Abstract
Objective
Determining the effect of the Loving Support Peer Counseling Program (LSPCP), and characteristics of participants on breastfeeding (BF) outcomes at Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) agencies in Washington State.
Design
Nonrandomized treatment vs control.
Setting
Public Health–Seattle and King County (PHSKC), Catholic Health Initiatives Franciscan
Medical Group (CHIFMG).
Participants
Women enrolled in WIC (intervention: PHSKC, n = 15,290; CHIFMG, n = 3,582).
Interventions
Clinics with a LSPCP.
Main Outcome Measures
BF initiation and BF duration of all infants who turned 8 months old during the reported
period.
Analysis
Two-tailed binomial test and tree-based regression.
Results
Both PHSKC and CHIFMG clinics with a LSPCP expressed significant (P < .001) improvement in BF initiation and BF duration for >6 months. The likelihood
that women enrolled in WIC would initiate BF at PHSKC clinics increased by 3%, whereas
those in CHIFMG clinics increased by 6.8%. Women receiving services in smaller PHSKC
clinics (n < 60 women) were likely to breastfeed their infants at >1 week. The proportionalities
of non-Hispanic and black participants in PHSKC clinics were the primary and secondary
predictors of the likelihood of BF discontinuing between 7 and 28 days' duration.
In addition, clinics serving participants who spoke Tigrigna had increased rates of
BF for a minimum of 6 months.
Conclusions and Implications
Findings may be used to reevaluate funding allocations, secure grants to reduce program
constraints to stabilize LSPCP, develop strategies to reduce BF cessation at larger
clinics, and improve peer counseling and other BF support to black and non-Hispanic
women in the early postpartum period. The findings contribute to the study of the
effects of LSPCP on BF initiation and duration while furthering a scholarly understanding
of the way in which the WIC program interacts with participant characteristics at
2 local WIC agencies in Washington State.
Key Words
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Article info
Publication history
Published online: October 19, 2017
Accepted:
September 2,
2017
Footnotes
Conflict of Interest Disclosure: The authors' conflict of interest disclosures can be found online with this article on www.jneb.org.
Identification
Copyright
© 2017 Society for Nutrition Education and Behavior. Published by Elsevier, Inc. All rights reserved.
