Evidence map›Paper›PMID 39205401›Full record

ArticleMaternal & child nutrition2025

Violations of Vietnamese laws related to the online marketing of breastmilk substitutes: Detections using a virtual violations detector.

Kathryn Backholer, Linh Nguyen, Duong Vu, Constance Ching, Phil Baker, Roger Mathisen

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

6 authors.

Kathryn BackholerGeelong, Global Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0002-3323-575X
Linh NguyenAlive & Thrive, Global Nutrition, Hanoi, Vietnam.
Duong VuAlive & Thrive, Global Nutrition, Hanoi, Vietnam.
Constance ChingAlive & Thrive, Global Nutrition, Washington, District of Columbia, USA.ORCID 0000-0002-7006-9498
Phil BakerInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0002-0802-2349
Roger MathisenAlive & Thrive, Global Nutrition, Hanoi, Vietnam.ORCID 0000-0002-4475-8716

Funding

Australian Research Council FT220100690Bill and Melinda Gates Foundation INV-042392Wellcome Trust 106716
6 · The paper itself

Abstract

Breastfeeding rates in Vietnam, and globally, remain suboptimal. A major contributor to this is the aggressive marketing of commercial milk formulas (CMF), mainly through online media. The Vietnamese Government has implemented legal measures to limit CMF marketing, but these have been difficult to enforce, because of complex online environments. We aimed to quantify the extent and nature of online violations and contradictions in various Vietnamese laws related CMF marketing over 12 months in 2022. Using a cross-sectional study design, we used an artificial intelligence-enabled virtual violations detector (VIVID) to monitor official websites and social media pages of 25 breastmilk substitute (BMS) merchandise and distributors, every day for 12 months in 2022. Data were summarised descriptively. We detected more than 3000 online advertisements that violated or contradicted the intent of Vietnamese laws, involving almost 7000 violations of various articles within these laws (average 9.5 violations per day). More than 700 detections were related to CMF products being registered as "supplementary foods" or similar, thereby circumventing Vietnamese CMF marketing laws, because they are not registered as "BMS products. We demonstrate the need to strengthen the design, monitoring and enforcement of existing Vietnamese laws to eliminate mothers" exposure to the exploitative digital marketing of CMF. By turning a highly resource-intensive task into one that is, automated requiring substantially less resources, our study represents the most comprehensive in Vietnam and internationally on the extent and nature of the online marketing of BMS. VIVID can be applied worldwide to hold industry accountable for the inappropriate marketing of CMF.

Indexed as

MarketingAdvertisingBreast FeedingCross-Sectional StudiesFemaleHumansInfantInfant FormulaInternetMilk SubstitutesSocial MediaSoutheast Asian PeopleVietnamartificial intelligencebreastfeedingbreastmilk substitutescode of marketingcommercial milk formulainfant formulamachine learningpolicy compliance

Identifiers

PMID39205401
PMCPMC11650122

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.