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Canadian Journal of Public Health

, Volume 88, Issue 4, pp 242–245 | Cite as

Using a Breastfeeding Prevalence Survey to Identify a Population for Targeted Programs

  • Carolyn M. Barber
  • Tom Abernathy
  • Brenda Steinmetz
  • Julie Charlebois
Article
  • 1 Downloads

Abstract

Often, efforts to improve overall population health require identifying and targeting programs to specific high-risk populations. Breastfeeding is an example. In order to determine initiation and duration rates among various groups in the City of Toronto, a random sample of 434 mothers with infants at four months of age was surveyed to determine the prevalence of breastfeeding and major impacts on its duration. The study found that, overall, 83% of mothers initiated breastfeeding at birth. The greatest rate of decline occurred during the first month. At four months postpartum, 57% of mothers continued to breastfeed, including 35% who were exclusively breastfeeding and 22% who were supplementing breast milk with formula. Breastfeeding duration was related to a number of factors, including information and support, parity, education, use of formula supplements and country of birth. Specific groups are identified for targeted programs, and a number of strategies are proposed.

Abrégé

Il arrive souvent que les efforts destinés à améliorer la santé de la population exigent l’identification et le ciblage de programmes à l’intention de segments de la population à risque élevé. L’allaitement est un exemple du genre. Afin de déterminer les taux d’amorçage et de durée de l’allaitement au sein de divers groupes dans la ville de Toronto, une enquête a été menée auprès d’un échantillon aléatoire de 434 mères de nourrissons âgés de quatre mois pour déterminer la prévalence de l’allaitement au sein et les principaux facteurs influençant sa durée. L’étude a révélé que, dans l’ensemble, 83 % des mères avaient commencé à allaiter dès la naissance de leurs enfants. Le taux le plus élevé de baisse de l’allaitement se manifeste au cours du premier mois. Quatre mois après leur accouchement, 57 % des mères continuaient d’allaiter, 35 % d’entre elles s’en tenant exclusivement à l’allaitement et 22 % le complétant avec du lait maternisé. La durée de l’allaitement est apparue liée à plusieurs facteurs dont l’information et le soutien disponibles, la parité, le niveau d’études, l’utilisation de suppléments de lait maternisé et le pays d’origine. Plusieurs stratégies sont proposées et certains groupes devant être ciblés par les programmes sont identifiés.

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Copyright information

© The Canadian Public Health Association 1997

Authors and Affiliations

  • Carolyn M. Barber
    • 1
  • Tom Abernathy
    • 2
  • Brenda Steinmetz
    • 3
  • Julie Charlebois
    • 4
  1. 1.Toronto Public Health DepartmentCanada
  2. 2.Central West Health Planning Information NetworkHamiltonUSA
  3. 3.Centre for Health PromotionUniversity of TorontoCanada
  4. 4.Scarborough Public Health DepartmentUSA

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