次优婴幼儿喂养方式的经济成本后果:范围审查。

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Briana J Jegier, Julie P Smith, Melissa C Bartick
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引用次数: 0

摘要

母乳喂养对妇女和儿童的健康非常重要,但全世界只有不到一半的婴儿在出生之初获得了最佳的母乳喂养。越来越多的文献显示,不进行母乳喂养的经济损失一直很大,全球研究显示,全球经济损失约为 3,000 亿美元。然而,现有的研究在方法、手段、数据来源和国家结果方面存在很大差异。在 2012 年联合国儿童基金会英国办事处针对高收入国家开展的具有里程碑意义的研究的基础上,我们进行了一次范围界定研究,对不断扩展的文献进行了梳理和特征描述,并确定了该研究领域未来的研究方向。我们纳入了针对不同国家环境和妇女儿童结果的研究(n=36)。我们使用了 PubMed、Web of Science、EMBASE、MEDLINE、ProQuest 和人工检索 1996 年至 2023 年间发表的关于非母乳喂养成本的研究。如果文章属于宏观经济评估、未分配货币价值、或只评估母乳喂养或配方奶喂养成本而未评估结果、或属于项目成本研究,则将其排除在外。我们发现了学科方法的多样性和方法论的差异。虽然有不同的成本衡量视角(社会、机构/支付方和个人),但除两项研究外,其他所有研究都排除了无偿护理的成本。研究通常测量医疗成本,最近的研究则使用动态模拟模型。最大的经济成本来自对人力资本损失的终生估算,即过早死亡和智商点损失的成本。医疗和死亡成本因计算方法不同而有很大差异,但美国每年的总成本始终超过 1,000 亿美元,全球研究的总成本约为 3,000 亿美元。我们的研究结果表明,需要加强跨学科合作,特别是要更好地定义婴儿喂养暴露,推进对整个生命周期的成本和结果的全面测量,以便将母乳喂养作为一项具有重要经济意义的公共卫生策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The economic cost consequences of suboptimal infant and young child feeding practices: a scoping review.

Breastfeeding is important for women and children's health, but less than half of infants worldwide begin life with optimal breastfeeding. A growing literature shows consistently large economic costs of not breastfeeding, with global studies showing economic losses of around US$300 billion globally. However, existing studies are highly diverse in approaches, methods, data sources and country results. Building on a landmark 2012 UNICEF UK review focused on high-income countries, we conducted a scoping review to map and characterize the expanding literature and identify future research directions in this research area. We included studies (n = 36) in diverse country settings and outcomes for women and children. We used PubMed, Web of Science, EMBASE, MEDLINE, ProQuest and manual searches of cost of not breastfeeding studies published between 1996 and 2023. Articles were excluded if they were macroeconomic evaluations, did not assign monetary values or only evaluated breastfeeding or formula feeding costs and not outcomes or were cost of programs studies. We found considerable diversity in disciplinary approaches and differences in methodologies. Though there were different cost measurement perspectives (societal, institutional/payer and individual), all but two excluded the costs of unpaid care. Studies typically measured costs of medical treatment, with more recent studies using dynamic simulation models. The largest economic costs were derived from lifetime estimates of human capital losses, namely cost of premature death and loss of intelligence quotient points. Medical and death costs varied widely depending on method of calculation, but total costs consistently exceeded $US100 billion annually for the USA, and around $US300 billion in global studies. Our findings suggest that greater interdisciplinary collaboration is needed particularly to better define infant feeding exposures, and advance comprehensive measurement of costs and outcomes across lifetimes, in order to prioritize breastfeeding as a public health strategy of economic importance.

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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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