title: Factors influencing the initiation and duration of breastfeeding among low-income women followed by the Canada prenatal nutrition program in 4 regions of quebec.
abstract: The factors that influence the actual initiation and duration of breastfeeding were studied among low-income women followed by the Canada Prenatal Nutrition Program (CPNP). A group of 196 pregnant women were selected at random from a sample of 6223 pregnant women who registered with the CPNP. Two 24-hour recalls and information regarding lifestyle habits, peer support, and infant-feeding practices were obtained between 26 and 34 weeks of gestation and 21 days and 6 months after birth. Women who received a university education (completed or not completed) versus women with < or = high school education (odds ratio [OR], 8.40; 95% confidence interval [CI], 1.02-69.50), women born outside Canada (OR,8.81; 95% CI, 3.34-23.19), and women of low birth weight infants (OR, 0.39; 95% CI, 0.16-0.96) were more likely to initiate breastfeeding. Late introduction of solid foods (P = .004), nonsmoking (P = .005), multiparity (P = .012), and a higher level of education (P = .049) were positively associated with the duration of breastfeeding among initiators. Understanding factors associated with initiation and duration of breastfeeding among low-income women is critical to better target breastfeeding promotion.
authors.forename: Isabel
authors.initials: I
authors.lastname: Simard
authors.forename: Huguette Turgeon
authors.initials: HT
authors.lastname: O'Brien
authors.forename: André
authors.initials: A
authors.lastname: Beaudoin
authors.forename: Daniel
authors.initials: D
authors.lastname: Turcotte
authors.forename: Dominique
authors.initials: D
authors.lastname: Damant
authors.forename: Suzanne
authors.initials: S
authors.lastname: Ferland
authors.forename: Marie-Josée
authors.initials: MJ
authors.lastname: Marcotte
authors.forename: Nathalie
authors.initials: N
authors.lastname: Jauvin
authors.forename: Lyne
authors.initials: L
authors.lastname: Champoux
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000453:epidemiology / Q000523:psychology / Q000706:statistics & numerical data*; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007224:Infant Care / Q000379:methods*; D007231:Infant, Newborn; D011939:Mental Recall; D052756:Nutritional Sciences / Q000193:education*; D010298:Parity; D049590:Postpartum Period; D011203:Poverty; D011247:Pregnancy; D039401:Prenatal Nutritional Physiological Phenomena; D011792:Quebec; D012307:Risk Factors; D012907:Smoking; D013997:Time Factors