{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:05:59Z","timestamp":1759190759692,"version":"3.44.0"},"reference-count":55,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000861","name":"Burroughs Wellcome Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000861","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000890","name":"National Multiple Sclerosis Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000890","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study aimed to describe breastfeeding attitudes among health care personnel, as well as breastfeeding attitudes and self\u2010efficacy in women with multiple sclerosis (MS), who are currently or have previously breastfed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two cross\u2010sectional surveys were sent electronically to health care personnel at a single center to capture attitudes toward breastfeeding in women with MS using the Iowa Infant Feeding Attitudes Scale (IIFAS), and women with MS who were currently or had previously breastfed to measure breastfeeding attitudes and self\u2010efficacy using the IIFAS and Breastfeeding Self\u2010Efficacy Survey\u2010Short Form (BSES\u2010SF). Descriptive statistics and one\u2010way analysis of variance were used to assess differences among categories of participant demographics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the health care personnel survey, among health care specialties, neonatology exhibited the highest mean scores on the IIFAS (69.8\u00a0\u00b1\u00a08.89), reflecting positive attitudes, while neurology and students had the lowest mean IIFAS scores (62.4\u00a0\u00b1\u00a010.3 and 58.2\u00a0\u00b1\u00a03.94, respectively) with neutral attitudes. Health care personnel with 16 or more years of service demonstrated positive attitudes toward breastfeeding (70.9\u00a0\u00b1\u00a09.30), as assessed by IIFAS. In the survey of women with MS, women identifying as Middle Eastern\/North African had the highest mean IIFAS score (78.0\u00a0\u00b1\u00a05.66), indicating positive breastfeeding attitudes, while women identifying as Black had the lowest (62.7\u00a0\u00b1\u00a06.07), reflecting a neutral attitude. Positive attitudes were revealed by participants who exclusively breastfed for 6\u00a0months (70.1\u00a0\u00b1\u00a07.17) and who had three or more children (70.1\u00a0\u00b1\u00a06.17). Participants who exclusively breastfed for 6\u00a0months and who had breastfed three or more children demonstrated the highest breastfeeding self\u2010efficacy as assessed by BSES\u2010SF scores (52.2\u00a0\u00b1\u00a04.93 and 51.7\u00a0\u00b1\u00a05.26, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Attitudes towards breastfeeding in women with MS differed by health care specialty and years of service in health care personnel. Among women with MS, infant feeding attitudes and breastfeeding self\u2010efficacy varied based on ethnicity, age, number of children, number of children breastfed, and breastfeeding exclusivity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/brb3.70468","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T02:27:32Z","timestamp":1745807252000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing Breastfeeding Attitudes and Self\u2010Efficacy Among Health care Personnel and Women With Multiple Sclerosis: Two Cross\u2010Sectional Surveys"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2599-4828","authenticated-orcid":false,"given":"Solange M.","family":"Saxby","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University of Iowa Iowa City Iowa USA"},{"name":"Department of Community and Family Medicine, Dartmouth Health 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