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Journal of Human Lactation
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An Innovative Video Succeeds in Addressing Barriers to Breastfeeding Among Low-Income Women

Amal J. Khoury, PhD, MPH

Center for Community Health, University of Southern Mississippi, Box 5122, Hattiesburg, MS 39406, USA

Amal K. Mitra, MD, DrPH

Agnes Hinton, DrPH, RD

Center for Community Health, University of Southern Mississippi

Cathy Carothers, BLA, IBCLC

Best Start Social Marketing, Tampa, Florida

Heidi Sheil, MPH

Petal, Mississippi

This study evaluates the effectiveness of an innovative breastfeeding promotion video intervention in addressing barriers to breastfeeding among low-income women in the state of Mississippi. The 15-minute video features a diverse group of women and their families. Survey data were collected from Special Supplemental Nutrition Program for Women, Infants and Children clients in the intervention group (n = 310) before and after watching the video, and from a comparison group (n = 204) that did not watch the video. The 2 groups were comparable at baseline. The intervention significantly improved women's perceptions with regard to the "embarrassment" and "time and social constraints" barriers to breastfeeding. In terms of the "lack of social support" barrier, the video positively affected participants' feelings that the baby's father encouraged breastfeeding but did not change their perceptions of support from female relatives and friends. The authors conclude that the video is an effective method of breastfeeding promotion among low-income women.

Key Words: breastfeeding • Special Supplemental Nutrition Program for Women • Infants and Children (WIC) • evaluation • video intervention • barriers

Journal of Human Lactation, Vol. 18, No. 2, 125-131 (2002)
DOI: 10.1177/089033440201800203


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