College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.
College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
BMJ Open. 2024 Jul 11;14(7):e084609. doi: 10.1136/bmjopen-2024-084609.
The study aimed to explore the determinants of prenatal breastfeeding knowledge, attitudes and self-efficacy among Burmese migrant pregnant mothers in Samut Sakhon Province, Thailand.
The data were collected as part of a baseline survey of a randomised controlled trial.
A total of 198 Burmese migrant mothers between 28th and 34th weeks of gestation were recruited from the antenatal care clinic of Samut Sakhon Hospital.
Breastfeeding knowledge, attitudes and self-efficacy RESULTS: The prevalence of good breastfeeding knowledge was 65.7% (n=130), positive attitudes towards breast feeding were 55.1% (n=109) and high breastfeeding self-efficacy was 70.7% (n=140). Multivariate logistic regression models revealed that mothers aged above 25 years (adjusted OR, AOR 3.1, 95% CI 1.2 to 7.9), being Bamar (AOR 2.3, 95% CI 1.2 to 4.4), having support from husband (AOR 2.3, 95% CI 1.2 to 4.6) and having previous childbirth experience (AOR 2.5, 95% CI 1.3 to 4.8) were the main determinants of good breastfeeding knowledge. Similarly, being Bamar (AOR 2.8, 95% CI 1.5 to 5.3), having high school education (AOR 4.3, 95% CI 1.8 to 10.1) and having access to workplace breastfeeding support (AOR 5.3, 95% CI 1.4 to 20.1) were found to be significant predictors of positive attitudes towards breast feeding. Moreover, mothers aged above 25 years (AOR 2.9, 95% CI 1.1 to 7.8), being Bamar (AOR 2.4, 95% CI 1.2 to 5.1), being unemployed (AOR 7.8, 95% CI 1.9 to 31.9), having support of husband (AOR 3.2, 95% CI 1.5 to 7.0), having previous breastfeeding experience for 6 months or more (AOR 5.0, 95% CI 2.1 to 11.7) and having intention to exclusively breastfeed (AOR 2.7, 95% CI 1.3 to 5.8) had significant associations with high breastfeeding self-efficacy.
The prenatal breastfeeding knowledge, attitudes and self-efficacy among Burmese migrant mothers were influenced by many factors. A comprehensive understanding of these factors will enable policy-makers and healthcare providers to develop context-specific interventions for the promotion of exclusive breast feeding among Burmese migrant mothers in Thailand.
TCTR20230310004.
本研究旨在探讨泰国沙没颂堪府缅甸移民孕妇产前母乳喂养知识、态度和自我效能的决定因素。
数据是作为一项随机对照试验的基线调查的一部分收集的。
共有 198 名妊娠 28 至 34 周的缅甸移民母亲从沙没颂堪医院的产前保健诊所招募。
母乳喂养知识、态度和自我效能。
良好母乳喂养知识的流行率为 65.7%（n=130），对母乳喂养的积极态度为 55.1%（n=109），母乳喂养自我效能较高为 70.7%（n=140）。多变量逻辑回归模型显示，25 岁以上的母亲（调整后的 OR，AOR 3.1，95%CI 1.2 至 7.9）、巴玛族（AOR 2.3，95%CI 1.2 至 4.4）、丈夫支持（AOR 2.3，95%CI 1.2 至 4.6）和有分娩经验（AOR 2.5，95%CI 1.3 至 4.8）是良好母乳喂养知识的主要决定因素。同样，巴玛族（AOR 2.8，95%CI 1.5 至 5.3）、高中学历（AOR 4.3，95%CI 1.8 至 10.1）和获得工作场所母乳喂养支持（AOR 5.3，95%CI 1.4 至 20.1）被发现是对母乳喂养积极态度的显著预测因素。此外，25 岁以上的母亲（AOR 2.9，95%CI 1.1 至 7.8）、巴玛族（AOR 2.4，95%CI 1.2 至 5.1）、失业（AOR 7.8，95%CI 1.9 至 31.9）、丈夫支持（AOR 3.2，95%CI 1.5 至 7.0）、6 个月或更长时间的母乳喂养经验（AOR 5.0，95%CI 2.1 至 11.7）和纯母乳喂养意向（AOR 2.7，95%CI 1.3 至 5.8）与母乳喂养自我效能显著相关。
缅甸移民母亲的产前母乳喂养知识、态度和自我效能受到许多因素的影响。全面了解这些因素将使决策者和医疗保健提供者能够为泰国缅甸移民母亲制定具体情况的干预措施，以促进纯母乳喂养。
TCTR20230310004。
