title: Modeling the Influence of Early Skin-to-Skin Contact on Exclusive Breastfeeding in a Sample of Hispanic Immigrant Women.
abstract: Using data from a longitudinal study of breastfeeding in Hispanics, this study evaluated the influence of early skin-to-skin contact (SSC) on initiation and sustained exclusive breastfeeding (EBF) at 1 month postpartum. Two-thirds of the women in the sample participated in early SSC. At discharge, over half of the women were EBF; this proportion decreased to one-third at 1 month postpartum. Controlling for demographic and clinical variables in the model, participation in early SSC was associated with a greater than sevenfold increase in the odds of EBF at discharge (p = .005) but was not predictive of EBF at 1 month post-discharge (p = .7). Younger maternal age and increased prenatal infant feeding intention were associated with an increased likelihood of EBF across both timepoints. Promoting early SSC may help with initiation of EBF, while further breastfeeding support may be needed to maintain EBF following discharge for this vulnerable population.
authors.affiliation: College of Nursing, University of Kentucky, 315 College of Nursing Building, Lexington, KY, 40536-0230, USA. aqu222@uky.edu.|Faculty of Health Science, Universidad de Tarapaca, Arica, Chile. aqu222@uky.edu.
authors.forename: Ana M
authors.initials: AM
authors.lastname: Linares
authors.affiliation: School of Nursing, University of Kansas, Kansas City, KUMC, Wichita, KS, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Wambach
authors.affiliation: College of Nursing, University of Kentucky, 315 College of Nursing Building, Lexington, KY, 40536-0230, USA.|College of Public Health, University of Kentucky, Lexington, KY, USA.
authors.forename: Mary K
authors.initials: MK
authors.lastname: Rayens
authors.affiliation: College of Nursing, University of Kentucky, 315 College of Nursing Building, Lexington, KY, 40536-0230, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Wiggins
authors.affiliation: Polk Dalton Clinic, University of Kentucky, Lexington, KY, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Coleman
authors.affiliation: Department of Internal Medicine, University of Kentucky, Lexington, KY, USA.|Prevention Research Center, University of Kentucky, Lexington, KY, USA.
authors.forename: Mark B
authors.initials: MB
authors.lastname: Dignan
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D001942:Breast Feeding / Q000208:ethnology; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D033182:Intention; D060127:Kangaroo-Mother Care Method / Q000523:psychology / Q000706:statistics & numerical data; D007629:Kentucky / Q000453:epidemiology; D008137:Longitudinal Studies; D008423:Maternal Age; D012959:Socioeconomic Factors; D007231:Infant, Newborn
keywords: Exclusive breastfeeding; Hispanics; Immigrants; Kentucky; Skin-to-skin contact