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Journal of Human Lactation, Vol. 15, No. 1, 19-25 (1999)
DOI: 10.1177/089033449901500108

The Effect of a Peer Counseling Program on Breastfeeding Initiation and Longevity in a Low-income Rural Population

Elizabeth Shaw, MD

Department of Family Medicine; McMaster University, Room 2V13, 1200 Main Street West, Hamilton, Ontario L8N 3Z5, Canada

Janusz Kaczorowski, PhD

Department of Family Medicine, McMaster University.

Breastfeeding rates among low-income women in the east-south-central United States are among the lowest in the country. This study examined the effect of a peer counseling program on breastfeeding initiation and duration in a low-income rural population in West Tennessee. A postpartum survey and chart review were conducted with WIC clients at nine health departments. Response rate was 99% (291/293). Breastfeeding initiation and duration at 6 weeks were increased in the peer counselor group (n= 156) compared with women in the no-peer counselor group (n= 135) (53% vs. 33%,p<0.001, and 26% vs. 13%,p=0.006, respectively). Multivariate analysis revealed that women in the peer counselor group were significantly more likely to initiate breastfeeding (OR=2.43, 95% CI=1.23-4.67) and to be breastfeeding at 6 weeks (OR=2.78, 95% CI=2.08-9.5 1), than those in the no-peer counselor group.

Key Words: breastfeeding • Rural population • peer counselor • WIC


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