ArticleMaternal & child nutrition2019
The burden of suboptimal breastfeeding in Mexico: Maternal health outcomes and costs.
Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The trial behind it
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Who cites it
11 citing papers in PubMed, 21 citations in OpenAlex.
- Improving Breastfeeding by Empowering Mothers in Vietnam: A Randomised Controlled Trial of a Mobile App.International journal of environmental research and public health · 2020Trial
- Potential cost-savings of breastfeeding promotion to prevent breast cancer: a Monte Carlo simulation.International breastfeeding journal · 2025Article
- The costs of suboptimal breastfeeding in Ontario, Canada, and potential healthcare resource impacts from improving rates: a pediatric health system costing analysis.International breastfeeding journal · 2025Article
- Associations Between Breastfeeding, Maternal Emotional Availability, and Infant-Mother Attachment: The Role of Coparenting.Journal of human lactation : official journal of International Lactation Consultant Association · 2024Article
- Breastfeeding is associated with the intelligence of school-age children in Mexico.Maternal & child nutrition · 2023Article
- Sociodemographic and Personal Predictors of Exclusive Breastfeeding in Pregnant Mexican Women Using Public Health Services.Healthcare (Basel, Switzerland) · 2022Article
- Perceived insufficient milk among primiparous, fully breastfeeding women: Is infant crying important?Maternal & child nutrition · 2021Article
- Breastfeeding practices in Mexico: Results from the National Demographic Dynamic Survey 2006-2018.Maternal & child nutrition · 2021Article
- Persistent Malnutrition and Associated Factors among Children under Five Years Attending Primary Health Care Facilities in Limpopo Province, South Africa.International journal of environmental research and public health · 2020Article
- Social circumstances and cultural beliefs influence maternal nutrition, breastfeeding and child feeding practices in South Africa.Nutrition journal · 2020Article
- The burden of suboptimal breastfeeding in Mexico: Maternal health outcomes and costs.Maternal & child nutrition · 2019Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Longer duration of breastfeeding is associated with a lower risk of type 2 diabetes, breast and ovarian cancer, myocardial infarction, and hypertension diseases in women. Mexico has one of the lowest breastfeeding rates worldwide; therefore, estimating the disease and economic burden of such rates is needed to influence public policy. We considered suboptimal breastfeeding when fewer than 95% of parous women breastfeed for less than 24 months per child, according to the World Health Organization recommendations. We quantified the lifetime excess cases of maternal health outcomes, premature death, disability-adjusted life years, direct costs, and indirect costs attributable to suboptimal breastfeeding practices from Mexico in 2012. We used a static microsimulation model for a hypothetical cohort of 100,000 Mexican women to estimate the lifetime economic cost and disease burden of type 2 diabetes, breast and ovarian cancer, myocardial infarction, and hypertension in mothers, due to suboptimal breastfeeding, compared with an optimal scenario of 95% of parous women breastfeeding for 24 months. We expressed cost in 2016 USD. We used a 3% discount rate and tested in sensitivity analysis 0% and 5% discount rates. We found that the 2012 suboptimal scenario was associated with 5,344 more cases of all analysed diseases, 1,681 additional premature deaths, 66,873 disability-adjusted life years, and 561.94 million USD for direct and indirect costs over the lifetime of a cohort of 1,116 million Mexican women. Findings suggest that investments in strategies to enable more women to optimally breastfeed could result in important health and cost savings.
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