Evidence map›Paper›PMID 38066470›Full record

ArticleBMC public health2023

Rural parents' adherence to infant feeding guidelines to prevent allergy: a cross sectional study in New South Wales.

Gianni Rossi, Jessica Cesca, Charmie Fong, Andrew Wallace, Peter Simmons DComm, Uchechukwu Levi Osuagwu, Jannine Bailey, Tegan Dutton, Adambarage Chandima De Alwis

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Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

9 authors.

Gianni RossiBathurst Rural Clinical School, School of Medicine, Western Sydney University, Sydney, Australia.
Jessica CescaBathurst Rural Clinical School, School of Medicine, Western Sydney University, Sydney, Australia.
Charmie FongBathurst Rural Clinical School, School of Medicine, Western Sydney University, Sydney, Australia.
Andrew WallaceBathurst Rural Clinical School, School of Medicine, Western Sydney University, Sydney, Australia.
Peter Simmons DCommBathurst Rural Clinical School, School of Medicine, Western Sydney University, Sydney, Australia.
Uchechukwu Levi OsuagwuBathurst Rural Clinical School, School of Medicine, Western Sydney University, Sydney, Australia. l.osuagwu@westernsydney.edu.au.
Jannine BaileySchool of Medicine, Western Sydney University, Campbelltown, NSW, Australia.
Tegan DuttonBathurst Rural Clinical School, School of Medicine, Western Sydney University, Sydney, Australia.
Adambarage Chandima De AlwisBathurst Rural Clinical School, School of Medicine, Western Sydney University, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResponding to international research showing that early introduction of common food allergens can reduce the chance of developing allergies, in 2016 the Australasian Society of Clinical Immunology and Allergy (ASCIA) revised allergen introduction guidelines, recommending earlier introduction of allergens to infants in their first year. Australia has high food allergy rates, and limited understanding of adherence to allergen introduction guidelines, especially in rural areas. This project explored rural parent adherence to ASCIA guidelines.

methodsThis was a mixed method cross sectional study using an online survey including multiple-choice and qualitative short answer responses. The sample were 336 women from two rural health districts in New South Wales. All were aged 18 or over, and either pregnant or had delivered a baby since July 2018. Descriptive statistics were used to measure behavioural alignment with the recommended guidelines, thematic analysis was used to analyse attitudes and explanations.

resultsIn 84.3% of children, feeding adhered to all four guidelines studied, including no elimination of allergens during pregnancy (98%), age of introduction of solids (97.7%), continuation of breast milk/cow's milk formula during introduction of solids (95%), and age of introduction of allergens (92.9%). Adherence was not significantly correlated with the education (X

conclusionsHigh rates of adherence with ASCIA guidelines found here are comparable with findings from metropolitan studies and encouraging for future population health. Participant comments on the guidelines imply to rural policymakers that there are multiple influences on parent decisions about infant feeding, often including parents' own intuition and experiences. Further studies to improve understanding of the role of information, carers, and other influences on parent decision-making concerning feeding attitudes and behaviours will be necessary to optimise adherence in rural areas.

Indexed as

Breast FeedingFood HypersensitivityAllergensAnimalsCattleChildCross-Sectional StudiesFemaleHumansInfantMilk, HumanNew South WalesParentsPregnancyAllergensAllergenASCIA guidelinesAwarenessBreastfeedingComplianceInfantsPeanutRuralSolids

Identifiers

PMID38066470
PMCPMC10704778

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