Evidence map›Paper›PMID 34302329›Full record

ArticleThe American journal of clinical nutrition2021

Prenatal perception of breastfeeding recommendations predicts early breastfeeding outcomes of participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

Qi Zhang, Rajan Lamichhane, Kathryn Wouk, Joanne Guthrie, Kelin Li

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
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  4. Observational
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

5 authors at 5 institutions in 1 country.

Qi ZhangSchool of Community and Environmental Health, Old Dominion University, Norfolk, VA, USA.ORCID 0000-0002-8513-1573
Rajan LamichhaneDepartment of Clinical and Translational Sciences, Joan C Edwards School of Medicine, Marshall University, Huntington, WV, USA.
Kathryn WoukCarolina Global Breastfeeding Institute, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA.
Joanne GuthrieUSDA/Economic Research Service, Washington, DC, USA.
Kelin LiDepartment of Sociology, California State University-Dominguez Hills, Carson, CA, USA.
California State University, Dominguez Hills · USEconomic Research Service · USMarshall University · USOld Dominion University · USUniversity of North Carolina at Chapel Hill · US

Funding

Food Assistance, Diet and Body Weight Status among WIC Eligible ChildrenR03HD090387 · NICHD · OLD DOMINION UNIVERSITY · PI ZHANG, QI · 2017 to 2018
$155k
NICHD NIH HHS R03 HD090387
6 · The paper itself

Abstract

backgroundPrenatal psychosocial factors predict breastfeeding practices but are not assessed in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

objectivesThis study examined how prenatal perceptions of WIC's breastfeeding recommendations were associated with early breastfeeding outcomes.

methodsThis study used longitudinal data from a national sample of 2053 pregnant participants in the WIC Infant and Toddler Feeding Practices Study-2 (WIC ITFPS-2) in 2013, the only national data assessing prenatal perceptions of WIC's breastfeeding recommendations. Early breastfeeding outcomes included breastfeeding initiation, breast milk first fed after birth, breastfeeding in the first hour, breast milk first fed after leaving the hospital, and breastfeeding status at the first and third months. The primary predictor was the participant's prenatal perception of whether WIC recommended breastfeeding only or not. Log-binomial regression was used with adjustment for socio-demographics, previous breastfeeding, WIC participation, breastfeeding support, and infant feeding intentions (IFI).

resultsWithout controlling for IFI, the perception of WIC recommending breastfeeding only predicted breastfeeding outcomes positively. The risk ratio (RR) associated with prenatal perceptions varied from 1.14 (95% CI: 1.03, 1.25; P = 0.008) for breastfeeding in the first hour, to 1.27 (95% CI: 1.12, 1.43; P < 0.001) for breast milk first fed after leaving hospital, to 1.66 (95% CI: 1.35, 2.04; P < 0.001) for 3-mo breastfeeding only. After controlling for IFI, the RRs were 1.13 (95% CI: 1.02, 1.24; P = 0.017) for breastfeeding in the first hour, 1.20 (95% CI: 1.06, 1.35; P = 0.004) for breast milk first fed after leaving hospital, and 1.49 (95% CI: 1.21, 1.84; P < 0.001) for 3-mo breastfeeding only, suggesting that prenatal perception was independently associated with breastfeeding outcomes.

conclusionsPrenatal perception of WIC's breastfeeding recommendations can be regarded as a new psychosocial predictor of breastfeeding and a possible target for future intervention.

Indexed as

Breast FeedingFood AssistanceAnimalsDietary SupplementsFemaleHumansInfantMilkPerceptionPregnancyVitaminsVitaminsbreastfeedinginfantsperceptionpsychosocial factorsWIC

Identifiers

PMID34302329
PMCPMC8634569
OpenAlexW3186031227

What OpenQuestion holds

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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.