Determinants of health care worker breastfeeding experience and practices and their association with provision of care for breastfeeding mothers: a mixed-methods study from Northern Thailand

Gilder, Mary Ellen; Pateekhum, Chanapat; Wai, Nan San; Misa, Prapatsorn; Sanguanwai, Phimthip; Sappayabanphot, Jarntrah; Tho, Nan Eh; Wiwattanacharoen, Wichuda; Nantsupawat, Nopakoon; Hashmi, Ahmar; Angkurawaranon, Chaisiri; McGready, Rose

doi:10.1186/s13006-024-00613-4

International Breastfeeding Journal

Table 4 Characteristics associated with staff meeting WHO exclusive or total breastfeeding goals. The results of univariable and multivariable logistic regression analysis of relationships between work site and personal factors and attaining the WHO exclusive and total breastfeeding recommendations are presented

From: Determinants of health care worker breastfeeding experience and practices and their association with provision of care for breastfeeding mothers: a mixed-methods study from Northern Thailand

			Exclusive BF to 6 months (N = 130)				Breastfeeding to 2 years (N = 130)
			univariable		Multivariable*		univariable		Multivariable**
Characteristic			proportion (%)	p	aOR (95%CI)	p	proportion (%)	p	aOR (95%CI)	p
Work site	Low BF prevalence, low support (TH2)		10/35 (29)	ref	-		4/35 (11)	ref	-	-
	Low BF prevalence, high support (TH1)		21/38 (55)	0.023	6.3 (1.8–21.6)	0.003	9/38 (24)	0.180	3.7 (0.9–15.0)	0.068
	High BF prevalence, low support (CBO2)		13/24 (54)	0.051	2.7 (0.6–13.1)	0.182	8/24 (33)	0.048	3.6 (0.8–16.3)	0.094
	High BF prevalence, high support (CBO1)		25/33 (76)	< 0.001	7.3 (1.8–29.1)	0.005	19/33 (58)	< 0.001	6.3 (1.6–24.6)	0.008
	Reason for stopping breastfeeding	not enough milk	19/39 (49)	0.704	1.5 (0.5–4.6)	0.472	5/40 (13)	0.004	0.2 (0.1–0.7)	0.012
		work	12/29 (41)	0.142	0.8 (0.3–2.5)	0.715	5/29 (17)	0.011	0.3 (0.1–0.9)	0.028
		other/still BF	38/62 (61)	ref			30/61 (49)	ref
	Expressed breastmilk at work	no	16/43 (37)	ref			9/42 (21)	ref
	Expressed breastmilk at work	yes	53/87 (61)	0.013	1.6 (0.6–4.3)	0.359	31/88 (35)	0.124	1.6 (0.5–4.4)	0.404
	Used Day care^#	no	36/82 (44)	ref			17/82 (21)	ref
	Used Day care^#	yes	33/48 (69)	0.045			23/48 (48)	0.061
Mother/ infant dyad	Age at delivery†	< 28 years	26/39 (66)	0.024	3.5 (1.2–9.6)	0.018	6/24 (25)	0.666
	Age at delivery†	≥ 28 years	43/91 (47)	ref			34/106 (32)	ref
	Place of birth^#	clinic/home	22/31 (71)	ref			18/31 (58)	ref
	Place of birth^#	hospital	47/99 (47)	0.242			22/99 (22)	0.018
	Set a goal	no	11/41 (27)	ref			9/41 (22)	ref
	Set a goal	yes	58/89 (65)	< 0.001	4.4 (1.7–11.5)	0.002	31/89 (35)	0.492
	Finished High school	no	20/27 (74)	0.031	3.0 (0.8–10.5)	0.089	12/27 (44)	0.457
	Finished High school	yes	49/103 (48)	ref			28/103 (27)	ref
	Baby rejected the breast after bottle	no	53/91 (58)	ref			30/91 (33)	ref
	Baby rejected the breast after bottle	yes	16/39 (41)	0.056	0.4 (0.2–1.1)	0.071	10/39 (26)	0.350

All results in bold are those that are statistically significant (p-value < 0.05)
Abbreviations: BF, breastfeeding; ref, reference
^# omitted from multivariable analysis because of collinearity with work site
† < 27 years was the lowest quartile of ages at the birth of the most recent child
* adjusted for work site, reason for stopping breastfeeding, breast milk expression at work, day care use, goal setting, high school completion, breast rejection after bottle use, and year of birth (not significant)
** adjusted for work site, reason for stopping breastfeeding, breast milk expression at work, and year of birth (not significant)

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ISSN: 1746-4358

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