Let’s Talk About Breastfeeding: The Importance of Delivering a Message in a Home Visiting Program




Sandra McGinnis, Eunju Lee, Kristen Kirkland, Claudia Miranda-Julian, and Rose Greene

Brief Type

Journal publication


  • Healthy Families America (HFA)


Purpose: To examine the potential impact of paraprofessional home visitors in promoting breastfeeding initiation and continuation among a high-risk population. Design: A secondary analysis of program data from a statewide home visitation program. Intervention: Home visitors deliver a multifaceted intervention that includes educating high-risk mothers on benefits of breastfeeding, encouraging them to breastfeed and supporting their efforts during prenatal and postnatal periods. Measures: Home visitor-reported content and frequency of home visits, participant-reported breastfeeding initiation and duration, and covariates (Kempe Family Stress Index, race and ethnicity, region, nativity, marital status, age, and education). Results: Breastfeeding initiation increased by 1.5% for each 1-point increase in the percentage of prenatal home visits that included breastfeeding discussions. Breastfeeding continuation during the first 6 months also increased with the percentage of earlier home visits that included breastfeeding discussions. Additionally, if a participant receives 1 more home visit during the third month, her likelihood of breastfeeding at 6 months increases by 11%. Effect sizes varied by months postpartum. (abbreviated from author abstract)

Data Collection Methods

  • Program administrative record reviews
  • Standardized assessment tools



For More Information

McGinnis, S., Lee, E., Kirkland, K., Miranda-Julian, C., & Greene, R. (2018). Let’s talk about breastfeeding: The importance of delivering a message in a home visiting program. American Journal of Health Promotion, 3(4), 989–996. http://doi.org/10.1177/0890117117723802
Author Contact Information:
Eunju Lee


  • Participant, Family, and Program Outcomes