Evidence map›Paper›PMID 42077973›Full record

Trial reportFrontiers in public health2026

Uncovering hidden patterns: use of infant feeding profiles in the first 6 months postpartum to inform the effectiveness of breastfeeding promotion programs.

Siva Balakrishnan, Yunwei Chen, Gary L Darmstadt, Sean Sylvia, Joshua V Garn, Sarah A Friedman, Ann M Weber

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in public health, 2026. 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

7 authors.

Siva BalakrishnanDepartment of Epidemiology, Biostatistics and Environmental Health, School of Public Health, University of Nevada, Reno, Reno, NV, United States.
Yunwei ChenStanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, United States.
Gary L DarmstadtStanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, United States.
Sean SylviaCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Joshua V GarnDepartment of Epidemiology, Biostatistics and Environmental Health, School of Public Health, University of Nevada, Reno, Reno, NV, United States.
Sarah A FriedmanDepartment of Health Behavior, Policy, and Administration Sciences, School of Public Health, University of Nevada, Reno, Reno, NV, United States.
Ann M WeberDepartment of Epidemiology, Biostatistics and Environmental Health, School of Public Health, University of Nevada, Reno, Reno, NV, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Longitudinal trends in breastfeeding (BF) are often overlooked in favor of binary or time-to-cessation measures. Characterizing these trends can inform promotion of sustained BF practices. We identified distinct BF profiles among participants of a maternal and child health program. Methods: The Healthy Future program consisted of community health workers delivering a BF curriculum to mothers through monthly home visits. The program was evaluated in rural Sichuan, China with a cluster-randomized controlled trial (assigned to program versus not). We clustered 6-month postpartum trends ( Results: Cluster analysis revealed seven profiles: always EBF, always MF, never breastfed, EBF until the 5th month, MF until the 5th month, mostly EBF, and NBF from the 3rd month. The intervention was associated with improved odds of always EBF (ROR = 2.61, 95% CI 1.25, 5.42), MF until the 5th month (ROR = 2.52, 95% CI 1.18, 5.39), and NBF from the 3rd month (ROR = 2.82, 95% CI 1.16, 6.87) compared to being never breastfed. Mothers in the never breastfed cluster had the lowest age, education, BF knowledge and attitudes, and decision-making power. Discussion: Cluster analyses found the intervention significantly improved EBF, particularly in mothers characterized by higher baseline educational attainment and BF knowledge. Targeted efforts are needed to help mothers initiate EBF from birth and continue EBF through month 6.

Indexed as

Breast FeedingHealth PromotionMothersPostpartum PeriodAdultChinaCluster AnalysisFemaleHumansInfantInfant, NewbornRural Populationbreastfeedingbreastfeeding promotionbreastfeeding trendsChinacluster analysisexclusive breastfeedingrural

Identifiers

PMID42077973
PMCPMC13132859

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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.