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Analysis of institutional authors

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Barriers and facilitators for exclusive breastfeeding in women’s biopsychosocial spheres according to primary care midwives in tenerife (Canary islands, Spain)

Publicated to:International Journal of Environmental Research and Public Health. 19 (1): - 2021-04-01 19(1), DOI: 10.3390/ijerph18073819

Authors: Llorente-Pulido S; Custodio E; López-Giménez MR; Sanz-Barbero B; Otero-García L

Affiliations

CIBER Epidemiol & Publ Hlth CIBERESP ISCIII, Madrid 28029, Spain - Author
CIBER Epidemiologia y Salud Publica - Author
CIBER Infect Dis ISCIII, Madrid 28029, Spain - Author
European Commission Joint Research Centre - Author
Gerencia de Atención Primaria de Tenerife - Author
Hlth Inst Carlos III, Natl Ctr Trop Med, Madrid 28029, Spain - Author
Hlth Inst Carlos III, Natl Sch Publ Hlth, Madrid 28029, Spain - Author
Instituto de Salud Carlos III - Author
Primary Hlth Care San Isidro, Gerencia Atenc Primaria Tenerife, Serv Canario Salud, Tenerife 38611, Spain - Author
Univ Autonoma Madrid, Nursing Dept, Fac Med, Madrid 28029, Spain - Author
Univ Autonoma Madrid, Prevent Med & Publ Hlth & Microbiol Dept, Fac Med, Madrid 28029, Spain - Author
Univ Autonoma Madrid, Prevent Med & Publ Hlth & Microbiol Dept, PhD Programme Publ Hlth & Epidemiol, Fac Med, Madrid 28029, Spain - Author
Universidad Autónoma de Madrid - Author
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Abstract

(1) The objective of our study is to determine, from a primary care midwife’s perspective, which biopsychosocial factors can favour or be detrimental to exclusive breast feeding. (2) The study was carried out in Tenerife (Canary Islands, Spain) and is based on qualitative methodology. Twenty in-depth interviews were carried out with midwives working in primary care centres in Tenerife, using a content analysis approach. The transcript data was then encoded following an inductive approach. (3) According to the perceptions of the primary care midwives who were interviewed, the barriers and facilitators that influence exclusive breastfeeding related to the biopsychosocial spheres of women are, at an individual level, the physical and emotional aspects during the postnatal period; at the relationship level, the presence or not of support from the close family and partner; at the community level, the environment and social networks the new mothers may have; and at the work level, characteristics of jobs and early return to work. (4) The findings of our research can help healthcare professionals to approach the promotion and encouragement of exclusive breast feeding at each of the levels studied, with the aim of increasing rates following recommendations issued by The World Health Organization.

Keywords

cohortexclusive breastfeedinghealth systemmidwifemilkpublic policiesqualitative researchspainAdultArticleBreast feedingBreastfeedingCanary islandsChildbirthContent analysisExclusive breastfeedingFemaleGenetic transcriptionHealth care systemHealth policyHealth servicesHealth systemHumanHumansInterviewMidwifeMidwiferyPostnatal carePregnancyPrevalencePrimary health carePrimary healthcarePrimary medical carePublic healthPublic policiesPublic policyQualitative analysisQualitative researchResearch workSanta cruz de tenerife [(prv) canary islands]SpainTenerifeWork-life balance

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal International Journal of Environmental Research and Public Health due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2021, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Public Health, Environmental and Occupational Health.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 3.16, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jun 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-15, the following number of citations:

  • WoS: 1
  • Scopus: 9
  • OpenCitations: 7

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-15:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 112.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 112 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 19.
  • The number of mentions in news outlets: 3 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: https://repositorio.uam.es/handle/10486/718071

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Belgium.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Llorente-Pulido S) and Last Author (OTERO GARCIA, LAURA).