Evidence map›Paper›PMID 40365913›Full record

ArticleMaternal & child nutrition2025

Psychosocial Predictors of Infant and Young Child Feeding Practices Among Mother-Child Dyads in Malawi and South Africa.

Taryn J Smith, Chikondi Mchazime, Pious Makaka, Giulia Ghillia, Donna Herr, Marlie Miles, Chloë Jacobs, Sadeeka Williams, Thandeka Mazubane, Zayaan Goolam Nabi and 4 more

Abstract read
PubMed Full text at PMC Publisher
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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Taryn J SmithDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.ORCID 0000-0001-9543-6461
Chikondi MchazimeDepartment of Paediatrics and Child Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Pious MakakaDepartment of Paediatrics and Child Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Giulia GhilliaDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
Donna HerrDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Marlie MilesDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Chloë JacobsDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Sadeeka WilliamsDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Thandeka MazubaneDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Zayaan Goolam NabiDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Michal R ZieffDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Emmie MbaleDepartment of Paediatrics and Child Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Melissa J GladstoneDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
Kirsten A DonaldDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.

Funding

Wellcome TrustWellcome Trust 222076/Z/20/Z
6 · The paper itself

Abstract

Maternal capacity to adhere to recommended infant and young child feeding (IYCF) practices may be influenced by psychosocial factors. However, research examining associations between psychosocial factors and IYCF practices, and in particular complementary feeding indicators, is limited. As part of the Khula birth cohort study, we aimed to investigate associations between maternal depression, exposure to intimate partner violence (IPV), social support and stimulating home environments with IYCF practices among mother-child dyads in Malawi (n = 153) and South Africa (n = 255). When children were 10-16 months of age, mothers completed a series of psychosocial and child diet questionnaires. Regression modelling assessed associations between maternal psychosocial measures and IYCF indicators, adjusting for maternal age, education, marital status and household socioeconomic status. IYCF practices were suboptimal in both settings, with 50%-54% meeting the minimum dietary diversity (MDD), 67%-73% the minimum meal frequency (MMF) and 39%-45% the minimum acceptable diet (MAD) indicators. In South Africa, mothers exposed to IPV in the previous 12 months were less likely to meet the MDD and MAD recommendations (MDD: OR 0.38, 95% CI: 0.19, 0.75; p = 0.006; MAD: OR 0.41, 95% CI: 0.20, 0.85; p = 0.02). There was a significant positive association between stimulation (i.e., more books/toys/play activities) and dietary diversity scores in South Africa. In adjusted analyses, maternal depression and social support were not significantly associated with IYCF indicators in either setting. IYCF programmes may benefit from supporting maternal psychosocial wellbeing and integrating nurturing care to improve children's dietary intakes, growth and development.

Indexed as

Feeding BehaviorInfant Nutritional Physiological PhenomenaMother-Child RelationsMothersAdultCohort StudiesDepressionDietFemaleHumansInfantIntimate Partner ViolenceMalawiMaleSocial SupportSocioeconomic Factorsbreastfeedingcomplementary feedingdietary diversityintimate partner violencelow‐ and middle‐income countriesmaternal mental healthsocial supportstimulation practices

Identifiers

PMID40365913
PMCPMC12454209

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.