Evidence map›Paper›PMID 38439033›Full record

ArticleBMC public health2024

Examining psychosocial pathways to explain the link between breastfeeding practices and child behaviour in a longitudinal cohort.

Sarah E Turner, Leslie Roos, Nathan Nickel, Jacqueline Pei, Piushkumar J Mandhane, Theo J Moraes, Stuart E Turvey, Elinor Simons, Padmaja Subbarao, Meghan B Azad

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

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Sarah E TurnerManitoba Interdisciplinary Lactation Centre (MILC), Winnipeg, MB, Canada.
Leslie RoosChildren's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada.
Nathan NickelManitoba Interdisciplinary Lactation Centre (MILC), Winnipeg, MB, Canada.
Jacqueline PeiDepartment of Educational Psychology, University of Alberta, Edmonton, AB, Canada.
Piushkumar J MandhaneDepartment of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Theo J MoraesDepartment of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Stuart E TurveyDepartment of Pediatrics, University of British Columbia, Vancouver, BC, Canada.
Elinor SimonsChildren's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada.
Padmaja SubbaraoDepartment of Pediatrics, Physiology & Dalla Lana School of Public Health, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Meghan B AzadManitoba Interdisciplinary Lactation Centre (MILC), Winnipeg, MB, Canada. Meghan.azad@umanitoba.ca.
Research Manitoba · CAUniversity of Alberta · CAUniversity of Manitoba · CAChildren's Hospital Research Institute of Manitoba · CAHospital for Sick Children · CASickKids Foundation · CAUniversity of British Columbia · CA

Funding

Allergy, Genes and Environment Network of Centers of Excellence N/AThe Canadian Institutes of Health Research N/A
6 · The paper itself

Abstract

objectiveBreastfeeding is associated with reduced postpartum depression, stronger parent-child relationships, and fewer behavioral disorders in early childhood. We tested the mediating roles of postpartum depression and parent-child relationship in the association between breastfeeding practices and child behavior. STUDY

designWe used standardized questionnaire data from a subset of the CHILD Cohort Study (n = 1,573) to measure postpartum depression at 6 months, 1 year and 2 years, parent-child relationship 1 year and 2 years, and child behavior at 5 years using the Child Behavior Checklist (range 0-100). Breastfeeding practices were measured at 3 months (none, partial, some expressed, all direct at the breast), 6 months (none, partial, exclusive), 12 months, and 24 months (no, yes). Confounders included birth factors, maternal characteristics, and socioeconomic status.

resultsBreast milk feeding at 3 or 6 months was associated with - 1.13 (95% CI: -2.19-0.07) to -2.14 (95% CI: -3.46, -0.81) lower (better) child behavior scores. Reduced postpartum depression at 6 months mediated between 11.5% and 16.6% of the relationship between exclusive breast milk feeding at 3 months and better child behavior scores. Together, reduced postpartum depression at 1 year and reduced parent-child dysfunction at 2 years mediated between 21.9% and 32.1% of the relationship between breastfeeding at 12 months and better child behavior scores.

conclusionPostpartum depression and parent-child relationship quality partially mediate the relationship between breastfeeding practices and child behavior. Breastfeeding, as well as efforts to support parental mental health and parent-child relationships, may help to improve child behavior.

Indexed as

Breast FeedingDepression, PostpartumChildChild BehaviorChild, PreschoolCohort StudiesFemaleHumansMilk, HumanParent-Child RelationsBreastfeeding practicesBreast milk feedingChild behaviourParent-child relationshipPostpartum depression

Identifiers

PMID38439033
PMCPMC10910759
OpenAlexW4392374771

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.