KUMJ | VOL. 15 | NO. 2 | ISSUE 58 | APRIL-JUNE 2017

Self-Efficacy in Child Rearing and Quality of Life among Adolescent Mothers in the Northeast of Thailand
Sungworawongpana K, Laohasiriwong W, Thinkhamrop B

Background Incidence of adolescent pregnancy has been increasing continuously in Thailand. These adolescent mothers might face various problems such as social acceptance, poor knowledge of child rearing with affect their quality of life. However, there are insufficient studies quality of life and the associated factors of the adolescent mothers in the biggest region, the Northeast of Thailand. Objective To identify the level of quality of life and the association between self-efficacy, ability in child rearing and quality of life of adolescent mothers in the Northeast of Thailand. Method Cross-sectional study with systematic randomization 232 adolescents who gave a first singleton live birth in a hospital, with data collection done through a structured questionnaire administration. The multiple logistic regressions were used to determine the association. Result The majority of postpartum adolescent mothers were age 18 years old (52.59%). All participants were primiparous mothers. Almost all of adolescent mothers had senior relative within family assisting in child rearing (90.95%). Nearly half of them (46.98%) had high scores of quality of life on living and child rearing. Most of the mothers perceived self-efficacy during pregnancy or pre-childbearing in moderate level (87.93%). However, only 36.64% had high level of self-efficacy on living and child rearing. Majority had moderate to high scoring of stress on living and child rearing (65.52%). Only 32.06% received high scoring of social support on living and child rearing. The multiple logistic regressions were used to measure association of significant factors by backward elimination. Factors associated with quality of life in postpartum adolescent mothers were no stress (adjusted odds ratio: AOR = 4.37, 95% CI; 2.29 to 8.30, p-value < 0.001), high level of self-efficacy (AOR = 4.01, 95% CI; 2.04 to 7.88, p-value < 0.001), and high level of social support (AOR = 3.31, 95% CI; 1.74 to 6.31, p-value < 0.001). Conclusion Social support, self-efficacy and stress have strong influences on quality of life of the postpartum adolescent mothers. Therefore relevant sectors should develop system to improve social support and child rearing competency of adolescent since pregnancy and postpartum.
Keyword : Adolescent, child rearing, postpartum, quality of life, self-efficacy