ArticleMaternal & child nutrition2023
Stress, social support, and racial differences: Dominant drivers of exclusive breastfeeding.
Article in Maternal & child nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 22 citations in OpenAlex.
- Evaluating and predicting exclusive breastfeeding behaviour based on an energy vitality model during women's lactation: a longitudinal study.BMC pregnancy and childbirth · 2025Article
- Development and validation of paternal breastfeeding attitude scale.BMC nursing · 2025Article
- Relationship Between Perceived Stress, Midwife Support and Exclusive Breastfeeding Among Polish Mothers.Nutrients · 2025Observational
- Exploration of the Intersection between Infant Feeding and Postpartum Contraception in Western North Carolina: Perspectives of Postpartum Individuals and Providers.Southern medical journal · 2025Article
- Stress and feeding choices: How do socio-demographic factors shape formula use among Polish mothers?Frontiers in public health · 2025Observational
- Commentary on the Adaptive Significance of Sociality Around Parturition Events, and Conspecific Support of Parturient Females in Some Social Mammals.Animals : an open access journal from MDPI · 2024Article
- "Associations between maternal perceptions of social support and adolescent weight status: A longitudinal analysis".SSM - population health · 2024Article
- Familial sources of encouragement and breast-feeding practices among women participating in the US Special Supplemental Nutrition Programme for Women, Infants and Children.Public health nutrition · 2023Article
- Stress, social support, and racial differences: Dominant drivers of exclusive breastfeeding.Maternal & child nutrition · 2023Article
- The Relationship between Perceived Stress and Breastfeeding Pattern among Primiparous Mothers: A Cross-sectional Study in the West of Iran.Iranian journal of nursing and midwifery researchArticle
- Determinants of Formula Feeding among Mothers in Indonesia: The Role of Digital Media and Microeconomic Factors.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
Exclusive breastfeeding is recommended for 6 months; however, many childbearing people wean their infants before 6 months. Psychosocial factors such as stress, social support and race are significant determinants of breastfeeding; however, few studies have longitudinally explored the effect of perceived stress and various forms of social support on exclusive breastfeeding. We used quantitative methodologies to examine exclusive breastfeeding, perceived stress and social support among 251 participants from the Postpartum Mothers Mobile Study. Participants between 18 and 44 years were recruited during pregnancy (irrespective of parity) and completed surveys in real-time via Ecological Momentary Assessment up to 12 months postpartum from December 2017 to August 2021. We measured perceived stress with the adapted Perceived Stress Scale and perceived social support with the Multi-dimensional Social Support Scale. Received social support was measured using a single question on breastfeeding support. We conducted a mixed-effects logistic regression to determine the effect of stress, race and social support on exclusive breastfeeding over 6 months. We examined the moderation effect of perceived social support and breastfeeding support in the relationship between perceived stress and exclusive breastfeeding. Black, compared with White, participants were less likely to breastfeed exclusively for 6 months. Participants who reported higher perceived stress were less likely to breastfeed exclusively for 6 months. Perceived social support moderated the relationship between perceived stress and exclusive breastfeeding (odds ratio: 0.01, 95% confidence interval: 0.001-0.072). However, breastfeeding support directly increased the likelihood of exclusive breastfeeding over 6 months. Perceived stress is negatively associated with exclusive breastfeeding. Birthing people who intend to breastfeed may benefit from perinatal support programs that include components to buffer stress.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.