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Factors Associated with the Maintenance of Breastfeeding at One Year among Women in Chiang Mai, Thailand

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  • Krongporn Ongprasert

    (Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand)

  • Penprapa Siviroj

    (Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand)

Abstract

This study aimed to investigate factors associated with breastfeeding for at least one year among women in Chiang Mai, Thailand. We conducted a cross-sectional study of 451 mothers with children aged between 12 and 24 months who visited the well-baby clinic among women who visited the well-baby clinic in secondary and tertiary hospitals. The data collected included maternal sociodemographic information, employment status, reasons contributing to continued breastfeeding, primary sources of information, and influential people affecting continued breastfeeding. Multivariable logistic regression analysis was used to investigate the relationship between explanatory variables and continued breastfeeding at one year. Reporting “easier to bond with baby” as a reason to continue breastfeeding (AOR 3.118, 95% CI: 2.022, 4.809) and multiparous status (AOR 1.588, 95% CI: 1.042, 2.420) were positive predictors of mothers who had breastfeeding at least one year postpartum while mothers with undergraduate education level (AOR 0.635, 95% CI: 0.404, 0.997) were more likely to discontinue breastfeeding. Our study highlighted that working mothers have lower odds of continued breastfeeding than stay-at-home mothers (SAHMs), which was found for work with day shifts (AOR 0.437, 95% CI: 0.261, 0.731), work with rotational shifts (AOR 0.481, 95% CI: 0.247, 0.934), and work from home jobs with a flexible schedule (AOR 0.439, 95% CI: 0.229, 0.838). These findings showed that both employment outside home and work from home were strong risk factors for discontinuing breastfeeding before 12 months. We suggest that a breastfeeding-friendly workplace policy is essential to enhance the continuance of breastfeeding. Additionally, working at home requires more research to explore breastfeeding barriers and establish more support strategies.

Suggested Citation

  • Krongporn Ongprasert & Penprapa Siviroj, 2021. "Factors Associated with the Maintenance of Breastfeeding at One Year among Women in Chiang Mai, Thailand," IJERPH, MDPI, vol. 18(17), pages 1-12, September.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9224-:d:627036
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    References listed on IDEAS

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    1. Ritesh Chimoriya & Jane Anne Scott & James Rufus John & Sameer Bhole & Andrew Hayen & Gregory S. Kolt & Amit Arora, 2020. "Determinants of Full Breastfeeding at 6 Months and Any Breastfeeding at 12 and 24 Months among Women in Sydney: Findings from the HSHK Birth Cohort Study," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    2. Sarah Bell & Sarah Siau Yi Yew & Gemma Devenish & Diep Ha & Loc Do & Jane Scott, 2018. "Duration of Breastfeeding, but Not Timing of Solid Food, Reduces the Risk of Overweight and Obesity in Children Aged 24 to 36 Months: Findings from an Australian Cohort Study," IJERPH, MDPI, vol. 15(4), pages 1-14, March.
    3. Jane Scott & Ellen Ahwong & Gemma Devenish & Diep Ha & Loc Do, 2019. "Determinants of Continued Breastfeeding at 12 and 24 Months: Results of an Australian Cohort Study," IJERPH, MDPI, vol. 16(20), pages 1-13, October.
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