ArticlePloS one2020
Multifactorial influence on duration of exclusive breastfeeding; a Danish cohort study.
Article in PloS one, 2020. 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.
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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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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Family-Centred Breastfeeding Interventions to Improve Exclusive Breastfeeding: A Systematic Review and Meta-Analysis.Nursing open · 2026Pooled it
- Decision-making process of exclusive breastfeeding at 6 months postpartum based on the COM-B model: a multicenter, cross-sectional study in Southeast China.Frontiers in public health · 2026Article
- The effects of mindfulness-based interventions on mothers' stress reduction and breastfeeding self-efficacy: A randomized controlled trial.Journal of education and health promotion · 2026Article
- The role of breastfeeding self-efficacy in the relationship between perinatal depressive symptoms and exclusive breastfeeding: a longitudinal mediation analysis.BMC pregnancy and childbirth · 2025Article
- [Child development in children with exclusive breastfeeding].Revista medica del Instituto Mexicano del Seguro Social · 2025Article
- Exclusive breastfeeding: an exploratory thematic analysis of the perspectives of breastfeeding mothers and significant others in the Tamale metropolis of Northern Ghana.BMC nutrition · 2024Article
- Development of a complex intervention to strengthen municipality-based breastfeeding support to reduced social inequity in breastfeeding.Archives of public health = Archives belges de sante publique · 2024Article
- Five-factor model personality traits, exclusive breastfeeding, and self-efficacy: a mediational analysis.BMC pregnancy and childbirth · 2024Article
- Effectiveness of a community-based support programme to reduce social inequality in exclusive breastfeeding: study protocol for a cluster-randomised trial.BMC public health · 2023Article
- A correlational study of breastfeeding duration among Saudi mothers: The role of self-efficacy, intention, and social support.Belitung nursing journal · 2023Article
- Factors Associated with (Exclusive) Breastfeeding Duration-Results of the SUKIE-Study.Nutrients · 2022Article
- Factors associated with early cessation of exclusive breast feeding among Saudi mothers: A prospective observational study.Journal of family medicine and primary care · 2021Article
- Influence of Mother's Self-Efficacy, Social Support & Intention on Exclusive Breastfeeding: A Systematic Review.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The multifactorial aspects of breastfeeding require measures at many levels to identify mothers in need of breastfeeding support from healthcare professionals. Our objective was to examine the relative importance of sociodemographic, pre/perinatal-, infant-, psychosocial-, and interaction-related factors affecting duration of exclusive breastfeeding. We used self-reported data from a community-based trial including 1265 women (response rate 49%) giving birth from January 2017 to February 2018. Data on outcome, duration of exclusive breastfeeding, were collected three and nine months postpartum; data on the study variables concerning known risk factors for breastfeeding cessation were collected two weeks postpartum. Crude and multiple Cox proportional hazards models were used for statistical analyses with additional analyses for time varying effects. Factors with an independent prognostic influence on duration of exclusive breastfeeding in fully adjusted models included early skin-to-skin contact (HR = 1.18 CI:1.04-1.33), intention to breastfeed (HR = 0.77 CI: 0.73-0.80), positive outcome evaluation, meaning the value mothers attributed to breastfeeding (HR = 1.33 CI: 1.08-1.63), higher level of self-efficacy (HR = 1.46 CI: 1.24-1.72), and maternal sense of security in relation to breastfeeding (HR = 1.31 CI: 1.14-1.50). Higher maternal BMI, lower self-efficacy, shorter breastfeeding duration of previous child, and hospitalization during birth were time dependent by affecting the exclusive breastfeeding duration primarily in the first months following birth. The results suggest that target groups in special need of early breastfeeding support are defined by being hospitalized, obese, having low self-efficacy or short previous breastfeeding experience. The extensive influence of psychosocial factors emphasizes the importance of including both practical facilitating guidance and positive verbal encouragement to ensure effective breastfeeding support.
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