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 6 Characteristics associated with improved confidence caring for breastfeeding dyads and with giving correct advice about recommended duration of breastfeeding. The results of univariable and multivariable logistic regression analysis of relationships between work site and personal factors and confidence and correct advice when caring for breastfeeding dyads 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

		Confidence caring for breastfeeding dyads* n = 281				Breastfeeding advice consistent with WHO** n = 281
Characteristic		proportion (%)	p	aOR (95%CI)	p	proportion (%)	p	aOR (95%CI)	p
Met both WHO goals	no	108/235 (46)				113/236 (48)	ref
Met both WHO goals	yes	21/30 (70)	0.016	2.6 (1.1–6.4)	0.033	17/30 (57)	0.243	1.5 (0.7–3.4)	0.299
Low BF prevalence, low support (TH2)		31/61 (51)	ref	ref		45/68 (66)	ref
Low BF prevalence, high support (TH1)		38/82 (46)	0.742	1.2 (0.6–2.8)	0.605	27/59 (46)	0.022	0.4 (0.2–0.8)	0.009
High BF prevalence, low support (CBO2)		32/68 (47)	0.930	1.4 (0.6–3.1)	0.382	29/82 (35)	< 0.001	0.5 (0.2–1.5)	0.207
High BF prevalence, high support (CBO1)		29/58 (50)	0.670	2.1 (0.9–4.9)	0.088	32/61 (52)	0.114	1.5 (0.5–4.6)	0.517
Age (years)^#	< 30	29/72 (39)		ref		34/73 (47)	0.625
Age (years)^#	≥ 30	102/197 (52)	0.062	1.9 (1.1–3.6)	0.032	99/197 (50)	ref
Occupation	Nurse or MW	76/124 (61)	< 0.001	2.6 (1.5–4.7)	0.001	67/125 (54)	0.241
Occupation	Other	54/145 (37)		ref		66/145 (46)	ref
Training	informal	72/155 (46)				65/155 (42)	ref
Training	formal	58/114 (51)	0.473			68/115 (59)	0.037	2.1 (0.8–5.5)	0.139
Number of BF patients in the past 3 months	≤ 10	25/72 (35)		ref		26/72 (36)	ref	ref
Number of BF patients in the past 3 months	> 10	105/197 (53)	0.008	1.6 (0.9–2.9)	0.145	107/198 (54)	0.006	2.1 (1.2–3.7)	0.014
Number of patients with breastfeeding problems in the past 3 months	0	11/55 (20)		ref		25/55 (45)	ref
	≥ 1	119/214 (56)	< 0.001	3.3 (1.6–6.5)	0.001	108/205 (50)	0.621
Breastfeeding attitude quartile (1 is the least positive, 4 is the most positive)	1	27/66 (41)	ref	ref		20/66 (30)	ref
	2	29/72 (40)	0.940	0.8 (0.4–1.6)	0.506	35/72 (49)	0.029	2.3 (1.2–4.7)	0.025
	3	32/66 (48)	0.382	1.3 (0.6–2.7)	0.520	36/66 (55)	0.006	3.4 (1.6–7.1)	0.001
	4	42/64 (66)	0.005	1.8 (0.7–4.2)	0.193	42/65 (65)	0.001	2.6 (1.2-6.0)	0.021

All results in bold are those that are statistically significant (p-value < 0.05)
Note: Duration of breastfeeding by self or partner, positive or negative breastfeeding experience, breastfeeding knowledge score, and high school education were not associated with confidence or advice consistent with WHO.
Abbreviations: BF breastfeeding, CBO community based organization, ref reference, TH Thai hospital, WHO World Health Organization
^# < 30 was the lowest quartile for overall staff age
* Adjusted for meeting WHO goals, work site, age, occupation, number of breastfeeding patients, number of patients with breastfeeding problems, breastfeeding attitude quartile, and also for sex and advice consistent with WHO recommendations (not significant)
** Adjusted for meeting WHO goals, work site, training, number of breastfeeding patients, breastfeeding attitude quartile, and also for confidence (not significant)

Back to article page

ISSN: 1746-4358

Contact us

General enquiries: journalsubmissions@springernature.com