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Journal of Human Lactation, Vol. 21, No. 3, 327-337 (2005)
DOI: 10.1177/0890334405275831

Factors Influencing the Initiation and Duration of Breastfeeding Among Low-Income Women Followed by the Canada Prenatal Nutrition Program in 4 Regions of Quebec

Isabel Simard, MSc

Huguette Turgeon O’Brien, MSc, PhD

Laval University

André Beaudoin, MSc, PhD

School of Social Work, Laval University

Daniel Turcotte, MSc, PhD

School of Social Work and the Research Center on Children and Families at Risk, Laval University

Dominique Damant, MSc, PhD

Interdisciplinary Research Center on Family Violence against Women, Laval University

Suzanne Ferland, MSc

Marie-Josée Marcotte, BSc

Nathalie Jauvin, MSc

Montréal University

Lyne Champoux, MSc

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 [.lessequal] 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.

Key Words: breastfeeding • initiation • duration • termination • Canada Prenatal Nutrition Program


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W. Brodribb, A. B. Fallon, D. Hegney, and M. O'Brien
Identifying Predictors of the Reasons Women Give for Choosing to Breastfeed
J Hum Lact, November 1, 2007; 23(4): 338 - 344.
[Abstract] [PDF]