{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T14:15:56Z","timestamp":1788099356677,"version":"build-2803163510"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Tzu Chi University, Tzu Chi School Foundation","award":["TCMRC-P-1-113107001000-30610A\/620A"],"award-info":[{"award-number":["TCMRC-P-1-113107001000-30610A\/620A"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Natural disasters disrupt maternal and infant care and may influence breastfeeding and rooming-in practices during the vulnerable postpartum period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To investigate how exposure to the April 3, 2024, Hualien earthquake influenced maternal breastfeeding attitudes and rooming-in preferences during the perinatal period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A cross-sectional comparative design was employed to compare mothers exposed to the earthquake (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 102) with a control group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 88) who had delivered during the same period in the previous year. Using a Chinese-language online questionnaire, data were collected on demographics, infant feeding practices, breastfeeding willingness, and rooming-in willingness. Statistical analyses included descriptive statistics, independent\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests, chi-square tests, and the calculation of odds ratios (\n                      <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                      s) with 95% confidence intervals (CIs).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Breastfeeding willingness did not differ significantly between the exposure and control groups (\n                      <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                      = 1.25, 95% CI [0.66, 2.38],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.605). However, infant feeding methods differed significantly between groups, with higher rates of breastfeeding, expressed human milk feeding, and mixed feeding among exposed mothers, \u03c7\u00b2(3,\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 190) = 16.02,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001. Earthquake exposure was associated with higher rooming-in willingness (\n                      <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                      = 1.89, 95% CI [1.06, 3.37],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.030). Maternal location during the earthquake was not associated with breastfeeding or rooming-in willingness within the exposure group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Exposure to a major earthquake may influence postpartum caregiving behaviors and highlights the importance of maintaining breastfeeding support and mother\u2013infant proximity during emergencies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344261479564","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T07:41:35Z","timestamp":1787902895000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Disaster Exposure and Postpartum Caregiving: Breastfeeding and Rooming-In After the 2024 Hualien Earthquake"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5875-0184","authenticated-orcid":false,"given":"Shu-Fang","family":"Wang","sequence":"first","affiliation":[{"name":"College of Nursing, Tzu Chi University, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail Sharon","family":"Kusuma","sequence":"additional","affiliation":[{"name":"School of Nursing, Tzu Chi University, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Baez S. 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Breastfeeding problems and associated factors: A cross-sectional study after the 2023 T\u00fcrkiye earthquake. International Breastfeeding Journal 20 32. https:\/\/link.springer.com\/article\/10.1186\/s13006-025-00724-6","DOI":"10.1186\/s13006-025-00724-6"},{"key":"e_1_3_3_12_1","doi-asserted-by":"crossref","unstructured":"Pramono A. Hikmawati A. Hartiningtiyaswati S. Smith J. (2025). Breastfeeding support and protection during natural disaster and climate- related emergencies in Indonesia: Policy audit. Journal of Human Lactation 41(2) 231\u2013242. https:\/\/doi.org\/10.1177\/08903344251322770","DOI":"10.1177\/08903344251322770"},{"key":"e_1_3_3_13_1","doi-asserted-by":"crossref","unstructured":"Russell J. H. Haushalter A. Rhoads S. J. (2025). Supporting breastfeeding women amid natural disasters in the US: A scoping review. 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