{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T17:15:15Z","timestamp":1793121315826,"version":"4.5.0"},"reference-count":50,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004663","name":"ministry of science and technology, taiwan","doi-asserted-by":"publisher","award":["MOST 104-2314-B-038-008"],"award-info":[{"award-number":["MOST 104-2314-B-038-008"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004663","name":"ministry of science and technology, taiwan","doi-asserted-by":"publisher","award":["MOST 106-2314-B-038-012"],"award-info":[{"award-number":["MOST 106-2314-B-038-012"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004663","name":"ministry of science and technology, taiwan","doi-asserted-by":"publisher","award":["MOST 107-2314-B-038-034"],"award-info":[{"award-number":["MOST 107-2314-B-038-034"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breastfeeding self-efficacy among both mothers and fathers is critical in enhancing exclusive breastfeeding rates. However, the interrelationship between maternal and paternal breastfeeding self-efficacy and their determinants remains unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aims:<\/jats:title>\n                    <jats:p>We aimed to (a) investigate the relationship between breastfeeding self-efficacy scores postpartum for mothers and fathers; (b) explore factors associated with breastfeeding self-efficacy in this group; and (c) examine determinants of combined self-efficacy scores among breastfeeding parents in Malawi.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a cross-sectional study on postpartum mother\u2013father couples at a tertiary maternity facility in central Malawi. Breastfeeding self-efficacy was measured using the Breastfeeding Self-Efficacy Scale Short-Form. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale. A structured questionnaire was used to collect demographic and health variables. Data were analyzed using multivariable logistic regression and multinomial logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Mothers demonstrated a higher score of self-efficacy (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u200955.7,\n                      <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                      \u2009=\u20096.5) in comparison to fathers (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u200950.2,\n                      <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                      \u2009=\u200911.9). A significant moderate positive correlation was identified between mothers\u2019 and fathers\u2019 breastfeeding self-efficacy (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.32). Age, employment status, mode of birth, and practicing exclusive breastfeeding were significantly associated with maternal and paternal breastfeeding self-efficacy. Factors including advanced age, Cesarean delivery, and depressive symptoms emerged as significant determinants of combined breastfeeding self-efficacy scores among couples.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Breastfeeding self-efficacy is highly correlated between mothers and fathers, with a relatively higher score in mothers. Importantly, sociodemographic, obstetric, and psychological determinants play a substantial role in influencing parental breastfeeding efficacy. This highlights the necessity of incorporating both mothers and fathers into future breastfeeding promotion strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344251318274","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T08:01:41Z","timestamp":1741766501000},"page":"272-282","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Relationship and Determinants of Breastfeeding Self-Efficacy Among Postpartum Mothers and Fathers in Malawi: A Cross-Sectional Study"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8447-4163","authenticated-orcid":false,"given":"Roselyn","family":"Chipojola","sequence":"first","affiliation":[{"name":"Kamuzu University of Health Sciences, School of Global and Public Health, Blantyre, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8381-7774","authenticated-orcid":false,"given":"Mega Hasanul","family":"Huda","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7333-0930","authenticated-orcid":false,"given":"Kaboni Whitney","family":"Gondwe","sequence":"additional","affiliation":[{"name":"Department of Child, Family and Population Health Nursing, School of Nursing, University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4733-7068","authenticated-orcid":false,"given":"Nyanyiwe Masingi","family":"Mbeye","sequence":"additional","affiliation":[{"name":"Kamuzu University of Health Sciences, School of Global and Public Health, Blantyre, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4221-7673","authenticated-orcid":false,"given":"Shu-Yu","family":"Kuo","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan"},{"name":"Nursing Department, Taipei Medical University Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,12]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Abbass-Dick J. 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