Breastfeeding self-efficacy in mothers in socioeconomic vulnerability: Situation-Specific Theory.
Rebecca Camurça Torquato, Joana Maria Rocha Sales, Laysla de Oliveira Cavalcante Lima and 3 others
PMID 41370455WHAT IT FOUND
In vulnerable breastfeeding mothers, number of children, age, income, education, marital status, occupation, race and social support were linked to breastfeeding self-efficacy.
The paper proposes tailored guidance and emotional support, not tested care.
Key findings
01The scoping review included 25 articles and identified socioeconomic factors linked to breastfeeding self-efficacy in mothers: number of children, maternal age, family income, education, marital status, social support, occupation and race.
02The most frequent factors were number of children, present in 10 articles, followed by maternal age and family income, both reported in 9 studies, education in 8 articles, marital status in 7 articles, social support in 6 articles, occupation in 5 articles and race in 1 study.
03Some included studies did not find links between these socioeconomic factors and breastfeeding self-efficacy.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The paper develops a theory. It does not test the theory or any intervention in mothers, so it cannot show that addressing these factors improves breastfeeding self-efficacy. The scoping review may have missed relevant work because it had no controlled vocabulary for socioeconomic vulnerability and included only full-text articles. The included studies were mostly cross-sectional or other non-experimental designs, and some did not find links, so the listed factors should not be treated as proven causes.
Declared interests
Funding was provided by CAPES, the Brazilian National Council for Scientific and Technological Development and the Scientific and Technological Development Support Ceará Foundation. The supplied text does not report author conflicts of interest.
The easy way to misread this
Do not read the linked socioeconomic factors as proof that nurses can improve breastfeeding self-efficacy by targeting them. This paper builds a theory from 25 articles and did not test any intervention, and some included studies found no links.