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Early interruption of exclusive breastfeeding: results from the eight-country MAL-ED study

Overview of attention for article published in Journal of Health, Population and Nutrition, May 2015
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  • Good Attention Score compared to outputs of the same age (69th percentile)
  • Good Attention Score compared to outputs of the same age and source (75th percentile)

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Title
Early interruption of exclusive breastfeeding: results from the eight-country MAL-ED study
Published in
Journal of Health, Population and Nutrition, May 2015
DOI 10.1186/s41043-015-0004-2
Pubmed ID
Authors

Crystal L Patil, Ali Turab, Ramya Ambikapathi, Cebisa Nesamvuni, Ram Krishna Chandyo, Anuradha Bose, M Munirul Islam, AM Shamsir Ahmed, Maribel Paredes Olortegui, Milena Lima de Moraes, Laura E Caulfield, on behalf of the MAL-ED network

Abstract

We report the infant feeding experiences in the first month of life for 2,053 infants participating in "Malnutrition and Enteric Infections: Consequences for Child Health and Development" (MAL-ED). Eight sites (in Bangladesh, India, Nepal, Pakistan, Brazil, Peru, South Africa, Tanzania), each followed a cohort of children from birth (by day 17), collecting detailed information on infant feeding practices, diet and illness episodes. Mothers were queried twice weekly regarding health status, breastfeeding and the introduction (or no) of non-breast milk liquids and foods. Here, our goal is to describe the early infant feeding practices in the cohort and evaluate factors associated with termination of exclusive breastfeeding in the first month of life. With data from enrollment to a visit at 28-33 days of life, we characterized exclusive, predominant or partial breastfeeding (using a median of 6-9 visits per child across the sites). Only 6 of 2,053 infants were never breastfed. By one month, the prevalences of exclusive breastfeeding were < 60% in 6 of 8 sites, and of partial breastfeeding (or no) were > 20% in 6 of 8 sites. Logistic regression revealed that prelacteal feeding (given to 4-63% of infants) increased the likelihood of partial breastfeeding (Odds Ratio (OR): 1.48 (95% confidence interval (CI): 1.04, 2.10), as did the withholding of colostrum (2-16% of infants) (OR: 1.63:1.01, 2.62), and being a first-time mother (OR: 1.38:1.10, 1.75). Our results reveal diversity across these sites, but an overall trend of early transition away from exclusive breastfeeding in the first month of life. Interventions which introduce or reinforce the WHO/UNICEF Ten Steps for Successful Breastfeeding are needed in these sites to improve breastfeeding initiation, to reinforce exclusive breastfeeding and delay introduction of non-breast milk foods and/or liquids.

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The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 308 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 <1%
Unknown 307 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 61 20%
Researcher 30 10%
Student > Ph. D. Student 28 9%
Student > Bachelor 25 8%
Student > Postgraduate 19 6%
Other 51 17%
Unknown 94 31%
Readers by discipline Count As %
Nursing and Health Professions 80 26%
Medicine and Dentistry 57 19%
Social Sciences 27 9%
Psychology 9 3%
Environmental Science 9 3%
Other 28 9%
Unknown 98 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 August 2018.
All research outputs
#7,713,861
of 25,373,627 outputs
Outputs from Journal of Health, Population and Nutrition
#196
of 622 outputs
Outputs of similar age
#85,408
of 278,920 outputs
Outputs of similar age from Journal of Health, Population and Nutrition
#2
of 8 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 622 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.1. This one has gotten more attention than average, scoring higher than 68% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 278,920 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 69% of its contemporaries.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 6 of them.