Evidence map›Paper›PMID 42046004›Full record

ArticleBMC pregnancy and childbirth2026

Positive body image, weight stigma and breastfeeding self-efficacy among postpartum women: a cross-sectional study.

Xiaoyuan Li, Xinxin Sun, Mengfan Li, Pan Liu, Hongya Wang, Fen Guo, Mingming Chang, Qing Zhang, Xia Zhang

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Xiaoyuan LiNursing Department, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, Henan, China.
Xinxin SunDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, Henan, China.
Mengfan LiPeking University First Hospital, Beijing, 100034, China.
Pan LiuObstetrics clinic, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, Henan, China.
Hongya WangObstetrics clinic, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, Henan, China.
Fen GuoDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, Henan, China.
Mingming ChangDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, Henan, China.
Qing ZhangDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, Henan, China.
Xia ZhangNursing Department, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, Henan, China. zx950118@zzu.edu.cn.

Funding

The Medical Science and Technology Project, Henan Province, China LHGJ20210429
6 · The paper itself

Abstract

backgroundThe postnatal period is characterized by significant physiological transformations in women’s bodies. Individuals who have given birth may possess affirmative perceptions of their bodily appearance and experience weight-related stigma, both of which can impact their breastfeeding practices. This research aimed to investigate the association between positive body image, weight stigma, and self-efficacy in breastfeeding among women in the postpartum phase.

methodsThis study used a cross-sectional methodology. It encompassed a cohort of 258 postpartum women within a 6-month timeframe. Validated measures such as the Body Appreciation Scale-2 (BAS-2) and the Functionality Appreciation Scale (FAS) were utilized to gauge positive body image. The Perceived Weight Stigma Questionnaire (PWS) and the Weight Bias Internalization Scale (WBIS) were employed to evaluate weight stigma, and breastfeeding self-efficacy was assessed using the Breastfeeding Self-Efficacy Scale Short-Form (BSES-SF). Analytical approaches, including univariate analysis and stepwise multi-linear regression analysis, were applied to identify predictors of breastfeeding self-efficacy.

resultsMean body appreciation and functionality appreciation scores were recorded at 3.36 (SD = 1.23) and 3.85 (SD = 0.79), respectively. Total scores for perceived weight stigma, internalized weight stigma, and breastfeeding self-efficacy stood at 0.69(SD = 1.25), 27.52 (SD = 6.40), and 48.02 (SD = 9.97), respectively. Breastfeeding self-efficacy displayed a positive correlation with both body appreciation (r = 0.466, p < 0.01) and functionality appreciation (r = 0.305, p < 0.01). In contrast, breastfeeding self-efficacy manifested negative associations with internalized weight stigma (r=-0.436, p < 0.01) and perceived weight stigma (r=-0.449, p < 0.01). There was a significant correlation between BMI, feeding methods, positive body image, weight stigma, and breastfeeding self-efficacy(p < 0.01). Predictive factors for breastfeeding self-efficacy included body appreciation [B = 0.227, 95% CI (0.026, 0.428)], perceived weight stigma [B = -1.616, 95% CI (-2.559, -0.674)], feeding methods [B = -3.906, 95% CI (-5.956, -1.855)], internalized weight stigma [B = -0.293, 95% CI (-0.493, -0.093)], BMI [B = -1.561, 95% CI (-2.900, -0.222)], and functionality appreciation [B = 0.281, 95% CI (0.007, 0.556)].

conclusionThe results suggest that non-exclusive breastfeeding and elevated BMI detrimentally impact breastfeeding self-efficacy in postpartum women. Conversely, augmenting positive body image and diminishing weight stigma may beneficially influence breastfeeding self-efficacy.

Indexed as

Body ImageBody WeightBreast FeedingPostpartum PeriodSelf EfficacySocial StigmaAdultBody SatisfactionCross-Sectional StudiesFemaleHumansSurveys and QuestionnairesYoung AdultBreastfeeding self-efficacyPositive body imagePostpartum womenWeight stigma

Identifiers

PMID42046004
PMCPMC13267509

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LicenceCC BY-NC-ND
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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.