Evidence map›Paper›PMID 33861515›Full record

ArticleMaternal & child nutrition2021

Breastfeeding and breastmilk substitute use and feeding motivations among mothers in Bandung City, Indonesia.

Mackenzie Green, Alissa M Pries, Dian N Hadihardjono, Doddy Izwardy, Elizabeth Zehner, Victoria Hall Moran

Open access · goldAbstract 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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  12. The efficacy of antiaging cream withJournal of advanced pharmaceutical technology & research
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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 at 3 institutions in 3 countries.

Mackenzie GreenHelen Keller International, Asia-Pacific Regional Office, Phnom Penh, Cambodia.ORCID 0000-0002-5322-1558
Alissa M PriesHelen Keller International, Headquarters, Washington, DC, USA.ORCID 0000-0002-8223-3769
Dian N HadihardjonoHelen Keller International, Indonesia Country Office, Jakarta, Indonesia.
Doddy IzwardyKepala Pusat Penelitian, dan Pengembangan Upaya Kesehatan Masyarakat, Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI, Jakarta, Indonesia.
Elizabeth ZehnerHelen Keller International, Headquarters, Washington, DC, USA.ORCID 0000-0002-6471-6353
Victoria Hall MoranSchool of Community Health and Midwifery, University of Central Lancashire, Preston, UK.ORCID 0000-0003-3165-4448
Helen Keller International · USBadan Penelitian dan Pengembangan Kesehatan · IDUniversity of Lancashire · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Suboptimal breastfeeding is common in Indonesia, with only half of infants 0-5 months of age exclusively breastfed and feeding of breastmilk substitutes (BMS) highly prevalent among infants and toddlers. Various factors influence these feeding practices, including social norms, limited health system support and BMS manufacturer marketing practices. This cross-sectional survey aimed to identify the prevalence of breastfeeding and BMS feeding among children aged 0-35 months, explore socio-demographic characteristics and motivating factors associated with these feeding behaviours and identify the prevalence of mothers' exposure to BMS promotions. Indonesian mothers of children <3 years of age (n = 595) were interviewed in Bandung City health facilities using structured questionnaires. Although all children were ever breastfed, half of children across all age groups received BMS in the previous day. Maternal employment outside the home and insufficient breastmilk production were associated with BMS use. The most important motivational factors for feeding BMS were perceived benefits for growth, intelligence and immunity. Despite Indonesian legislation restricting some BMS marketing, 93% of mothers reported observing a BMS promotion outside the health system, with television, social media and newspapers as the most common sources. Half of mothers (43%) reported observing a BMS promotion within the health system, and half (46%) reported receiving recommendations from health workers to use BMS. Such high prevalence of BMS marketing may be influencing caregivers' feeding choices; stronger national legislation and implementation of laws are needed to ensure mothers' ability to make feeding choices free from manufacturer influence.

Indexed as

Breast FeedingMilk, HumanCross-Sectional StudiesFemaleHumansIndonesiaInfantMothersMotivationbreastfeedingbreastmilk substitutesinfancy and childhoodinfant feeding decisionsinfant formulaInternational Code of Marketing of Breast-milk Substitutesmarketingpolicy

Identifiers

PMID33861515
PMCPMC8189241
OpenAlexW3154667051

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.