The Burden of Suboptimal Breastfeeding in the United States: A Pediatric Cost Analysis
The Burden of Suboptimal Breastfeeding in the United States: A Pediatric Cost Analysis
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DOI：
10.1542/peds.2009-1616
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发表时间：
2010-05-01
期刊：
影响因子：
8
通讯作者：
Reinhold, Arnold
中科院分区：
文献类型：
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作者：
Bartick, Melissa;Reinhold, Arnold
背景和目标：2001 年的一项研究表明，如果母乳喂养率提高到健康人目标的水平，则可以节省 36 亿美元。它研究了 3 种疾病，并汇总了直接和间接成本以及过早死亡的成本。 2001 年的研究可以通过使用当前母乳喂养率并添加医疗保健研究和质量机构 2007 年母乳喂养报告中分析的其他疾病进行更新。 研究设计：使用与 2001 年研究类似的方法，我们计算了当前成本，并将其与如果 80% 和 90% 的美国家庭能够遵守 6 个月纯母乳喂养建议的预计成本进行比较。排除 2 型糖尿病（因为数据不足），我们对医疗保健研究与质量局报告的有利于母乳喂养的风险比的所有儿科疾病进行了成本分析：坏死性小肠结肠炎、中耳炎、胃肠炎、下呼吸道感染住院、特应性皮炎、婴儿猝死综合症、儿童哮喘、儿童白血病、1 型糖尿病和儿童肥胖。我们使用了 2005 年美国疾病控制与预防中心的母乳喂养率和 2007 年的美元数据。结果：如果 90% 的美国家庭能够遵守医学建议，进行 6 个月的纯母乳喂养，美国每年将节省 130 亿美元，并防止超过 911 例死亡，其中几乎所有死亡都是婴儿（80% 遵守率时，可节省 105 亿美元，741 例死亡）。结论：目前美国母乳喂养率是次优并导致显着的超额成本和可预防的婴儿死亡。对促进更长母乳喂养持续时间和纯母乳喂养的策略进行投资可能具有成本效益。儿科2010; 125：e1048-e1056
BACKGROUND AND OBJECTIVE: A 2001 study revealed that $3.6 billion could be saved if breastfeeding rates were increased to levels of the Healthy People objectives. It studied 3 diseases and totaled direct and indirect costs and cost of premature death. The 2001 study can be updated by using current breastfeeding rates and adding additional diseases analyzed in the 2007 breastfeeding report from the Agency for Healthcare Research and Quality.STUDY DESIGN: Using methods similar to those in the 2001 study, we computed current costs and compared them to the projected costs if 80% and 90% of US families could comply with the recommendation to exclusively breastfeed for 6 months. Excluding type 2 diabetes (because of insufficient data), we conducted a cost analysis for all pediatric diseases for which the Agency for Healthcare Research and Quality reported risk ratios that favored breastfeeding: necrotizing enterocolitis, otitis media, gastroenteritis, hospitalization for lower respiratory tract infections, atopic dermatitis, sudden infant death syndrome, childhood asthma, childhood leukemia, type 1 diabetes mellitus, and childhood obesity. We used 2005 Centers for Disease Control and Prevention breastfeeding rates and 2007 dollars.RESULTS: If 90% of US families could comply with medical recommendations to breastfeed exclusively for 6 months, the United States would save $13 billion per year and prevent an excess 911 deaths, nearly all of which would be in infants ($10.5 billion and 741 deaths at 80% compliance).CONCLUSIONS: Current US breastfeeding rates are suboptimal and result in significant excess costs and preventable infant deaths. Investment in strategies to promote longer breastfeeding duration and exclusivity may be cost-effective. Pediatrics 2010; 125: e1048-e1056