title: Correlates of breastfeeding initiation in southeast Arkansas.
abstract: OBJECTIVE
  Southeast Arkansas is a primarily rural, low-income area with low breastfeeding rates. Given the demonstrated positive impacts of breastfeeding on a variety of health indicators, it is important to understand and counteract this situation.
  
  
  METHODS
  We reviewed the medical records of 1,260 women who delivered infants at the only major hospital in southeastern Arkansas between February 1997 and January 1998 to determine the rate of breastfeeding initiation and to assess associated factors.
  
  
  RESULTS
  Only 18% of mothers initiated breastfeeding. Black mothers, unmarried mothers, and those with less than high school education were least likely to breastfeed. Participation in childbirth education classes was positively associated with breastfeeding, but participation in the Supplemental Food Program for Women, Infants, and Children, health care provider, and hospital variables were not predictive in multivariate models.
  
  
  CONCLUSIONS
  Breastfeeding promotion programs are clearly needed in this region, and health care providers and the Supplemental Food Program for Women, Infants, and Children can play significant roles.
authors.affiliation: Department of Human Nutrition, Food and Animal Sciences, University of Hawaii at Manoa, Honolulu, HI 96822, USA. zaghloul@hawaii.edu
authors.forename: Sahar
authors.initials: S
authors.lastname: Zaghloul
authors.forename: Gail G
authors.initials: GG
authors.lastname: Harrison
authors.forename: Herbert F
authors.initials: HF
authors.lastname: Fendley
authors.forename: Ruston
authors.initials: R
authors.lastname: Pierce
authors.forename: Carolyn
authors.initials: C
authors.lastname: Morrisey
mesh_terms: D000293:Adolescent; D000328:Adult; D001131:Arkansas; D001903:Bottle Feeding / Q000706:statistics & numerical data*; D001942:Breast Feeding / Q000208:ethnology* / Q000523:psychology*; D002755:Choice Behavior; D005260:Female; D006801:Humans; D008507:Medically Underserved Area; D008875:Middle Aged; D012189:Retrospective Studies; D012424:Rural Population; D012959:Socioeconomic Factors