Factors Affecting Exclusive Breastfeeding among Adolescent Mothers in Nakhon Sawan Province
Keywords:
Adolescent Mothers, Exclusive Breastfeeding, Predictive FactorsAbstract
This descriptive study examines the predictive factors of exclusive breastfeeding among 166 postpartum adolescent mothers in Nakhon Sawan Province. We recruited participants from the adolescent postpartum registry between May and August 2023 using a simple random sample method. Six surveys collected data on demographics, breastfeeding knowledge, intentions, attitudes toward breastfeeding, subjective norms, and perceived behavioral control. Three experts evaluated the content validity of breastfeeding knowledge. We utilized the Kuder-Richardson 20 (KR-20) to assess the reliability of breastfeeding knowledge, yielding a Cronbach's alpha coefficient of.65. The reliability coefficients for the remaining four instruments were.78,.77,.82, and.80, respectively. We conducted an analysis of the data using descriptive statistics and logistic regression.
Age, educational attainment, familial background, household income, knowledge about breastfeeding, goals regarding breastfeeding, attitudes towards breastfeeding, subjective norms, and perceived behavioral control collectively accounted for 41% of the variance in exclusive breastfeeding (Nagelkerke R² = 0.41). Age, family income, intention to breastfeed, attitude toward breastfeeding, subjective norms, and perceived behavioral control were significant predictors, accompanied by odds ratios and confidence intervals, as detailed below: OR = 4.24 (95% CI = 1.61, 11.19, p < 0.01); OR = 2.59 (95% CI = 1.02, 6.57, p < 0.05); OR = 2.43 (95% CI = 1.06, 5.57, p < 0.05); OR = 3.36 (95% CI = 1.42, 7.97, p < 0.01); OR = 2.79 (95% CI = 1.19, 6.55, p < 0.05); OR = 3.47 (95% CI = 1.41, 8.58, p < 0.01). This study indicates that healthcare professionals, particularly nurse midwives, ought to assess adolescent pregnancies by considering age, family income, breastfeeding intentions, attitudes toward breastfeeding, subjective norms, and perceived behavioral control to bolster confidence in exclusive breastfeeding.
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