Evidence map›Paper›PMID 39408375›Full record

ArticleNutrients2024

Continued Breastfeeding in a Birth Cohort in the Western Amazon of Brazil: Risk of Interruption and Associated Factors.

Déborah de Oliveira Togneri Pastro, Fernanda Andrade Martins, Alanderson Alves Ramalho, Andreia Moreira de Andrade, Simone Perufo Opitz, Rosalina Jorge Koifman, Ilce Ferreira da Silva

Abstract read
In one paragraph

Article in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. 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

7 authors.

Déborah de Oliveira Togneri PastroGraduate Program of Community Health, Center of Health and Sports Science, Federal University of Acre, Rio Branco 69920-900, AC, Brazil.ORCID 0009-0009-0703-5541
Fernanda Andrade MartinsGraduate Program of Community Health, Center of Health and Sports Science, Federal University of Acre, Rio Branco 69920-900, AC, Brazil.ORCID 0000-0001-5699-4567
Alanderson Alves RamalhoGraduate Program of Community Health, Center of Health and Sports Science, Federal University of Acre, Rio Branco 69920-900, AC, Brazil.ORCID 0000-0002-7503-1376
Andreia Moreira de AndradeGraduate Program of Community Health, Center of Health and Sports Science, Federal University of Acre, Rio Branco 69920-900, AC, Brazil.
Simone Perufo OpitzGraduate Program of Community Health, Center of Health and Sports Science, Federal University of Acre, Rio Branco 69920-900, AC, Brazil.
Rosalina Jorge KoifmanGraduate Program of Community Health, Center of Health and Sports Science, Federal University of Acre, Rio Branco 69920-900, AC, Brazil.
Ilce Ferreira da SilvaGraduate Program of Community Health, Center of Health and Sports Science, Federal University of Acre, Rio Branco 69920-900, AC, Brazil.ORCID 0000-0002-7134-3030

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinued breastfeeding reduces infant mortality and provides nutritional, immunological, and developmental benefits for the child.

objectivesA prospective cohort study conducted in 2015 followed 608 children who were breastfed between 6 and 24 months. The study assessed the risk of breastfeeding interruption at 12, 18, and 24 months, as well as the factors associated with this outcome, in a cohort of newborns in Rio Branco, using the life table method.

methodsThe factors associated with breastfeeding cessation and their 95% confidence intervals (CI95%) were analyzed using both crude and adjusted Cox proportional hazards regression in a hierarchical model. The risks of breastfeeding cessation at 12, 18, and 24 months were 19%, 65%, and 71%, respectively.

resultsFactors positively associated with the risk of breastfeeding cessation include the use of a pacifier before 6 weeks of age (HR = 1.62; CI: 95% 1.24-2.11) and the use of a bottle during the first year of life (HR = 1.41; CI: 95% 1.11-1.78). Maternal return to work after the birth of the baby (HR = 0.78; CI: 95% 0.62-0.97) was found to be negatively associated with the risk of breastfeeding interruption.

conclusionsEarly pacifier use before 6 weeks and the introduction of a bottle in the first year affect continued breastfeeding. Maternal employment was associated with reduced risk of breastfeeding cessation, contrary to most studies.

Indexed as

Breast FeedingPacifiersAdultBirth CohortBottle FeedingBrazilChild, PreschoolCohort StudiesFemaleHumansInfantInfant, NewbornMaleProportional Hazards ModelsProspective StudiesRisk Factorsactuarial analysisassociated factorschild nutritioncontinued breastfeeding cessation

Identifiers

PMID39408375
PMCPMC11478627

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Registered trials

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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.