Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorHoddinott, Paten_UK
dc.contributor.authorSeyara, Resifinaen_UK
dc.contributor.authorMarais, Debbieen_UK
dc.description.abstractFirst paragraph: Breastfeeding is a highly complex physiological, emotional, social and cultural behaviour, and so, in many ways, it is not surprising that to design and deliver effective behaviour change interventions to improve breastfeeding rates are challenging.The World Health Organization recommends exclusive breastfeeding for 6 months (World Health Organization 2003), and this presents a public health policy challenge, particularly for countries like Britain where less than 1% of women currently achieve this (Bolling et al. 2007). Given the diversity of cultures and philosophies underpinning health service systems in different countries, it is unlikely that one generalized intervention will provide a magic bullet to increase breastfeeding. This appears to be the case for the UK, where nine randomized controlled trials reported since 2000 have not significantly improved breastfeeding rates (Morrell et al. 2000; Winterburn et al. 2003; Graffy et al. 2004; Carfoot et al. 2005; Lavender et al. 2005; Muirhead et al. 2006; Wallace et al. 2006; Hoddinott et al. 2009; MacArthur et al. 2009). These trial outcomes differ from the findings of a recent evidence synthesis of international studies reported between 2001 and 2008 (Chung et al. 2008) that breastfeeding interventions are more effective than usual care. An earlier synthesis found that additional lay or professional support increases short- and long-term breastfeeding duration and exclusivity (Britton et al. 2007). So what is going on? Is it the trial design or execution that is problematic? Is it a particular attribute of UK childbearing women or researchers? Are there factors in the health system or the wider environment that mitigate attempts to intervene to improve breastfeeding outcomes? Is it valid to conclude that breastfeeding interventions are unlikely to be generalized across countries in the developed world? This editorial does not provide definitive answers to these questions; rather, we wish to highlight some key themes that are worth unpicking to make progress in this important area. This is particularly relevant in the current economic climate as the use of finite health service resources will come under increasing scrutiny, and evidence-based breastfeeding care will need to compete with other health improvement behaviours.en_UK
dc.relationHoddinott P, Seyara R & Marais D (2011) Global evidence synthesis and UK idiosyncrasy: why have recent UK trials had no significant effects on breastfeeding rates? (Editorial). Maternal and Child Nutrition, 7 (3), pp. 221-227.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.titleGlobal evidence synthesis and UK idiosyncrasy: why have recent UK trials had no significant effects on breastfeeding rates?en_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[MCN editorial UK idiosyncracy 2011.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleMaternal and Child Nutritionen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.description.notesOutput Type: Editorialen_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorHoddinott, Pat|0000-0002-4372-9681en_UK
local.rioxx.authorSeyara, Resifina|en_UK
local.rioxx.authorMarais, Debbie|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameMCN editorial UK idiosyncracy 2011.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
MCN editorial UK idiosyncracy 2011.pdfFulltext - Published Version95.53 kBAdobe PDFUnder Embargo until 3000-01-01    Request a copy

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.