Differential response to breastfeeding peer counseling within a low-income, predominantly Latina population.
This study aims to identify those most responsive to breastfeeding peer counseling (PC) using data from a US-based randomized trial. The authors ran a series of logistic regression models to identify differential responses to PC, using breastfeeding status at 0, 1, 3, and 6 months postpartum as the dependent variables. Three subgroups were found to be most responsive to breastfeeding PC. Multiparae receiving PC were 6 times more likely to initiate breastfeeding than were multiparous controls (odds ratio [OR] = 6.4; 95% confidence interval [CI] = 1.9-20.8). Similarly, those with uncertain prenatal breastfeeding intentions in the PC group were 7 times (OR = 7.4; 95% CI = 1.5-37.0) more likely to initiate breastfeeding than their control group counterparts. Among subjects partially breastfeeding on day 1 postpartum, those receiving PC were 12 times (OR = 11.9; 95% CI = 1.2-111.1) more likely to breastfeed through 3 months postpartum than were controls. These findings have important implications to the Supplemental Food Program for Women, Infants and Children.
Chapman
Donna J
DJ
University of Connecticut, Department of Nutritional Sciences, 3624 Horsebarn Road Extension, Storrs, CT 06269-4017, USA.
Damio
Grace
G
Pérez-Escamilla
Rafael
R
D000328:Adult; D001942:Breast Feeding / Q000208:ethnology / Q000523:psychology*; D003376:Counseling / Q000379:methods*; D005260:Female; D006630:Hispanic or Latino / Q000208:ethnology* / Q000523:psychology; D006801:Humans; D016015:Logistic Models; D016017:Odds Ratio; D010379:Peer Group; D011203:Poverty / Q000208:ethnology; D013997:Time Factors; D014481:United States