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. 2024 Jul 11;14(7):e084609.
doi: 10.1136/bmjopen-2024-084609.

Determinants of prenatal breastfeeding knowledge, attitudes and self-efficacy among Burmese migrant pregnant mothers in Samut Sakhon Province, Thailand: a cross-sectional study

Zayar Lynn  1 , Montakarn Chuemchit  2   3
Affiliations

Determinants of prenatal breastfeeding knowledge, attitudes and self-efficacy among Burmese migrant pregnant mothers in Samut Sakhon Province, Thailand: a cross-sectional study

Zayar Lynn et al. BMJ Open. .

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.

Design: The data were collected as part of a baseline survey of a randomised controlled trial.

Setting and participants: 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.

Primary outcome measures: 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.

Conclusion: 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.

Trial registration number: TCTR20230310004.

Keywords: behavior; cross-sectional studies; health education; pregnant women; public health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1. Flow diagram of the participants.
See this image and copyright information in PMC

References

    1. World Health Organization Infant and young child feeding. 2023.
    1. World Health Organization/United Nations Children’s Fund Global Breastfeeding scorecard 2023: rates of Breastfeeding increase around the world through improved protection and support. 2023.
    1. United Nations Children’s Fund Breastfeeding: a mother’s gift, for every child. 2018.
    1. Pitikultang S, Khin M, Siri S, et al. Six-month exclusive Breastfeeding among Myanmar migrants in Samut Sakhon province, Thailand. Southeast Asian J Trop Med Public Health. 2017;48:662–73.
    1. United Nations United Nations thematic working group on migration in Thailand: Thailand migration report 2019. 2019.

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