Evidence map›Paper›PMID 42024673›Full record

Observational studyMaternal & child nutrition2026

Her Health Behavior, Her Choice? Decision-Making Power Over Key Health and Nutrition Behaviors Among Pregnant and Lactating Women in Jordan.

Laurie C Miller, Regina Brown, Reema Safadi, Yanlin Ren, Afnan Alghanmi, Ian G Moore, Robin Shrestha, Patrick Webb, Shibani Ghosh

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Maternal & child nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05365698 (A Quantitative Evaluation of the Community Health and Nutrition), which is not on this 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.

NCT05365698 unknown statusnot on this map

A Quantitative Evaluation of the Community Health and Nutrition (CHN) Program in Jordan

TypeobservationalSponsorTufts UniversityRan2021 to 2025Enrolled1,145ConditionsEvaluationsArmsCommunity Health and Nutrition Program
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

9 authors.

Laurie C MillerTufts University School of Medicine, Friedman School of Nutrition Science & Policy, and Eliot-Pearson Department of Child Study & Human Development, Tufts University, Boston, Massachusetts, USA.ORCID 0000-0002-3586-2335
Regina BrownFriedman School of Nutrition Science & Policy, Tufts University, Boston, Massachusetts, USA.ORCID 0009-0007-6602-125X
Reema SafadiMaternal and Child Health Nursing, University of Jordan, Amman, Jordan.ORCID 0000-0003-0820-4262
Yanlin RenFriedman School of Nutrition Science & Policy, Tufts University, Boston, Massachusetts, USA.ORCID 0009-0006-8749-5983
Afnan AlghanmiFriedman School of Nutrition Science & Policy, Tufts University, Boston, Massachusetts, USA.ORCID 0009-0009-6220-394X
Ian G MooreTufts University School of Medicine, Friedman School of Nutrition Science & Policy, and Eliot-Pearson Department of Child Study & Human Development, Tufts University, Boston, Massachusetts, USA.ORCID 0009-0002-4423-2738
Robin ShresthaFriedman School of Nutrition Science & Policy, Tufts University, Boston, Massachusetts, USA.ORCID 0000-0001-9729-2123
Patrick WebbTufts University School of Medicine, Friedman School of Nutrition Science & Policy, and Eliot-Pearson Department of Child Study & Human Development, Tufts University, Boston, Massachusetts, USA.ORCID 0000-0002-9857-3354
Shibani GhoshTufts University School of Medicine, Friedman School of Nutrition Science & Policy, and Eliot-Pearson Department of Child Study & Human Development, Tufts University, Boston, Massachusetts, USA.ORCID 0000-0001-5893-6774

Funding

United States Agency for International Development 72027820LA00003
6 · The paper itself

Abstract

Women's participation in family diet and health decisions is strongly associated with better family outcomes.  We examined decision-making power among participants in a Community Health and Nutrition Program in Jordan, which sought to improve maternal, infant, and young child nutrition (MIYCN) and modern contraception through service-provider training and media campaigns. Cross-sectional surveys in Amman, Karak, and Zarqa governates enrolled 3518 pregnant/lactating women (PLW) in the program (2021-23).  PLW respondents indicated whether receiving messages about MIYCN and contraceptive use changed their practices, and whether their decision-making was total, shared with other family members (husbands, mothers, mothers-in-law), or not possible for these choices. Results were analyzed using chi-square tests and multiple linear regressions.  After receiving program messages, 78% of PLW changed ≥ 1 practice. Between 52.8% and 90.3% of PLW had decision-making power to accept or reject recommendations for the six targeted behaviors. Compared to Amman, Zarqa residence was negatively associated with decision-making power over women's dietary diversity (OR = 0.418, p < 0.05) and early initiation of breastfeeding (OR = 0.493, p < 0.05), while Karak residence was negatively associated with decision-making power over modern contraceptive use (OR = 0.419, SE = 0.116, p < 0.01). Number of children was positively associated with decision-making power over exclusive breastfeeding (OR = 1.18, p < 0.01). Nationality, age, and wealth were not associated with decision-making power over these practices. Decision-making power varied among PLW in the program: PLW living outside Amman and those with fewer children had less autonomy to change practices. Further research is needed to understand how to best support decision-making power among these populations. Trial Registration: Registered at clinicaltrials.gov (NCT05365698).

Indexed as

Choice BehaviorDecision MakingHealth BehaviorAdolescentAdultBreast FeedingCross-Sectional StudiesDietFemaleHealth Knowledge, Attitudes, PracticeHumansJordanLactationPregnancyYoung Adultbehavioral changedecision‐makingnutrition choiceswomen's autonomywomen's health

Identifiers

PMID42024673
PMCPMC13105286

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Registered trials

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.