Evidence map›Paper›PMID 38475867›Full record

ArticleBMC research notes2024

High rates of International Code violations: a cross-sectional study in a region of Canada with low breastfeeding rates.

Susan Barry, Hannah Buckle, Leigh Anne Allwood Newhook, Barbara Roebothan, Brittany Howell, Heather Gates, Laurie K Twells

Abstract read
In one paragraph

Article in BMC research notes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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

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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Susan BarryDivision of Population Health and Applied Health Sciences, Faculty of Medicine| Memorial University of Newfoundland, A1B 3V6, St. John's, Newfoundland and Labrador, Canada.
Hannah BuckleDivision of Population Health and Applied Health Sciences, Faculty of Medicine| Memorial University of Newfoundland, A1B 3V6, St. John's, Newfoundland and Labrador, Canada.
Leigh Anne Allwood NewhookFaculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada.
Barbara RoebothanDivision of Population Health and Applied Health Sciences, Faculty of Medicine| Memorial University of Newfoundland, A1B 3V6, St. John's, Newfoundland and Labrador, Canada.
Brittany HowellDivision of Population Health and Applied Health Sciences, Faculty of Medicine| Memorial University of Newfoundland, A1B 3V6, St. John's, Newfoundland and Labrador, Canada.
Heather GatesBaby-Friendly Council of NL, Baby-Friendly Newfoundland and Labrador, St. John's, Newfoundland and Labrador, Canada.
Laurie K TwellsDivision of Population Health and Applied Health Sciences, Faculty of Medicine| Memorial University of Newfoundland, A1B 3V6, St. John's, Newfoundland and Labrador, Canada. ltwells@mun.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExposure to marketing and promotion of commercial milk formula is associated with an increased likelihood of formula-feeding. In 1981, the International Code (IC) of Marketing of Breastmilk Substitutes was adopted by the 34th World Health Assembly to restrict the promotion, marketing and advertising of commercial milk formula and protect breastfeeding. RESEARCH

aimThe current study examines mothers' exposure to violations of the IC in Newfoundland and Labrador, a province of Canada with low breastfeeding rates.

methodsA cross-sectional online survey measured exposure to IC violations (e.g., marketing, advertising and promotion of commercial milk formula) by mothers of infants less than two years old (n = 119). Data were collected on type, frequency, and location of violation.

resultsMost participants (87%, n = 104/119) reported exposure to at least one IC violation. Of this group (n = 104): 94% received coupons or discount codes for the purchase of commercial milk formula; 88% received free samples of commercial milk formula from manufacturers, and 79% were contacted directly by commercial milk formula companies via email, text message, mail or phone for advertising purposes. One-third (n = 28/104, 27%) observed commercial milk formula promotional materials in health care facilities. The most frequent locations were violations occurred were doctors' offices (79%), supermarkets(75%), and pharmacies (71%).

conclusionThe majority of mothers of young infants were exposed to violations of the IC involving the marketing, advertising and promotion of commercial milk formula. Companies producing commercial milk formula reached out directly to new mothers to offer unsolicited promotions and free samples of commercial milk formula.

Indexed as

AdvertisingBreast FeedingCanadaChild, PreschoolCross-Sectional StudiesFemaleHumansInfantMarketingBreastfeedingCanadaInternational Code of Marketing of Breast-Milk SubstitutesViolations

Identifiers

PMID38475867
PMCPMC10935955

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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.