@article {3081,
	title = {HIV-negative status is associated with very early onset of lactation among Ghanaian women.},
	journal = {Journal of human lactation : official journal of International Lactation Consultant Association},
	volume = {26},
	year = {2010},
	month = {2010 May},
	pages = {107-17},
	abstract = {This is a longitudinal cohort study investigating the association between maternal HIV status and the reported onset of lactation. The Research to Improve Infant Nutrition and Growth project recruited 442 mothers from 3 antenatal clinics in the eastern region of Ghana, based on positive, negative, and unknown HIV status. Onset of lactation was assessed by maternal perception and validated with 2 subsamples: measurement of infant breast milk intake (n = 40) and daily infant weight measurement for 2 weeks (n = 150). Multivariate logistic regression was used to identify predictors of very early onset of lactation (onset of lactation < 6 hours). Predictors of very early onset of lactation include HIV-negative status (odds ratio = 2.68; P = .014), multiparity (odds ratio = 2.93; P = .009), vaginal delivery (odds ratio = 2.55; P = .035), and having a male child (odds ratio = 1.86; P = .032). The findings indicate an association between maternal HIV status and very early onset of lactation.},
	keywords = {Adult, Breast Feeding, Cohort Studies, Female, Ghana, HIV Seronegativity, Humans, Infant, Infant, Newborn, Lactation, Logistic Models, Longitudinal Studies, Male, Mothers, Perception, Time Factors, Time Perception, Weight Gain},
	issn = {1552-5732},
	doi = {10.1007/s10461-009-9532-3},
	author = {Otoo, Gloria E and Marquis, Grace S and Sellen, Daniel W and Chapman, Donna J and P{\'e}rez-Escamilla, Rafael}
}
