1. Objectifs

Intentions :
« To implement a breastfeeding program among low-income women, it is critical to know and understand the factors involved in a mother’s decision to initiate and terminate breastfeeding. This study was undertaken to identify the influence of biological characteristics, dietary and socio-economic factors, lifestyle habits, and peer support on the initiation and duration of breastfeeding in a group of low-income women enrolled in the Canada Prenatal Nutrition Program (CPNP) in Quebec. » (p. 328)

2. Méthode

Échantillon/Matériau :
196 futures puis nouvelles mères

Instruments :
Questionnaires sur les caractéristiques biologiques, les habitudes de vie et nutritionnelles, l’activité physique, les aspects psychologiques de la grossesse, le soutien social, l’utilisation des services, le mode d’alimentation du bébé, les raisons et les intentions concernant l’allaitement, les besoins qui y sont liés et les raisons du sevrage.

Type de traitement des données :
Analyse statistique

3. Résumé

« 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 < or = 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. » (p. 327)