ArticlePloS one2022
Determinants of breastfeeding self-efficacy among postpartum women in rural China: A cross-sectional study.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 37 citations in OpenAlex.
- Social support as a moderator between birth satisfaction and breastfeeding self-efficacy among polish mothers.Frontiers in global women's health · 2026Article
- Breastfeeding self-efficacy, milk output, and influencing factors in mothers of preterm infants: a prospective cohort study in the NICU.BMC pregnancy and childbirth · 2025Article
- The impact of the LactApp m-Health tool on breastfeeding self-efficacy: a mixed methods study among Filipino mothers.Women's health nursing (Seoul, Korea) · 2025Article
- Breastfeeding self-efficacy in mothers in socioeconomic vulnerability: Situation-Specific Theory.Revista brasileira de enfermagem · 2025Article
- Adaptation and psychometric evaluation of the breastfeeding self-efficacy scale to assess exclusive breastfeeding: a cross-sectional study in rural China.BMC pregnancy and childbirth · 2024Article
- Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in Turkey.BMC pregnancy and childbirth · 2024Article
- Factors Affecting Thai Fathers' Self-Efficacy to Support Exclusive Breastfeeding.Nursing reports (Pavia, Italy) · 2023Article
- Investigating Maternal Perspectives of Breastfeeding Support Targeted Towards Fathers in the Milk Man Mobile App Intervention.Maternal and child health journal · 2023Article
- Determinants of High Breastfeeding Self-Efficacy among Nursing Mothers in Najran, Saudi Arabia.Nutrients · 2023Article
- Decision-making process of breastfeeding behavior in mothers with gestational diabetes mellitus based on health belief model.BMC pregnancy and childbirth · 2023Article
- Exclusive breastfeeding after breast cancer. Case study.Investigacion y educacion en enfermeria · 2023Article
- Influence of Mother's Self-Efficacy, Social Support & Intention on Exclusive Breastfeeding: A Systematic Review.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBreastfeeding self-efficacy is known to positively influence breastfeeding behaviors. While previous research has studied the determinants of breastfeeding self-efficacy in general, these determinants are unstudied among postpartum women in rural China. This study aims to describe the breastfeeding self-efficacy of postpartum women in rural China and identify determinants of breastfeeding self-efficacy using the Dennis breastfeeding self-efficacy framework.
methodsUsing a multi-stage random cluster sampling design, cross-sectional survey data were collected from 787 women within the 0-6 months postpartum period in 80 rural townships. Surveys collected data on breastfeeding self-efficacy, characteristics related to the Dennis breastfeeding self-efficacy framework, and demographic characteristics. Multiple linear regression analysis was used to identify determinants of breastfeeding self-efficacy.
resultsParticipants reported a moderate level of breastfeeding self-efficacy, with an item mean score of 3.50. Self-efficacy was lowest for exclusive breastfeeding. Breastfeeding attitudes (β = 0.088, P< 0.001), breastfeeding family support (β = 0.168, P< 0.001), and social support from significant others (β = 0.219, P< 0.001) were positively associated with breastfeeding self-efficacy. Breastfeeding problems, including trouble with latching (β = -0.170, P< 0.001), not producing enough milk (β = -0.148, P< 0.001), and milk taking too long to secrete (β = -0.173, P< 0.001) were negatively associated with breastfeeding self-efficacy.
conclusionThe findings indicate that positive attitudes, breastfeeding family support and social support contribute to greater breastfeeding self-efficacy in rural China, whereas difficulties with breastfeeding are associated with reduced self-efficacy. Researchers and practitioners should investigate effective strategies to improve social support and family support for breastfeeding, promote positive attitudes towards breastfeeding, and provide women with actionable solutions to breastfeeding problems.
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