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已发表论文
杭州市社区居住母亲产后 6 个月内母乳喂养自我效能感：影响因素的生命历程探索
Authors Shen Y, Li Y, Qiu R, Chen Y, Chen X
Received 7 July 2025
Accepted for publication 23 October 2025
Published 11 November 2025 Volume 2025:17 Pages 4359—4367
DOI https://doi.org/10.2147/IJWH.S548048
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Vinay Kumar
Yang Shen,1,* Yuzhu Li,1,* Ruolin Qiu,1,2 Yangyi Chen,1 Xuancheng Chen1
1School of Public Health and Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, People’s Republic of China; 2Zhejiang Philosophy and Social Science Laboratory for Research in Early Development and Childcare, Hangzhou Normal University, Hangzhou, Zhejiang, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Ruolin Qiu, Email 20220149@hznu.edu.cn
Background: Breastfeeding is viewed as a process that spans the female life cycle, and self-efficacy is an important intervening variable that influences the extent of breastfeeding. This self-efficacy is built up over time through multiple sources of support and nurturing and can be influenced by a variety of factors. However, current research has not yet reached conclusive results, and few studies have applied Life Course Theory to breastfeeding self-efficacy.
Objective: To investigate the status of breastfeeding self-efficacy and its influencing factors among mothers 0– 6 months postpartum in Hangzhou from the perspective of Life Course Theory, and propose targeted recommendations.
Methods: A cross-sectional study was conducted among 338 mothers within 0– 6 months postpartum from six communities in Hangzhou between May and August 2023. Participants were selected using convenience sampling and surveyed with a general information questionnaire, a breastfeeding knowledge questionnaire, and the Chinese version of the Breastfeeding Self-Efficacy Scale.
Results: The study revealed that the overall breastfeeding self-efficacy score within six months postpartum was moderate, with a mean of 111.32 ± 21.68. Self-efficacy was correlated with the main feeding methods used during 0– 6 months (β = − 0.127, p = 0.010) and breastfeeding knowledge (β = − 0.430, p < 0.001). In addition, this study innovatively identified a counterintuitive knowledge-efficacy relationship, and explored its potential link to impostor syndrome among postpartum mothers.
Conclusion: This study identified feeding method and breastfeeding knowledge as key factors affecting self-efficacy among mothers 0– 6 months postpartum in Hangzhou. A counterintuitive knowledge-efficacy relationship was observed—a novel finding that warrants further investigation through the lens of Life Course Theory. The study also underscores the need for tailored interventions to enhance self-efficacy.
Keywords: postpartum, breastfeeding, self-efficacy, life course theory
1School of Public Health and Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, People’s Republic of China; 2Zhejiang Philosophy and Social Science Laboratory for Research in Early Development and Childcare, Hangzhou Normal University, Hangzhou, Zhejiang, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Ruolin Qiu, Email 20220149@hznu.edu.cn
Background: Breastfeeding is viewed as a process that spans the female life cycle, and self-efficacy is an important intervening variable that influences the extent of breastfeeding. This self-efficacy is built up over time through multiple sources of support and nurturing and can be influenced by a variety of factors. However, current research has not yet reached conclusive results, and few studies have applied Life Course Theory to breastfeeding self-efficacy.
Objective: To investigate the status of breastfeeding self-efficacy and its influencing factors among mothers 0– 6 months postpartum in Hangzhou from the perspective of Life Course Theory, and propose targeted recommendations.
Methods: A cross-sectional study was conducted among 338 mothers within 0– 6 months postpartum from six communities in Hangzhou between May and August 2023. Participants were selected using convenience sampling and surveyed with a general information questionnaire, a breastfeeding knowledge questionnaire, and the Chinese version of the Breastfeeding Self-Efficacy Scale.
Results: The study revealed that the overall breastfeeding self-efficacy score within six months postpartum was moderate, with a mean of 111.32 ± 21.68. Self-efficacy was correlated with the main feeding methods used during 0– 6 months (β = − 0.127, p = 0.010) and breastfeeding knowledge (β = − 0.430, p < 0.001). In addition, this study innovatively identified a counterintuitive knowledge-efficacy relationship, and explored its potential link to impostor syndrome among postpartum mothers.
Conclusion: This study identified feeding method and breastfeeding knowledge as key factors affecting self-efficacy among mothers 0– 6 months postpartum in Hangzhou. A counterintuitive knowledge-efficacy relationship was observed—a novel finding that warrants further investigation through the lens of Life Course Theory. The study also underscores the need for tailored interventions to enhance self-efficacy.
Keywords: postpartum, breastfeeding, self-efficacy, life course theory