关键词: behavior cross-sectional studies health education pregnant women public health

Mesh : Humans Female Breast Feeding / psychology statistics & numerical data Thailand Health Knowledge, Attitudes, Practice Adult Self Efficacy Cross-Sectional Studies Pregnancy Transients and Migrants / psychology statistics & numerical data Myanmar / ethnology Young Adult Mothers / psychology Prenatal Care / psychology Logistic Models Southeast Asian People

来  源:   DOI:10.1136/bmjopen-2024-084609   PDF(Pubmed)

Abstract:
OBJECTIVE: 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.
METHODS: The data were collected as part of a baseline survey of a randomised controlled trial.
METHODS: 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.
METHODS: 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.
CONCLUSIONS: 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.
BACKGROUND: TCTR20230310004.
摘要:
目的:本研究旨在探讨产前母乳喂养知识的决定因素,SamutSakhon省缅甸移民孕妇的态度和自我效能感,泰国。
方法:数据收集作为一项随机对照试验的基线调查的一部分。
方法:从SamutSakhon医院的产前护理诊所招募了198名怀孕28至34周的缅甸移民母亲。
方法:母乳喂养知识,态度和自我效能的结果:良好的母乳喂养知识的患病率为65.7%(n=130),对母乳喂养的积极态度为55.1%(n=109),高母乳喂养自我效能感为70.7%(n=140)。多因素logistic回归模型显示,年龄在25岁以上的母亲(调整后的OR,AOR3.1,95%CI1.2至7.9),是Bamar(AOR2.3,95%CI1.2至4.4),有丈夫支持(AOR2.3,95%CI1.2~4.6)和有分娩经历(AOR2.5,95%CI1.3~4.8)是良好母乳喂养知识的主要决定因素.同样,是Bamar(AOR2.8,95%CI1.5至5.3),研究发现,接受高中教育(AOR4.3,95%CI1.8~10.1)和获得工作场所母乳喂养支持(AOR5.3,95%CI1.4~20.1)是对母乳喂养持积极态度的显著预测因素.此外,25岁以上的母亲(AOR2.9,95%CI1.1至7.8),是Bamar(AOR2.4,95%CI1.2至5.1),失业(AOR7.8,95%CI1.9至31.9),有丈夫的支持(AOR3.2,95%CI1.5至7.0),有6个月或以上的母乳喂养经验(AOR5.0,95%CI2.1~11.7)和有纯母乳喂养意向(AOR2.7,95%CI1.3~5.8)与高母乳喂养自我效能有显著关联.
结论:产前母乳喂养知识,缅甸移民母亲的态度和自我效能感受多种因素的影响。对这些因素的全面了解将使决策者和医疗保健提供者能够制定针对具体情况的干预措施,以促进泰国缅甸移民母亲的独家母乳喂养。
背景:TCTR20230310004.
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