Evidence map›Paper›PMID 39261855›Full record

ArticleInternational breastfeeding journal2024

Factors affecting infant feeding choices with a focus on barriers to exclusive breastfeeding in Western Jamaica: a qualitative study.

Claudia Datnow-Martinez, Brittany Ransom, Soumya J Niranjan, Chanice Howard, Maung Aung, Pauline E Jolly

Abstract read
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In one paragraph

Article in International breastfeeding journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Foods (Basel, Switzerland) · 2026
    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

6 authors.

Claudia Datnow-MartinezDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, RPHB 217, Birmingham, AL, 35294-0022, USA.
Brittany RansomDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, RPHB 217, Birmingham, AL, 35294-0022, USA.
Soumya J NiranjanHealth Services Administration, School of Health Professions, University of Alabama, Birmingham, USA.
Chanice HowardDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, RPHB 217, Birmingham, AL, 35294-0022, USA.
Maung AungMedical Epidemiology and Research Unit, Western Regional Health Authority, Montego Bay, Jamaica.
Pauline E JollyDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, RPHB 217, Birmingham, AL, 35294-0022, USA. jollyp@uab.edu.

Funding

UAB Public Health/Biomedical Research Training ProgramT37MD001448 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JOLLY, PAULINE EVADNE · 2005 to 2024
$4.8M
NIMHD NIH HHS T37 MD001448NIMHD NIH HHS T37-MD001448
6 · The paper itself

Abstract

backgroundDespite the many benefits of exclusive breastfeeding to infants and mothers, only 33% of Jamaican infants are exclusively breastfed up to the recommend six months. This study was conducted to identify factors affecting mothers' feeding choices focusing on barriers to exclusive breastfeeding of infants six weeks to less than six months old.

methodsA qualitative study consisting of four focus group discussion sessions was conducted among 22 mothers attending postnatal clinics in western Jamaica from May to August 2016. The transcripts were coded by three independent coders and content analysis conducted to generate themes.

resultsFour themes were identified namely, perceived advantages of breastfeeding centered mainly on the benefits of breastfeeding for the infant and mother, perceived barriers of breastfeeding highlighting physical pain and fatigue, supplementing culturally acceptable complementary foods and herbal remedies, and cultural norms including perception of how breastfeeding affects a woman's body, societal sources of breastfeeding information, satiation of infants, and family and other support. Mothers overwhelmingly agreed that breastfeeding was inexpensive, allowed them to bond with their infants and was good for the overall health and intellectual development of the infants. They identified painful nipples, engorged breasts, lack of sleep, physical exhaustion and pressure to return to work as barriers to breastfeeding. Mothers named a number of complementary foods, such as pumpkin, carrots, potato, banana, and chocho (Chayote), that were culturally accepted for feeding infants in Jamaica and discussed herbs that were considered to aid in infants' nutrition and overall health. Other cultural factors that were noted to influence exclusive breastfeeding were mothers feeling that breastfeeding would help their bodies, especially their bellies, go back to their pre-maternity figure, sources of breastfeeding information in the society including the internet, belief that breast milk alone does not satisfy babies, and family and other support.

conclusionMothers in this study identified unique challenges to exclusive breastfeeding that if addressed, would help to increase exclusive breastfeeding so that the World Health Organization's exclusive breastfeeding recommendations can be achieved.

Indexed as

Breast FeedingFocus GroupsMothersQualitative ResearchAdultChoice BehaviorFemaleHealth Knowledge, Attitudes, PracticeHumansInfantInfant, NewbornJamaicaMaleYoung AdultBarriers to breastfeedingBenefits of breastfeedingExclusive breastfeedingJamaicaPostnatal clinicsRecent mothers

Identifiers

PMID39261855
PMCPMC11391800

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.