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Journal of Human Lactation, Vol. 20, No. 4, 389-396 (2004)
DOI: 10.1177/0890334404269845

Differential Response to Breastfeeding Peer Counseling Within a Low-Income, Predominantly Latina Population

Donna J. Chapman, PhD, RD

University of Connecticut, Department of Nutritional Sciences, 3624 Horsebarn Road Extension, Storrs, CT 06269-4017

Grace Damio, MS, CD-N

Center for Women and Children’s Health and Center for Community Nutrition at the Hispanic Health Council

Rafael Pérez-Escamilla, PhD

University of Connecticut, Department of Nutritional Sciences, 3624 Horsebarn Road Extension, Storrs, CT 06269-4017

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.

Key Words: peer counseling • breastfeeding initiation • breastfeeding duration • breastfeeding promotion • differential response • Latino • Hispanic


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