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Titolo:
COUNSELING AND MOTIVATIONAL VIDEOTAPES INCREASE DURATION OF BREAST-FEEDING IN AFRICAN-AMERICAN WIC PARTICIPANTS WHO INITIATE BREAST-FEEDING
Autore:
GROSS SM; CAULFIELD LE; BENTLEY ME; BRONNER Y; KESSLER L; JENSEN J; PAIGE DM;
Indirizzi:
JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,CTR HUMAN NUTR,615 N WOLFE ST,ROOM 2501 BALTIMORE MD 21205 JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,CTR HUMAN NUTR BALTIMORE MD 21205 JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,DEPT MATERNAL & CHILD HLTH BALTIMORE MD 21205 MORGAN STATE UNIV,DEPT HLTH EDUC BALTIMORE MD 21239
Titolo Testata:
Journal of the American Dietetic Association
fascicolo: 2, volume: 98, anno: 1998,
pagine: 143 - 148
SICI:
0002-8223(1998)98:2<143:CAMVID>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
LOW-INCOME WOMEN; EDUCATION-PROGRAM; SUPPORT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
S.M. Gross et al., "COUNSELING AND MOTIVATIONAL VIDEOTAPES INCREASE DURATION OF BREAST-FEEDING IN AFRICAN-AMERICAN WIC PARTICIPANTS WHO INITIATE BREAST-FEEDING", Journal of the American Dietetic Association, 98(2), 1998, pp. 143-148

Abstract

Objective To evaluate the relative effects introducing motivational videotapes and/or peer counseling in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics serving African-American women have on breast-feeding duration. Design Experimental intervention study. Pregnant women were enrolled at or before 24 weeks gestation and were followed up until postpartum week 16. Women were interviewed at enrollment, 7 to 10 days, 8 weeks, and 16 weeks postpartum. Subjects/setting One hundred fifteen African-American WIC participantswho initiated breast-feeding and who had been enrolled in 1 of 4 clinics. Intervention Two-by-two factorial design, in which 4 clinics wererandomly assigned to receive either no intervention, a motivational video package intervention a peer-counseling intervention, or both interventions. Main outcome measures Breast-feeding duration in weeks and relative risk ratios for breast-feeding cessation before 16 weeks postpartum. Statistical analysis performed Contingency table analysis, including chi(2) tests and log-rank tests; multivariate analysis using Cox proportional hazards regression analysis. Results A higher proportion of women were breast-feeding at 8 and 16 weeks postpartum in the intervention clinics than in the control clinic. The proportion of women reporting breast-feeding declined at 8 and 16 weeks postpartum, but the rate of decline was slower in the 3 intervention clinics than in thecontrol clinic. Being younger than 19 years of age or older than 25 years of age, having a male infant, and returning to work or school allnegatively affected breastfeeding duration, whereas previous breast-feeding experience positively influenced breast-feeding duration. Applications/conclusions WIC-based peer counselor support and motivational videos can positively affect the duration of breast-feeding among African-American women. WIC nutritionists and other health professionals in contact with this population should expand their efforts toward promoting increased duration of breast-feeding.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 05:29:38