Evidence map›Paper›PMID 41267123›Full record

ArticleJournal of health, population, and nutrition2025

Prevalence, barriers and determinants of exclusive breastfeeding among Palestinian mothers: a multicenter study.

Sana' Al-Aqqad, Lama Abu-Alrob, Lama Zakarneh, Anwar Eqelan

Abstract readMulticenter Study
In one paragraph

Article in Journal of health, population, and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

4 authors.

Sana' Al-AqqadDivisions of Nursing and Midwifery Departments, Ibn Sina College for Health Professions, Nablus University for Vocational & Technical Education, Nablus, West Bank, Palestine. sana.aqqad@nu-vte.edu.ps.ORCID 0000-0001-7678-0136
Lama Abu-AlrobMidwifery Department, Ibn Sina College for Health Professions, Nablus University for Vocational & Technical Education Nablus, Nablus, West Bank, Palestine.
Lama ZakarnehMidwifery Department, Ibn Sina College for Health Professions, Nablus University for Vocational & Technical Education Nablus, Nablus, West Bank, Palestine.
Anwar EqelanMidwifery Department, Ibn Sina College for Health Professions, Nablus University for Vocational & Technical Education Nablus, Nablus, West Bank, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization recommends exclusive breastfeeding (EBF) for the first six months of an infant's life to ensure optimal growth and health. Despite its well-established benefits, many mothers discontinue EBF early due to various barriers. This study aimed to assess the prevalence of EBF among Palestinian mothers, identify EBF barriers, and determine factors associated with maintaining EBF during the first six months.

methodsA multicenter cross-sectional study was conducted in four Ministry of Health primary care clinics across the West Bank, Palestine. Mothers who visited the selected clinics to vaccinate their infants aged 6-12 months between April 15, 2023, and May 15, 2023, were interviewed face-to-face using a structured questionnaire. Logistic regression was used to identify factors associated with EBF. A p-value ≤ 0.05 is considered statistically significant.

resultsOf the 495 participating mothers, 38.2% reported exclusively breastfeeding for six months. The most common self-reported barrier was the perception of insufficient breast milk. Mothers with prior EBF experience were more than twice as likely to maintain EBF compared to those without such experience (AOR = 2.081; 95% CI: 1.094, 2.405). Working mothers had nearly 39% lower odds of maintaining EBF compared to non-working mothers (AOR = 0.610, 95% CI: 0.386-0.965), and pacifier use was associated with a 59.8% reduction in the odds of maintaining EBF (AOR = 0.402, 95% CI: 0.275-0.588).

conclusionThis study indicates a relatively low prevalence of EBF among Palestinian mothers. Employment and pacifier use were negatively associated with EBF practices, while prior experience significantly supports the continuation of EBF for up to six months. It is essential to emphasize the importance of breastfeeding education and support, especially for new mothers.

Indexed as

ArabsBreast FeedingMothersAdultCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansInfantMiddle EastPrevalenceSurveys and QuestionnairesYoung AdultBarriersBreastfeedingDeterminantsExclusive breastfeedingPrevalence

Identifiers

PMID41267123
PMCPMC12632006

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.