. These results highlight that EBF among children in the Brazilian Amazon is considerably below international recommendations, and indicate the immediate need to plan and implement actions to promote and support breastfeeding early in life.

Indexed as

Breast FeedingChild DevelopmentAdolescentAdultBrazilFactor Analysis, StatisticalFemaleHumansInfantInfant, NewbornKaplan-Meier EstimateMaleMothersNutrition SurveysPublic Health SurveillanceRisk Factors

Identifiers

PMID31295320
PMCPMC6623463

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.