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In‐person versus phone contacts have most impact on breastfeeding success in a peer breastfeeding support program for low income mothers
Author(s) -
Rozga Mary Rebekah,
Benton Pat A,
Jean Kerver M,
Olson Beth H
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.849.3
Subject(s) - breastfeeding , medicine , residence , demography , phone , duration (music) , family medicine , pediatrics , art , linguistics , philosophy , literature , sociology
Breastfeeding peer counselor (PC) programs for low income women have been implemented nationwide, but evidence is limited on the effectiveness of in‐person versus phone contacts. OBJECTIVE To determine the impact of in‐person and phone contacts in a PC program on breastfeeding duration in low‐income women. METHODS Data was collected for 12,939 women in Michigan's Breastfeeding Initiative Program from 2005–2011. β co‐efficients were calculated from linear regression to determine the impact of program contacts on total and exclusive breastfeeding duration among participants enrolled prenatally or postnatally. RESULTS Adjusted β values represents weeks of increased breastfeeding by each additional contact.Duration a Exclusive DurationPrenatal (n= 4241) ≤ 4 wks Postnatal (n= 3806) >; 4 wks Postnatal (n= 1434) Prenatal (n=37 48) ≤ 4 wks Postnatal (n= 4626) >; 4 wks Postnatal (n= 1480)Hospital Any vs. None 3.2 * 0.7 0.2 2.8 * −0.06 −0.8 Home 2.1 * 2.5 * 1.7 * 0.9 * 0.9 * 0.2 Phone 1.8 * 2.0 * 1.7 * 0.8 * 0.8 * 0.7 ** p < 0.05 comparing β to 0.a Results adjusted for maternal education, race, residence (size of city), and marital statusCONCLUSIONS The results suggest in‐person contacts are very important to improving breastfeeding durations, especially for those able to enroll prior to birth. Further analysis is needed to determine the appropriate mix of contacts that is both effective and cost‐efficient. Grant Funding Source : Kellogg Foundation