Evidence map›Paper›PMID 36460526›Full record

ArticleAmerican journal of preventive medicine2023

Social Support and Breastfeeding Outcomes Among a Racially and Ethnically Diverse Population.

Gabrielle C Lyons, Melissa C Kay, Naomi N Duke, Aihua Bian, Jonathan S Schildcrout, Eliana M Perrin, Russell L Rothman, H Shonna Yin, Lee M Sanders, Kori B Flower and 2 more

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

12 authors.

Gabrielle C LyonsVanderbilt University School of Medicine, Nashville, Tennessee. Electronic address: gabrielle.lyons@vanderbilt.edu.
Melissa C KayDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina.
Naomi N DukeDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina.
Aihua BianDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Jonathan S SchildcroutDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Eliana M PerrinDepartment of Pediatrics, Schools of Medicine and Nursing, Johns Hopkins University, Baltimore, Maryland.
Russell L RothmanInstitute of Medicine and Public Health, Vanderbilt University Medical Center, Nashville, Tennessee.
H Shonna YinDepartment of Pediatrics, New York University School of Medicine, New York, New York; Department of Population Health, New York University School of Medicine, New York, New York.
Lee M SandersDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California.
Kori B FlowerDivision of General Pediatrics and Adolescent Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Alan M DelamaterDepartment of Pediatrics, University of Miami Miller School of Medicine, Miami, Florida.
William J HeermanDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000445
6 · The paper itself

Abstract

introductionSocial support is a modifiable social determinant of health that shapes breastfeeding outcomes and may contribute to racial and ethnic breastfeeding disparities. This study characterizes the relationship between social support and early breastfeeding.

methodsThis is a cross-sectional analysis of baseline data collected in 2019-2021 for an RCT. Social support was measured using the Enhancing Recovery in Coronary Heart Disease Social Support Instrument. Outcomes, collected by self-report, included (1) early breastfeeding within the first 21 days of life, (2) planned breastfeeding duration, and (3) confidence in meeting breastfeeding goals. Each outcome was modeled using proportional odds regression, adjusting for covariates. Analysis was conducted in 2021-2022.

resultsSelf-reported race and ethnicity among 883 mothers were 50% Hispanic, 17% Black, 23% White, and 10% other. A large proportion (88%) of mothers were breastfeeding. Most breastfeeding mothers (82%) planned to breastfeed for at least 6 months, with more than half (58%) planning to continue for 12 months or more. Most women (65%) were confident or very confident in meeting their breastfeeding duration goal. In adjusted models, perceived social support was associated with planned breastfeeding duration (p=0.042) but not with early breastfeeding (p=0.873) or confidence in meeting breastfeeding goals (p=0.427). Among the covariates, maternal depressive symptoms were associated with lower breastfeeding confidence (p<0.001).

conclusionsThe associations between perceived social support and breastfeeding outcomes are nuanced. In this sample of racially and ethnically diverse mothers, social support was associated with longer planned breastfeeding duration but not with early breastfeeding or breastfeeding confidence.

Indexed as

Breast FeedingMothersCross-Sectional StudiesEthnicityFemaleHumansSocial Support

Identifiers

PMID36460526
PMCPMC9974778

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Registered trials

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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.