Evidence map›Paper›PMID 40082740›Full record

ArticleAIDS care2025

"My body my baby": a qualitative study examining drivers of infant-feeding choices among women living with HIV in Philadelphia, United States.

Martina Zapata Vaca, Chermiqua Rachelle Tsosie, Erin Logue-Chamberlain, Paulina Coutifaris, Theresa Christensen, Alexandria Bea Mabry, Ola Mohamed, Ellen Tedaldi, Emily A Oliver, William R Short and 1 more

Abstract read
In one paragraph

Article in AIDS care, 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.

  1. Article
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  5. Review
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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

11 authors.

Martina Zapata VacaPerelman School of Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0009-0003-8283-1907
Chermiqua Rachelle TsosiePerelman School of Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0001-8182-6506
Erin Logue-ChamberlainDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.ORCID 0009-0007-7830-3684
Paulina CoutifarisDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Theresa ChristensenDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Alexandria Bea MabryDepartment of Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.ORCID 0000-0001-9431-6978
Ola MohamedDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Ellen TedaldiDepartment of Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.ORCID 0000-0002-8422-2983
Emily A OliverDepartment of Obstetrics, Gynecology and Reproductive Sciences, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.ORCID 0000-0002-7760-1790
William R ShortDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.ORCID 0000-0003-4225-8336
Elizabeth D LowenthalPerelman School of Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-3855-8646

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
Advancing Child Health: Preparing the Next Generation of Pediatric ResearchersR25HD101365 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI Eric Chien-Wei Liao, Elizabeth Dawn Lowenthal · 2020 to 2026
$972k
NIAID NIH HHS P30 AI045008NICHD NIH HHS R25 HD101365
6 · The paper itself

Abstract

Before national guidelines related to infant feeding among people living with HIV (PLHIV) in the United States were changed in 2023, PLHIV were discouraged from breastfeeding due to the potential risk of perinatal HIV transmission. Potential health benefits to both mother and child coupled with the ability to mitigate HIV transmission risk with modern treatments now make feeding decisions more complex for PLHIV. This study examined personal and social determinants of feeding choice among PLHIV in the Philadelphia area just prior to the change in national guidelines. In 2022 and 2023, we conducted in-depth interviews with 28 PLHIV between the ages of 18-50 years old that had previously given birth, 22 while living with HIV. Participants who gave birth while living with HIV expressed that they had not been given the choice to breastfeed. When probed about how they would consider choice in a hypothetical future pregnancy in the new guidelines era, participants' own knowledge and beliefs about what was best for their babies and themselves were consistently raised as the most influential factors. They relied strongly on their health providers for up-to-date knowledge. Advice from partners, family, and community was considered less influential for most.

Indexed as

Breast FeedingChoice BehaviorHealth Knowledge, Attitudes, PracticeHIV InfectionsInfectious Disease Transmission, VerticalMothersAdolescentAdultFemaleHumansInfantInfant, NewbornInterviews as TopicMiddle AgedPhiladelphiaPregnancybreastfeedingHIV/AIDSinfant feedingparenting decisionsSDG 10: Reduced inequalitiesSDG 3: Good health and well-beingtheory of planned behavior

Identifiers

PMID40082740
PMCPMC12167681

What OpenQuestion holds

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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.