Evidence map›Paper›PMID 33405389›Full record

ArticleMaternal & child nutrition2021

Monitoring breastfeeding indicators in high-income countries: Levels, trends and challenges.

Juliana S Vaz, Maria Fatima S Maia, Paulo A R Neves, Thiago M Santos, Luís Paulo Vidaletti, Cesar Victora

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Antidepressants and breastfeeding behaviors: a systematic review.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  6. Measurement Properties and Quality of Maternal Breastfeeding Instruments: A Scoping Review.Journal of human lactation : official journal of International Lactation Consultant Association · 2026
    Article
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  16. Identifying Factors Associated With Breastfeeding Length Among Filipino Migrant Women in South Korea.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
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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.

Juliana S VazInternational Center for Equity in Health, Universidade Federal de Pelotas, Pelotas, Brazil.ORCID 0000-0002-2880-767X
Maria Fatima S MaiaInternational Center for Equity in Health, Universidade Federal de Pelotas, Pelotas, Brazil.
Paulo A R NevesInternational Center for Equity in Health, Universidade Federal de Pelotas, Pelotas, Brazil.
Thiago M SantosInternational Center for Equity in Health, Universidade Federal de Pelotas, Pelotas, Brazil.
Luís Paulo VidalettiInternational Center for Equity in Health, Universidade Federal de Pelotas, Pelotas, Brazil.
Cesar VictoraInternational Center for Equity in Health, Universidade Federal de Pelotas, Pelotas, Brazil.

Funding

Wellcome TrustWellcome Trust 101815/Z/13/Z
6 · The paper itself

Abstract

Monitoring indicators of breastfeeding practices is important to protect and evaluate the progress of breastfeeding promotion efforts. However, high-income countries lack standardized methodology to monitor their indicators. We aimed to update and summarize nationally representative annual estimates of breastfeeding indicators in high-income countries and to describe methodological issues pertaining to the data sources used. A review was conducted through population-based surveys with nationally representative samples or health reports from nationally representative administrative data of electronic surveys or medical records. Methodological aspects and rates of all breastfeeding indicators available were summarized by country. The median and annual growth of breastfeeding in percentage points within countries with time-series data were estimated. Data from 51 out of 82 high-income countries were identified. The data were obtained through surveys (n = 32) or administrative data (n = 19). Seventy-one percent of countries have updated their indicators since 2015. Ever breastfed was the indicator most frequently reported (n = 46), with a median of 91%. By 6 months of age, the median equals 18% for exclusive and 45% for any breastfeeding. At 12 months, the median of continued breastfeeding decreased to 29%. The annual growth rate for ever breastfed, exclusive and any breastfeeding at 6 months and continued at 12 months varied from 1.5 to -2.0, 3.5 to -3.1, 5.0 to -1.0 and 5.0 to -1.9, respectively, with positive changes for most countries. Stronger interventions are needed to promote breastfeeding in high-income countries as a whole, and investments are required to monitor trends with standardized methodologies.

Indexed as

Breast FeedingIncomeDeveloped CountriesFemaleHumansInfantSurveys and Questionnairesbreastfeedingdeveloped countriesglobal healthhealth policysocio-economic factorssurvey methods

Identifiers

PMID33405389
PMCPMC8189208

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.