{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T21:55:16Z","timestamp":1790978116123,"version":"4.1.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Prenatal intention to exclusively breastfeed is a proximal determinant of later infant-feeding behavior and may be shaped by breastfeeding self-efficacy, depressive symptoms, and perceived social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Baseline prenatal data were analyzed from 516 third-trimester pregnant women enrolled in an ongoing prospective cohort at a tertiary university hospital in Istanbul, T\u00fcrkiye. Exclusive breastfeeding intention was measured with the Infant Feeding Intentions (IFI) scale. Breastfeeding self-efficacy and depressive symptoms were assessed with the Prenatal Breastfeeding Self-Efficacy Scale-Short Form (PBSES-SF) and Edinburgh Postnatal Depression Scale (EPDS), respectively. Social support was evaluated as aggregate spouse\/partner or close-family support and further characterized by emotional, informational, and practical\/domestic support indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Mean IFI, PBSES-SF, and EPDS scores were 13.12 \u00b1 2.34, 32.23 \u00b1 3.62, and 5.88 \u00b1 2.05, respectively. Aggregate social support was reported by 495 participants (95.9%). Emotional, informational, and practical\/domestic support were reported by 488 (94.6%), 446 (86.4%), and 465 (90.1%) participants, respectively, and were associated with higher IFI scores in bivariate analyses. In multivariable regression, PBSES-SF, EPDS, planned pregnancy, prior breastfeeding experience, and employment were independently associated with IFI; aggregate social support was not. The PBSES-SF \u00d7 EPDS interaction was statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Exclusive breastfeeding intention was associated with breastfeeding self-efficacy, depressive symptoms, selected experiential factors, and functional support indicators. Integrated antenatal counseling should address breastfeeding confidence, maternal mental health, and the quality of support available during late pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253261468535","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:08:22Z","timestamp":1784621302000},"page":"670-676","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychosocial Determinants of Exclusive Breastfeeding Intention in the Third Trimester: A Cross-Sectional Study from T\u00fcrkiye"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9159-4961","authenticated-orcid":false,"given":"Mine","family":"Ba\u015f\u0131b\u00fcy\u00fck","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Pediatrics, Department of Social Pediatrics, Istanbul Medipol University, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6vg\u00fc","family":"B\u00fcke","sequence":"additional","affiliation":[{"name":"Cerrahpa\u015fa Medical Faculty, Department of Pediatrics, Istanbul University-Cerrahpa\u015fa, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demet Deniz","family":"Bilgin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Istanbul Ayd\u0131n University, Istanbul, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bekir","family":"Aktura","sequence":"additional","affiliation":[{"name":"Department of Public Health, Istanbul Provincial Health Directorate, Istanbul, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nalan","family":"Karabay\u0131r","sequence":"additional","affiliation":[{"name":"Department of Public Health, Istanbul Provincial Health Directorate, Istanbul, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"e_1_3_4_3_1","unstructured":"2.World Health Organization. Infant and young child feeding 2023. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/infant-and-young-child-feeding [Last accessed: January15 2024]."},{"key":"e_1_3_4_4_1","unstructured":"3.United Nations Children\u2019s Fund (UNICEF) and World Health Organization. Global Breastfeeding Scorecard 2025. 2025. 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