Abstract
The purpose of this study was to examine the effect of the Early Experiences and Counseling for Effective Lactation (EXCEL) program on breastfeeding initiation and duration among adolescents on Guam. There were 244 intervention and 163 comparison subjects. Intervention mothers had higher (p < .01) rates of breastfeeding initiation (77.9%), were approximately twice as likely to initiate breastfeeding (p < .05), and more (p < .05) were breastfeeding at 2 months than comparison mothers. For each additional lesson attended, the odds for breastfeeding initiation increased by 1.098. EXCEL is a culturally sensitive intervention based on social learning theory.
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