Evidence map›Paper›PMID 34633615›Full record

ArticleMaternal and child health journal2022

Breastfeeding Attitudes and Practices in a Rural Utah Navajo Community.

Laura L Brown, Revina Talker, Gregory J Stoddard, Jessica Clayton, Morgan M Millar, Yeonjung Jo, Tyler Bardsley, Carole H Stipelman

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Observational
  2. Article
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

8 authors at 2 institutions in 1 country.

Laura L BrownDivision of General Pediatrics, Department of Pediatrics, School of Medicine, University of Utah, PO Box 581289, Salt Lake City, UT, 84158, USA. laura.l.brown@hsc.utah.edu.ORCID http://orcid.org/0000-0001-5448-1338
Revina TalkerNavajo Mountain Community Health Clinic, Utah Navajo Health Services, Inc., P.O. Box 10100, Tonalea, AZ, 86044, USA.
Gregory J StoddardDepartment of Internal Medicine, University of Utah School of Medicine, 30 N 1900 E, Room 4C104, Salt Lake City, UT, 84132, USA.
Jessica ClaytonDivision of General Pediatrics, Department of Pediatrics, School of Medicine, University of Utah, PO Box 581289, Salt Lake City, UT, 84158, USA.
Morgan M MillarDivision of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Williams Building, 295 South Chipeta Way, Salt Lake City, UT, 84158, USA.
Yeonjung JoDepartment of Population Health Sciences, University of Utah School of Medicine, Williams Building, 295 South Chipeta Way, Salt Lake City, UT, 84158, USA.
Tyler BardsleyDivision of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Williams Building, 295 South Chipeta Way, Salt Lake City, UT, 84158, USA.
Carole H StipelmanDivision of General Pediatrics, Department of Pediatrics, School of Medicine, University of Utah, PO Box 581289, Salt Lake City, UT, 84158, USA.
University of Utah · USNavajo Nation Division of Health · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
American Academy of Pediatrics Community Access to Child Health (CATCH) Grant 2018 Cycle 1 CATCH GrantNCATS NIH HHS UL1 TR002538NCATS NIH HHS UM1 TR004409NCRR NIH HHS UL1 RR025764
6 · The paper itself

Abstract

objectivesDespite known health benefits of breastfeeding, the Navajo have low reported frequency of breastfeeding initiation and support. We evaluated breastfeeding frequencies and practices in the predominately Navajo community of rural San Juan County, Utah, to identify factors that affect breastfeeding decisions and duration.

methodsWe performed retrospective chart review for 135 infants aged 0 to 12 months, and surveys of 85 mothers of infants aged 0 to 2 years, and eight primary care providers. We characterized demographic factors using counts/percentages and medians/inter-quartile ranges, and compared mothers who breastfed for 6 months or less versus greater than 6 months.

resultsIn 96 infants with complete feeding documentation, 86 infants (90%) received some breast milk and 36 infants (38%) were exclusively breastfed at age 2 months. In 67 infants with complete feeding documentation at ≥ 6 months, 22 infants (33%) were exclusively breastfed 6 months. Most mothers knew about breastfeeding benefits. In 56 mothers whose infants were aged ≥ 6 months at the time of the survey, breastfeeding for more than 6 months had been planned by 44 mothers (79%) but performed by only 29 mothers (52%). Mothers who breastfed for > 6 months were more likely to have been influenced by WIC and less likely to have introduced formula at an early age. Barriers to breastfeeding included maternal pain, latch difficulties, and concerns about inadequate milk supply. Primary care providers reported limited confidence in providing breastfeeding support but would support telehealth-driven interventions. CONCLUSIONS FOR PRACTICE: Practical, culturally sensitive interventions, including telehealth and improved provider education, may improve breastfeeding outcomes and community health in this underserved population.

Indexed as

Breast FeedingMilk, HumanAttitudeFemaleHumansInfantMothersRetrospective StudiesUtahAmerican IndianBreastfeedingCommunity-based participatory researchInfant healthMaternal health

Identifiers

PMID34633615
PMCPMC11268917
OpenAlexW3207064553

What OpenQuestion holds

Textmetadata
LicenceTDM
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.