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Protocol - History of Being Breast-Fed - Child

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Protocol Name from Source:

National Immunization Survey (NIS), 2013

Availability:

Publicly available

Description:

The respondent is asked whether or not the child was breast-fed.

Protocol:

Now I have a couple of questions on infant feeding.

1. Was [FILL VAR: NAME OF FIRST/SECOND…NINTH CHILD.] ever breast-fed or fed breastmilk?

1 [ ] YES ............................GO TO 2

2 [ ] NO ..............................GO TO NEXT SECTION

77 [ ] DON’T KNOW ..........GO TO NEXT SECTION

99 [ ] REFUSED ................GO TO NEXT SECTION

2. How old was [FILL CHILD’S NAME] when [FILL CHILD’S NAME] completely stopped breast-feeding or being fed breast milk?

ENTER 888 FOR STILL BREAST-FEEDING

ENTER 777 FOR DON’T KNOW AND 999 FOR REFUSED

NUMBER.......................... ___ GO TO 2A.

888 [ ] STILL BREAST-FEEDING .........................GO TO 3.

777 [ ] DON’T KNOW ...........................................GO TO 3.

999 [ ] REFUSED .................................................GO TO 3.

2A. ENTER PERIOD:

1 [ ] DAYS .............................................................GO TO 3.

2 [ ] WEEKS ..........................................................GO TO 3.

3 [ ] MONTHS .......................................................GO TO 3.

4 [ ] YEARS ...........................................................GO TO 3.

3. How old was [FILL CHILD’S NAME] when (he/she) was first fed formula?

ENTER 888 FOR NEVER, ENTER 000 FOR AT BIRTH

ENTER 777 FOR DON’T KNOW AND 999 FOR REFUSED

ENTER NUMBER ....................................................GO TO 3A.

000 [ ] AT BIRTH ...................................................GO TO 4.

777 [ ] DON’T KNOW ............................................GO TO 4.

888 [ ] MONTHS .....................................................GO TO 4.

999 [ ] YEARS .........................................................GO TO 4.

3A. ENTER PERIOD:

1 [ ] DAYS ..............................................................GO TO 4.

2 [ ] WEEKS ...........................................................GO TO 4.

3 [ ] MONTHS ........................................................GO TO 4.

4 [ ] YEARS ............................................................GO TO 4.

4. This next question is about the first thing that [FILL CHILD’S NAME] was given other than breast milk or formula. Please include juice, cow’s milk, sugar water, baby food, or anything else that [FILL CHILD’S NAME] might have been given, even water. How old was [FILL CHILD’S NAME] when (he/she) was first fed anything other than breast milk or formula?

ENTER 888 FOR NEVER, ENTER 000 FOR AT BIRTH

ENTER 777 FOR DON’T KNOW AND 999 FOR REFUSED

ENTER NUMBER ..............................................GO TO 4A.

888 [ ] NEVER ..................................................GO TO END OF SECTION.

000 [ ] AT BIRTH .............................................GO TO END OF SECTION.

777 [ ] DON’T KNOW ......................................GO TO END OF SECTION.

999 [ ] REFUSED ..............................................GO TO END OF SECTION.

4A. ENTER PERIOD:

1 [ ] DAYS ..........................................................GO TO END OF SECTION.

2 [ ] WEEKS .......................................................GO TO END OF SECTION.

3 [ ] MONTHS ....................................................GO TO END OF SECTION.

4 [ ] YEARS ........................................................GO TO END OF SECTION.

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews.*

* There are multiple modes to administer this question (e.g., pencil-and-paper and computer-assisted interviews).

Equipment Needs

While the source instrument was administered over the telephone, the PhenX Working Group acknowledges that these questions can be administered in a computerized format (i.e., computer-assisted personal interview). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Child, Adolescent

Specific Instructions:

It is assumed that the respondent is the adult parent or guardian of the subject and would likely know more details than an adult would about their own history of being breast-fed (see Adult Protocol).

Research Domain Information

Release Date:

May 31, 2016

Definition

Question about whether or not the respondent was breast-fed as a child.

Purpose

Human milk has health benefits for infants (i.e., nutritional and immunologic benefits). Lactation has been shown to be beneficial to the health of mothers (e.g., lower risk of some cancers). Breast-feeding also has been shown to have psychological and neurodevelopmental benefits. Unfortunately, human milk may also be a vehicle for transfer of viruses (e.g., HIV) and environmental chemicals (e.g., polyhalogenated chemicals). Generally, the benefits of human milk and lactation have been found to outweigh the risks of exposures to pathogens or toxic substances in breast milk but there are higher-risk situations that have been recognized. Researchers can use information about breast-feeding to make inferences relevant to early nutritional status and immunologic development, the mother-child relationship, and potential exposures.

Selection Rationale

This question captures whether or not a child was breast-fed, the duration of breast-feeding, the age when first fed formula (if breast-fed) and age at introduction of first food (all respondents).

Language

English, Spanish

Standards

StandardNameIDSource
Common Data Elements (CDE)Person Breast Feeding Indicator2944314CDE Browser

Process and Review

The [link[phenx.org/node/102|Expert Review Panel #2]] (ERP 2) reviewed the measures in the Demographics, Social Environments, and Environmental Exposures domains.

Guidance from ERP 2 includes:

• Added a new protocol

• New Data Dictionary

Source

Centers for Disease Control and Prevention. (2013). National Immunization Survey (NIS). NIS-Child Hard Copy Questionnaire. Q4/2013. Atlanta, GA: Author. Items CBF_01_X–CBF_U_X.

General References

Centers for Disease Control and Prevention. (2015). Breastfeeding. Retrieved from http://www.cdc.gov/breastfeeding/

Miotti, P. G., Taha, T. E., Kumwenda, N. I., Broadhead, R., Mtimavalve, L. A., Van der Hoeven, L., . . . Biggar, R. J. (1999). HIV transmission through breastfeeding: a study in Malawi. JAMA, 282(8), 744-749.

Needham, L. L., & Wang, R. Y. (2002). Analytic considerations for measuring environmental chemicals in breast milk. Environmental Health Perspectives, 110(6), A317-A324.

Protocol ID:

61002

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping