Evidence map›Paper›PMID 36603911›Full record

ArticleThe Lancet. Public health2023

Disability and in-hospital breastfeeding practices and supports in Ontario, Canada: a population-based study.

Hilary K Brown, Clare Taylor, Simone N Vigod, Cindy-Lee Dennis, Kinwah Fung, Simon Chen, Astrid Guttmann, Susan M Havercamp, Susan L Parish, Joel G Ray and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Lancet. Public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 22 citations in OpenAlex.

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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

11 authors at 2 institutions in 2 countries.

Hilary K BrownDepartment of Health and Society, University of Toronto Scarborough, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada; ICES, Toronto, ON, Canada. Electronic address: hk.brown@utoronto.ca.
Clare TaylorWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Simone N VigodDepartment of Psychiatry, University of Toronto, Toronto, ON, Canada; Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada; ICES, Toronto, ON, Canada.
Cindy-Lee DennisDepartment of Psychiatry, University of Toronto, Toronto, ON, Canada; Temerty Faculty of Medicine and Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada; Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.
Kinwah FungICES, Toronto, ON, Canada.
Simon ChenICES, Toronto, ON, Canada.
Astrid GuttmannDepartment of Pediatrics, University of Toronto, Toronto, ON, Canada; ICES, Toronto, ON, Canada; Hospital for Sick Children, Toronto, ON, Canada; Edwin SH Leong Centre for Healthy Children, Toronto, ON, Canada.
Susan M HavercampDepartment of Psychiatry and Behavioral Health, Nisonger Center, Ohio State University, Columbus, OH, USA.
Susan L ParishCollege of Health Professions, Virginia Commonwealth University, Richmond, VA, USA.
Joel G RayICES, Toronto, ON, Canada; Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.
Yona LunskyDepartment of Psychiatry, University of Toronto, Toronto, ON, Canada; ICES, Toronto, ON, Canada; Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Virginia Commonwealth University · USWomen's College Hospital · CA

Funding

Pregnancy in Women with Disabilities: Using Novel Methods to Characterize RiskR01HD092326 · NICHD · UNIVERSITY OF TORONTO · PI BROWN, HILARY, LUNSKY, YONA · 2017 to 2020
$590k
NICHD NIH HHS R01 HD092326
6 · The paper itself

Abstract

backgroundBreastfeeding provides infants with nutrients required for optimal growth and development. We aimed to examine breastfeeding practices and supports that promote exclusive breastfeeding during the birth hospital stay among birthing parents with physical disabilities, sensory disabilities, intellectual or developmental disabilities, and multiple disabilities compared with those without a disability.

methodsThis population-based cohort study was done in Ontario, Canada. We accessed and analysed health administrative data from ICES and the Better Outcomes Registry & Network. We included all birthing parents aged 15-49 years who had a singleton livebirth between April 1, 2012, and March 31, 2018. The study outcomes were breastfeeding practices and supports that promoted exclusive breastfeeding during the birth hospital stay, conceptualised based on WHO-UNICEF Baby Friendly Hospital Initiative guidelines. Individuals with a physical disability, sensory disability, intellectual or developmental disability, or two or more (multiple) disabilities, identified using diagnostic algorithms, were compared with individuals without disabilities on the opportunity to initiate breastfeeding, in-hospital breastfeeding, exclusive breastfeeding at hospital discharge, skin-to-skin contact, and provision of breastfeeding assistance. Relative risks (RRs) were estimated using modified Poisson regression.

findingsOur cohort included 634 111 birthing parents, of whom 54 476 (8·6%) had a physical disability, 19 227 (3·0%) had a sensory disability, 1048 (0·2%) had an intellectual or developmental disability, 4050 (0·6%) had multiple disabilities, and 555 310 (87·6%) had no disability. Individuals with intellectual or developmental disabilities were less likely than those without a disability to have an opportunity to initiate breastfeeding (adjusted RR 0·82, 95% CI 0·76-0·88), any in-hospital breastfeeding (0·85, 0·81-0·88), exclusive breastfeeding at hospital discharge (0·73, 0·67-0·79), skin-to-skin contact (0·90, 0·87-0·94), and breastfeeding assistance (0·85, 0·79-0·91). Those with multiple disabilities were less likely to have an opportunity to initiate breastfeeding (0·93, 0·91-0·96), any in-hospital breastfeeding (0·93, 0·92-0·95), exclusive breastfeeding at hospital discharge (0·90, 0·87-0·93), skin-to-skin contact (0·93, 0·91-0·95), and breastfeeding assistance (0·95, 0·92-0·98). Differences for individuals with a physical or sensory disability only were mostly non-significant.

interpretationOur findings show disparities in breastfeeding outcomes between individuals without a disability and individuals with intellectual or developmental disabilities or multiple disabilities, but not individuals with physical or sensory disabilities. There is a need for further research on the factors that contribute to breastfeeding intentions, practices, and supports in people with intellectual or developmental disabilities and multiple disabilities, especially factors that affect breastfeeding decision making.

fundingNational Institutes of Health and the Canada Research Chairs Program.

Indexed as

Breast FeedingPersons with DisabilitiesCohort StudiesFemaleHospitalsHumansInfantOntarioUnited States

Identifiers

PMID36603911
PMCPMC9831273
OpenAlexW4313452678

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.