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Determinants of exclusive breastfeeding cessation in a peer counseling breastfeeding support program for low‐income women (1016.4)
Author(s) -
Rozga Mary,
Benton Pat,
Kerver Jean,
Olson Beth
Publication year - 2014
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.28.1_supplement.1016.4
Subject(s) - breastfeeding , medicine , peer support , phone , family medicine , breast feeding , demography , nursing , pediatrics , philosophy , linguistics , sociology
Breastfeeding peer counseling programs have demonstrated efficacy in improving exclusive breastfeeding (EBF) rates, but the impact of specific program protocols on this outcome is unknown. OBJECTIVE: To describe associations between individual and combinations of program components and EBF cessation in a peer counseling breastfeeding support program. METHODS: Data was collected for 5,886 low‐income women prenatally enrolled in Michigan’s Breastfeeding Initiative Program from 2005‐2011. Cox proportional hazards models and chi‐square analyses were used to determine the impact of program components on EBF cessation. “Optimal” quantities of contacts were based on program guidelines. RESULTS: Each home, phone and other contact had a similar impact on risk of EBF cessation at three months postpartum (HR (95% CI): 0.92 (0.89, 0.94); 0.90 (0.88, 0.91); and 0.94 (0.91, 0.98) respectively). Women who received a more in‐person and less phone contacts than were considered optimum had the lowest risk of EBF cessation (HR (95% CI): 0.3 (0.2, 0.3)). CONCLUSIONS: The current study demonstrated the importance of in‐person contacts between participants and trained peer counselors compared to phone contacts and further demonstrates that the combination of in‐person and phone contacts may have an appreciable impact on EBF cessation.