Feeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the Thailand-Myanmar border: A mixed-methods study
BACKGROUND: This study aims to provide a comprehensive understanding of maternal risk factors, infant risk factors and maternal infant feeding practices among refugees and migrants along the Thailand-Myanmar border. METHODS: This study employed a mixed-methods approach with two components: (1) cross...
| Main Authors: | , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
BioMed Central
2019
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| _version_ | 1797105061966381056 |
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| author | Hashmi, AH Nyein, PB Pilaseng, K Paw, MK Darakamon, MC Min, AM Charunwatthana, P Nosten, F McGready, R Carrara, VI |
| author_facet | Hashmi, AH Nyein, PB Pilaseng, K Paw, MK Darakamon, MC Min, AM Charunwatthana, P Nosten, F McGready, R Carrara, VI |
| author_sort | Hashmi, AH |
| collection | OXFORD |
| description | BACKGROUND: This study aims to provide a comprehensive understanding of maternal risk factors, infant risk factors and maternal infant feeding practices among refugees and migrants along the Thailand-Myanmar border. METHODS: This study employed a mixed-methods approach with two components: (1) cross-sectional survey (n = 390) and (2) focus group discussions (n = 63). Participants were chosen from one of three clinics providing antenatal and delivery services for Karen and Burman refugees and migrants along the border. Participants were pregnant women and mother-infant dyads. RESULTS: Refugee and migrant mothers demonstrated high rates of suboptimal breastfeeding and low rates of minimum dietary diversity and acceptable diet. Multivariable regression models showed infant stunting (AOR: 2.08, 95% CI: 1.12, 3.84, p = 0.020) and underweight (AOR: 2.26, 95% CI: 1.17, 4.36, p = 0.015) to have increased odds among migrants, while each 5 cm increase in maternal height had decreased odds of stunting (AOR: 0.50, 95% CI: 0.38, 0.66, p < 0.001) and underweight (AOR: 0.64, 95% CI: 0.48, 0.85, p = 0.002). In addition, small-for-gestational-age adjusted for length of gestation, infant age and gender increased odds of infant's stunting (AOR: 3.42, 95% CI: 1.88, 6.22, p < 0.001) and underweight (AOR: 4.44, 95% CI: 2.36, 8.34, p < 0.001). Using the Integrated Behavioural Model, focus group discussions explained the cross-sectional findings in characterising attitudes, perceived norms, and personal agency as they relate to maternal nutrition, infant malnutrition, and infant feeding practices. CONCLUSIONS: Inadequate infant feeding practices are widespread in refugee and migrant communities along the Thailand-Myanmar border. Risk factors particular to maternal nutrition and infant birth should be considered for future programming to reduce the burden of chronic malnutrition in infants. |
| first_indexed | 2024-03-07T06:42:12Z |
| format | Journal article |
| id | oxford-uuid:f9ae55a9-6cb3-4ab1-a847-2f29c1f68ce5 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T06:42:12Z |
| publishDate | 2019 |
| publisher | BioMed Central |
| record_format | dspace |
| spelling | oxford-uuid:f9ae55a9-6cb3-4ab1-a847-2f29c1f68ce52022-03-27T12:59:42ZFeeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the Thailand-Myanmar border: A mixed-methods studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f9ae55a9-6cb3-4ab1-a847-2f29c1f68ce5EnglishSymplectic Elements at OxfordBioMed Central2019Hashmi, AHNyein, PBPilaseng, KPaw, MKDarakamon, MCMin, AMCharunwatthana, PNosten, FMcGready, RCarrara, VIBACKGROUND: This study aims to provide a comprehensive understanding of maternal risk factors, infant risk factors and maternal infant feeding practices among refugees and migrants along the Thailand-Myanmar border. METHODS: This study employed a mixed-methods approach with two components: (1) cross-sectional survey (n = 390) and (2) focus group discussions (n = 63). Participants were chosen from one of three clinics providing antenatal and delivery services for Karen and Burman refugees and migrants along the border. Participants were pregnant women and mother-infant dyads. RESULTS: Refugee and migrant mothers demonstrated high rates of suboptimal breastfeeding and low rates of minimum dietary diversity and acceptable diet. Multivariable regression models showed infant stunting (AOR: 2.08, 95% CI: 1.12, 3.84, p = 0.020) and underweight (AOR: 2.26, 95% CI: 1.17, 4.36, p = 0.015) to have increased odds among migrants, while each 5 cm increase in maternal height had decreased odds of stunting (AOR: 0.50, 95% CI: 0.38, 0.66, p < 0.001) and underweight (AOR: 0.64, 95% CI: 0.48, 0.85, p = 0.002). In addition, small-for-gestational-age adjusted for length of gestation, infant age and gender increased odds of infant's stunting (AOR: 3.42, 95% CI: 1.88, 6.22, p < 0.001) and underweight (AOR: 4.44, 95% CI: 2.36, 8.34, p < 0.001). Using the Integrated Behavioural Model, focus group discussions explained the cross-sectional findings in characterising attitudes, perceived norms, and personal agency as they relate to maternal nutrition, infant malnutrition, and infant feeding practices. CONCLUSIONS: Inadequate infant feeding practices are widespread in refugee and migrant communities along the Thailand-Myanmar border. Risk factors particular to maternal nutrition and infant birth should be considered for future programming to reduce the burden of chronic malnutrition in infants. |
| spellingShingle | Hashmi, AH Nyein, PB Pilaseng, K Paw, MK Darakamon, MC Min, AM Charunwatthana, P Nosten, F McGready, R Carrara, VI Feeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the Thailand-Myanmar border: A mixed-methods study |
| title | Feeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the Thailand-Myanmar border: A mixed-methods study |
| title_full | Feeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the Thailand-Myanmar border: A mixed-methods study |
| title_fullStr | Feeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the Thailand-Myanmar border: A mixed-methods study |
| title_full_unstemmed | Feeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the Thailand-Myanmar border: A mixed-methods study |
| title_short | Feeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the Thailand-Myanmar border: A mixed-methods study |
| title_sort | feeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the thailand myanmar border a mixed methods study |
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