Evidence map›Paper›PMID 36690995›Full record

ArticleBMC pregnancy and childbirth2023

Rates of and factors associated with exclusive and any breastfeeding at six months in Canada: an analysis of population-based cross-sectional data.

Christina Ricci, Victoria Otterman, Terri-Lyn Bennett, Stephanie Metcalfe, Elizabeth Darling, Sonia Semenic, Susie Dzakpasu, Canadian Perinatal Surveillance System

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Breastfeeding rates in Israel and their health policy implications.Israel journal of health policy research · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Promoting breastfeeding in Singapore-a case study.BMJ nutrition, prevention & health · 2024
    Article
  18. Review
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.

Christina RicciLifespan Chronic Disease and Conditions Division, Public Health Agency of Canada, Ottawa, ON, Canada. christina.ricci@phac-aspc.gc.ca.ORCID http://orcid.org/0000-0001-7558-4803
Victoria OttermanLifespan Chronic Disease and Conditions Division, Public Health Agency of Canada, Ottawa, ON, Canada.
Terri-Lyn BennettLifespan Chronic Disease and Conditions Division, Public Health Agency of Canada, Ottawa, ON, Canada.
Stephanie MetcalfeLifespan Chronic Disease and Conditions Division, Public Health Agency of Canada, Ottawa, ON, Canada.
Elizabeth DarlingDepartment of Obstetrics & Gynecology, McMaster University, Hamilton, ON, Canada.
Sonia SemenicIngram School of Nursing, McGill University, Montreal, QC, Canada.
Susie DzakpasuLifespan Chronic Disease and Conditions Division, Public Health Agency of Canada, Ottawa, ON, Canada.
Canadian Perinatal Surveillance System

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreastfeeding has many health, economic and environmental benefits for both the infant and pregnant individual. Due to these benefits, the World Health Organization and Health Canada recommend exclusive breastfeeding for the first six months of life. The purpose of this study is to examine the prevalence of exclusive and any breastfeeding in Canada for at least six months, and factors associated with breastfeeding cessation prior to six months.

methodsWe performed a secondary analysis of breastfeeding-related questions asked on the cross-sectional 2017-2018 Canadian Community Health Survey. Our sample comprised 5,392 females aged 15-55 who had given birth in the five years preceding the survey. Descriptive statistics were carried out to assess the proportion of females exclusively breastfeeding and doing any breastfeeding for at least six months by demographic and behavioural factors. We also assessed, by baby's age, trends in the introduction of solids and liquids, breastfeeding cessation and the reasons females stopped breastfeeding. Multivariate log binominal regression was used to examine the association between breastfeeding at six months and selected maternal characteristics hypothesized a priori to be associated with breastfeeding behaviour.

resultsOverall, for at least six months, 35.6% (95% confidence interval (CI): 33.3%-37.8%) of females breastfed exclusively and 62.2% (95% CI: 60.0%-64.4%) did any breastfeeding. The largest decline in exclusive breastfeeding occurred in the first month. Factors most strongly associated with breastfeeding for at least six months were having a bachelor's or higher degree, having a normal body mass index, being married and daily co-sleeping. Insufficient milk supply was given as the most common reason for breastfeeding cessation irrespective of when females stopped breastfeeding.

conclusionSix-month exclusive breastfeeding rates in Canada remain below targets set by the World Health Assembly. Continued efforts, including investment in monitoring of breastfeeding rates, are needed to promote and support exclusive breastfeeding, especially among females vulnerable to early cessation.

Indexed as

Breast FeedingParturitionAnimalsCanadaCross-Sectional StudiesFemaleHumansInfantMilkMothersPregnancyAssociationsBreastfeedingCanadaInfants

Identifiers

PMID36690995
PMCPMC9869293

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.