Predictive Factors of Growth Among Preterm Migrant Children in Kanchanaburi Province, Thailand

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Nidkamoln Noijeen
Somsiri Rungamornrat
Arunrat Srichantaranit


This research sought to study the predictive factors of the duration of exclusive breastfeeding, mother’s feeding behaviors, and health service accessibility on the growth of preterm migrant children in Kanchanaburi Province, Thailand. The subjects were 156 Burmese migrant mothers with preterm children 18-24 months old who received health check-ups at well-baby clinics in Kanchanaburi Province. The data analysis was performed utilizing descriptive and multiple logistic regression statistics. The results revealed that although premature infants should reach normal growth the same as full-term children at 2 years old, 41% of the child subjects were underweight, and 46.8% had stunted growth. Also, 53.2% of the mothers exclusively breastfed for less than 6 months due to the mothers having to return to work. Upon performing multiple logistic regression analysis, it was found that exclusive breastfeeding from birth to the age of 6 months old and the feeding behaviors of the mothers were the most significant predictors influencing the growth of premature migrant children. In comparison, health service accessibility did not affect the growth of premature migrant children since the majority of migrant mothers (88.5%) regularly brought their preterm children for health check-ups. Our findings strongly suggested that the education of migrant mothers should be continuously promoted to emphasize the importance of exclusive breastfeeding of their preterm children, including in their workplace, and to encourage migrant mothers to recognize the importance of providing complementary foods to suit their migrant Burmese lifestyle.


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Noijeen, N., Rungamornrat, S., & Srichantaranit, A. (2021). Predictive Factors of Growth Among Preterm Migrant Children in Kanchanaburi Province, Thailand. Journal of Population and Social Studies [JPSS], 29(-), 401 - 415. Retrieved from
Author Biography

Somsiri Rungamornrat, Faculty of Nursing, Mahidol University, Thailand

Corresponding author


• Aguayo, V. M., Nair, R., Badgaiyan, N., & Krishna, V. (2016). Determinants of stunting and poor linear growth in children under 2 years of age in India: an in-depth analysis of Maharashtra’s comprehensive nutrition survey. Maternal & Child Nutrition, 12 (Suppl 1), 121–140.
• Blackburn, S. (1995). Problems of Preterm Infants After Discharge. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 24(1), 43-49.
• Chien, H. D. (2010). Relationship between nutritional status and food provided to children aged from 6 to 24 months in Quang Ngai Province, Vietnam. [Unpublished master’s thesis]. Mahidol University.
• Dennis, C.-L., Shiri, R., Brown, H. K., Santos, H. P., Jr., Schmied, V., & Falah-Hassani, K. (2019). Breastfeeding rates in immigrant and non-immigrant women: A systematic review and meta-analysis. Maternal & Child Nutrition, 15(3), e12809.
• Department of Employment. (2019).คู่มือสำหรับอบรมแรงงานต่างด้าวที่ได้รับอนุญาตทำงานในประเทศไทย [Manual training foreign workers allowed to work in Thailand].
• Hashmi, A. H., Nyein, P. B., Pilaseng, K., Paw, M. K., Darakamon, M. C., Min, A. M., Charunwatthana, P., Nosten, F., McGready, R., & Carrara, V. I. (2019). Feeding practices and risk factors for chronic infant undernutrition among refugees and migrants along the Thailand-Myanmar border: a mixed-methods study. BMC Public Health, 19(1), 1586.
• Joshi, S., Mongkolchati, A., Chompikul, J., Mo-suwan, L., Chittchang, U., & Choprapawon, C. (2012). Determining of Complementary Food Practice and Stunted Thai Children Aged 24 Months. Journal of Health Research, 26(4), 179-186.
• Kamwan, A., & Kessomboon, P. (2016). Health services accessibility for migrant workers in Chiangkan district, Loei province. Community Health Development Quarterly Khankaen University, 4(3), 359-374.
• Kanchanaburi Public Health Office. (2019). สถิติทารกเกิดก่อนกำหนดจังหวัดกาญจนบุรี [Preterm Birth Statistics in Kanchanaburi Province]. [Unpublished raw data].
• Kilanowski, J. F. (2010). Migrant farmworker mothers talk about the meaning of food. MCN: American Journal of Maternal Child Nursing, 35(6), 330-335.
• Kramer, M. S., & Kakuma, R. (2012). Optimal duration of exclusive breastfeeding. Cochrane Database of Systematic Reviews, 8, Article CD003517.
• Liu, X., Lou, B., Peng, W., Xiong, F., Yang, F., & Wu, J. (2019). Factors affecting the catch-up growth of preterm infants after discharge in China: a multicenter study based on the health belief model. Italian Journal of Pediatrics, 45(1), Article 87.
• Lwin, S. W. W., & Geater, A. F. (2019). Ethnic groups and father’s job influencing nutritional status of children (0–30 months) from Myanmar migrant community in Southern Thailand. Journal of Racial and Ethnic Health Disparities, 6(5), 944-952.
• Markkula, N., Cabieses, B., Lehti, V., Uphoff, E., Astorga, S., & Stutzin, F. (2018). Use of health services among international migrant children - a systematic review. Globalization and Health, 14(1), 52.
• Ministry of Labour. (2018). แนวทางในการบริหารจัดการแรงงานต่างด้าว ตามมติคณะรัฐมนตรี เมื่อวันท่ี 16 มกราคม 2561 [Foreign labor management guidelines according to the resolution of the Cabinet].
• Ministry of Public Health. (2015). คู่มือแนวทางการดำเนินงานส่งเสริมสุขภาพด้านโภชนาการในคลินิกสุขภาพเด็กดี [Guidelines for promoting good nutrition of child health in well-baby clinics for public health personnel]. Rongpimbuddhapress.คู่มือส่งเสริมสุขภาพด้านโภชนาการ_ในคลินิกสุขภาพเด็กดี.pdf
• Ministry of Public Health. (2020). ความสำคัญของมหัศจรรย์ 1,000 วันแรกของชีวิต [The first 1,000 days of life].
• Mohsuwan, L. (2012). ความสำคัญของเครื่องชี้วัดทางโภชนาการ [Significant of nutrition indicators]. In L. Mohsuwan, & U. Chittchana (Eds.), Guideline for nutrition status indicators and related diseases (pp.7-22). The War Veterans Organization of Thailand.
• Nielsen, G. A., Thomsen, B. L., & Michaelsen, K. F. (1998). Influence of breastfeeding and complementary food on growth between 5 and 10 months. Acta Paediatrica, 87(9), 911-917.
• Nunthawattanakorn, S., (2009). การเข้าถึงบริการสุขภาพของแรงงานข้ามชาติในสถานีอนามัยสันพระเนตร อำเภอสันทราย จังหวัดเชียงใหม่ [Accessibility to health service among migrant labor in Sanpranet Health Center, San Sai District, Chiang Mai Province].[Unpublished master’s thesis]. Chiang Mai University.
• Ong, K. K., Kennedy, K., Castañeda-Gutiérrez, E., Forsyth, S., Godfrey, K. M., Koletzko, B., Latulippe, M. E., Ozanne, S. E., Rueda, R., Schoemaker, M. H., van der Beek, E. M., van Buuren, S., & Fewtrell, M. (2015). Postnatal growth in preterm infants and later health outcomes: a systematic review. Acta Paediatrica, 104(10), 974–986.
• Petcharapun, R., Wacharasin, C., & Suchano, B. (2013). สภาวการณ์การเจริญเติบโตและปัจจัยที่เกี่ยวข้องของเด็กแรกเกิดถึง 5 ปี ในเขตบริการสุขภาพที่ 6 [Growth Status of Children 0 - 5 Years of Age and Its Factors in Public Health Service Region 6 Area]. Thailand Journal of Health Promotion and Environmental Health, 38(3), 40-55.
• Phochai, S. (2017). ปัจจัยทำนายพฤติกรรมการดูแลสุขภาพของหญิงตั้งครรภ์แรงงานข้ามชาติชาวกัมพูชา จังหวัดสระแก้ว [The factors that predict the healthcare behaviors of Cambodian pregnant migrant laborers in Sa Kaeo Province in Thailand]. [Unpublished master’s thesis]. Thammasat University.
• Phyo, S. W., Keiwkarnka, B., & Mongkolchati, A. (2014). Factors related to stunting status of children aged under two years in Magway township, Myanmar. Journal of Public Health and Development, 12(3), 3-16.
• Pitikultang, S., Khin, M. M., Siri, S., & Taechaboonsermsak, P. (2017). Six-month exclusive breastfeeding among Myanmar migrants in Samut Sakhon province, Thailand. Southeast Asian Journal of Tropical Medicine and Public Health, 48(3), 662-673.
• Plichta, S. B., & Kelvin, E. A. (2005). Munro’s Statistical Methods for Health Care Research (5th ed.). Lippincott Williams & Wilkins.
• Prathipchaikul, L., (Principal Investigator) (2000). สถานะสุขภาพของลูกแรงงานข้ามชาติที่ จังหวัดระนอง [Health status of foreign migrant workers children in Ranong Province][Grant].Health Systems Research Institute.
• Rugolo, L. M. S. S. (2005). Crescimento e desenvolvimento a longo prazo do prematuro extremo [Growth and developmental outcomes of the extremely preterm infant]. Jornal de Pediatria, 81(1 Suppl), 101–S110.
• Salehi, L., Lofters, A. K., Hoffmann, S. M., Polsky, J. Y., & Rouleau, K. D. (2015). Health and growth status of immigrant and refugee children in Toronto, Ontario: A retrospective chart review. Paediatric Child Health, 20(8), 38-42.
• Soe, Z. Y., Chompikul, J., & Hong, S. H. (2016). Prevalence and risk factors of underweight status among children aged between six to twenty-four months in Hlaing Tharyar Township of Myanmar. Journal of Public Health and Development, 14(3), 29-44.
• Steiner, L., Diesner, S. C., & Voitl, P. (2019). Risk of infection in the first year of life in preterm children: An Austrian observational study. PLoS ONE, 14(12), 1-11.
• Suwantawakup, S.(2011). แนวปฏิบัติในการให้อาหารตามวัยแก่ทารก [Infant feeding guideline]. In K. Vichitsukon, P. Sangperm, N. Watthayu, S. Ruangjiratain, and S. Payakkaraung (Eds), Exclusive breastfeeding (pp. 44-54). Faculty of Nursing, Mahidol University.
• Thamniamdee, N. (2013). การศึกษาอุบัติการณ์ของทารกนํ้าหนักตัวน้อย ที่สามารถเจริญเติบโตไ ด้ต ามเกณฑ์ และปัจจัยเสี่ยงที่มีผลกระทบต่อการเจริญเติบโต [A study of catch-up growth and factors influencing on growth status of low birth weight infants born at Siriraj Hospital].[Unpublished master’s thesis]. Mahidol University.
• Thet, M. M., Khaing, E. E., Diamond-Smith, N., Sudhinaraset, M., Oo, S., & Aung, T. (2016). Barriers to exclusive breastfeeding in the Ayeyarwaddy Region in Myanmar: Qualitative findings from mothers, grandmothers, and husbands. Appetite, 96, 62–69.
• UNICEF. (2016). Thailand 14 Provinces Multiple Indicator Cluster Survey (MICS) 2015-2016.
• Victoria, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S. (2008). Maternal and child undernutrition: Consequences for adult health and human capital. The Lancet, 371(9609), 340-357.
• World Health Organization. (2003). Global strategy for infant and young child feeding. World Health Organization.;jsessionid=5A22335386FA5CDA611EE0E33152A54C?sequence=1
• World Health Organization. (2005). Guiding principles for feeding non-breastfed children 6-24 months of age. World Health Organization.
• World Health Organization. (2017). Malnutrition. World Health Organization.
• Yadanar, Mya, K. S., & Witvorapong, N. (2020). Determinants of breastfeeding practices in Myanmar: Results from the latest nationally representative survey. PLoS ONE, 15(9), e0239515.