Evidence map›Paper›PMID 41458526›Full record

ArticleFood science & nutrition2026

The Breastfeeding Food Security Assessment Scale (BFSAS): Development and Validation Among Breastfeeding Women in Lebanon.

Cosette Fakih El Khoury, Joelle Abi Kharma, Petra Nicolas, Rana Rizk, Chadia Haddad, Hala Sacre, Bahia Abdallah, Hala El Mikkawi, Joanne Karam, Pascale Salameh

Abstract read
In one paragraph

Article in Food science & nutrition, 2026. 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. Article
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

10 authors.

Cosette Fakih El KhouryInstitut National de Santé Publique d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB) Beirut Lebanon.ORCID https://orcid.org/0000-0001-6935-2758
Joelle Abi KharmaDepartment of Nutrition and Food Science, School of Arts and Sciences Lebanese American University Byblos Lebanon.ORCID https://orcid.org/0009-0009-9926-0905
Petra NicolasDepartment of Nutrition and Food Science, School of Arts and Sciences Lebanese American University Byblos Lebanon.ORCID https://orcid.org/0009-0001-5379-7223
Rana RizkDepartment of Nutrition and Food Science, School of Arts and Sciences Lebanese American University Byblos Lebanon.ORCID https://orcid.org/0000-0002-8850-6502
Chadia HaddadInstitut National de Santé Publique d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB) Beirut Lebanon.ORCID https://orcid.org/0000-0003-2413-2684
Hala SacreInstitut National de Santé Publique d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB) Beirut Lebanon.ORCID https://orcid.org/0000-0001-6547-6251
Bahia AbdallahAlice Ramez Chagoury School of Nursing, LAU-Lebanese American University Lebanese American University Byblos Lebanon.ORCID https://orcid.org/0000-0002-3979-8094
Hala El MikkawiDepartment of Nutrition and Food Science, School of Arts and Sciences Lebanese American University Beirut Lebanon.
Joanne KaramInstitut National de Santé Publique d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB) Beirut Lebanon.ORCID https://orcid.org/0000-0003-2637-1347
Pascale SalamehInstitut National de Santé Publique d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB) Beirut Lebanon.ORCID https://orcid.org/0000-0002-4780-0772

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Food insecurity significantly impacts health, particularly for breastfeeding mothers, who require adequate nutrition for maternal and child health. In Lebanon, economic crises have worsened food insecurity, affecting nearly half of the population. Crrent food insecurity assessment tools do not address the specific needs of breastfeeding women. This study aimed to develop and validate the Breastfeeding Food Security Assessment Scale (BFSAS), a context-specific tool for assessing food security among breastfeeding mothers in Lebanon, and to examine sociodemographic factors associated with food insecurity within this population. A cross-sectional survey was conducted from December 2023 to March 2024 among Lebanese mothers who had given birth between 2018 and 2023. Participants were recruited through social media and completed an online questionnaire covering sociodemographic, dietary, mental health, breastfeeding, and food security-related questions. Data analysis included exploratory and confirmatory factor analyses to validate the BFSAS structure and statistical tests to explore associations with the BFSAS scores. The study included 305 participants, with the BFSAS demonstrating excellent psychometric properties and a two-factor structure, "quality" and "quantity," with high internal consistency (Cronbach's

Indexed as

breast feedingdeveloping countriesfood insecurityfood securityLebanonmaternal nutritionvalidation study

Identifiers

PMID41458526
PMCPMC12741885

What OpenQuestion holds

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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.