An Online Calculator to Estimate the Impact of Changes in Breastfeeding Rates on Population Health and Costs

Alison M. Stuebe, Briana J. Jegier, Eleanor Schwarz, Brittany D. Green, Arnold G. Reinhold, Tarah T. Colaizy, Debra L. Bogen, Andrew J. Schaefer, Jamus T. Jegier, Noah S. Green, Melissa C. Bartick

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: We sought to determine the impact of changes in breastfeeding rates on population health. Materials and Methods: We used a Monte Carlo simulation model to estimate the population-level changes in disease burden associated with marginal changes in rates of any breastfeeding at each month from birth to 12 months of life, and in rates of exclusive breastfeeding from birth to 6 months of life. We used these marginal estimates to construct an interactive online calculator (available at www.usbreastfeeding.org/saving-calc). The Institutional Review Board of the Cambridge Health Alliance exempted the study. Results: Using our interactive online calculator, we found that a 5% point increase in breastfeeding rates was associated with statistically significant differences in child infectious morbidity for the U.S. population, including otitis media (101,952 cases, 95% confidence interval [CI] 77,929-131,894 cases) and gastrointestinal infection (236,073 cases, 95% CI 190,643-290,278 cases). Associated medical cost differences were $31,784,763 (95% CI $24,295,235-$41,119,548) for otitis media and $12,588,848 ($10,166,203-$15,479,352) for gastrointestinal infection. The state-level impact of attaining Healthy People 2020 goals varied by population size and current breastfeeding rates. Conclusion: Modest increases in breastfeeding rates substantially impact healthcare costs in the first year of life.

Original languageEnglish (US)
Pages (from-to)645-658
Number of pages14
JournalBreastfeeding Medicine
Volume12
Issue number10
DOIs
StatePublished - Dec 1 2017

Fingerprint

Breast Feeding
Health Care Costs
Population
Otitis Media
Confidence Intervals
Insurance Pools
Parturition
Research Ethics Committees
Population Density
Infection
Morbidity
Costs and Cost Analysis
Health

Keywords

  • Breastfeeding
  • breastfeeding impact
  • breastfeeding policy
  • cost savings
  • economic tools

ASJC Scopus subject areas

  • Pediatrics
  • Health Policy
  • Obstetrics and Gynecology
  • Maternity and Midwifery

Cite this

Stuebe, A. M., Jegier, B. J., Schwarz, E., Green, B. D., Reinhold, A. G., Colaizy, T. T., ... Bartick, M. C. (2017). An Online Calculator to Estimate the Impact of Changes in Breastfeeding Rates on Population Health and Costs. Breastfeeding Medicine, 12(10), 645-658. https://doi.org/10.1089/bfm.2017.0083

An Online Calculator to Estimate the Impact of Changes in Breastfeeding Rates on Population Health and Costs. / Stuebe, Alison M.; Jegier, Briana J.; Schwarz, Eleanor; Green, Brittany D.; Reinhold, Arnold G.; Colaizy, Tarah T.; Bogen, Debra L.; Schaefer, Andrew J.; Jegier, Jamus T.; Green, Noah S.; Bartick, Melissa C.

In: Breastfeeding Medicine, Vol. 12, No. 10, 01.12.2017, p. 645-658.

Research output: Contribution to journalArticle

Stuebe, AM, Jegier, BJ, Schwarz, E, Green, BD, Reinhold, AG, Colaizy, TT, Bogen, DL, Schaefer, AJ, Jegier, JT, Green, NS & Bartick, MC 2017, 'An Online Calculator to Estimate the Impact of Changes in Breastfeeding Rates on Population Health and Costs', Breastfeeding Medicine, vol. 12, no. 10, pp. 645-658. https://doi.org/10.1089/bfm.2017.0083
Stuebe, Alison M. ; Jegier, Briana J. ; Schwarz, Eleanor ; Green, Brittany D. ; Reinhold, Arnold G. ; Colaizy, Tarah T. ; Bogen, Debra L. ; Schaefer, Andrew J. ; Jegier, Jamus T. ; Green, Noah S. ; Bartick, Melissa C. / An Online Calculator to Estimate the Impact of Changes in Breastfeeding Rates on Population Health and Costs. In: Breastfeeding Medicine. 2017 ; Vol. 12, No. 10. pp. 645-658.
@article{1473433e20fe4a928a9d60c4bbd52a6c,
title = "An Online Calculator to Estimate the Impact of Changes in Breastfeeding Rates on Population Health and Costs",
abstract = "Objective: We sought to determine the impact of changes in breastfeeding rates on population health. Materials and Methods: We used a Monte Carlo simulation model to estimate the population-level changes in disease burden associated with marginal changes in rates of any breastfeeding at each month from birth to 12 months of life, and in rates of exclusive breastfeeding from birth to 6 months of life. We used these marginal estimates to construct an interactive online calculator (available at www.usbreastfeeding.org/saving-calc). The Institutional Review Board of the Cambridge Health Alliance exempted the study. Results: Using our interactive online calculator, we found that a 5{\%} point increase in breastfeeding rates was associated with statistically significant differences in child infectious morbidity for the U.S. population, including otitis media (101,952 cases, 95{\%} confidence interval [CI] 77,929-131,894 cases) and gastrointestinal infection (236,073 cases, 95{\%} CI 190,643-290,278 cases). Associated medical cost differences were $31,784,763 (95{\%} CI $24,295,235-$41,119,548) for otitis media and $12,588,848 ($10,166,203-$15,479,352) for gastrointestinal infection. The state-level impact of attaining Healthy People 2020 goals varied by population size and current breastfeeding rates. Conclusion: Modest increases in breastfeeding rates substantially impact healthcare costs in the first year of life.",
keywords = "Breastfeeding, breastfeeding impact, breastfeeding policy, cost savings, economic tools",
author = "Stuebe, {Alison M.} and Jegier, {Briana J.} and Eleanor Schwarz and Green, {Brittany D.} and Reinhold, {Arnold G.} and Colaizy, {Tarah T.} and Bogen, {Debra L.} and Schaefer, {Andrew J.} and Jegier, {Jamus T.} and Green, {Noah S.} and Bartick, {Melissa C.}",
year = "2017",
month = "12",
day = "1",
doi = "10.1089/bfm.2017.0083",
language = "English (US)",
volume = "12",
pages = "645--658",
journal = "Breastfeeding Medicine",
issn = "1556-8253",
publisher = "Mary Ann Liebert Inc.",
number = "10",

}

TY - JOUR

T1 - An Online Calculator to Estimate the Impact of Changes in Breastfeeding Rates on Population Health and Costs

AU - Stuebe, Alison M.

AU - Jegier, Briana J.

AU - Schwarz, Eleanor

AU - Green, Brittany D.

AU - Reinhold, Arnold G.

AU - Colaizy, Tarah T.

AU - Bogen, Debra L.

AU - Schaefer, Andrew J.

AU - Jegier, Jamus T.

AU - Green, Noah S.

AU - Bartick, Melissa C.

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Objective: We sought to determine the impact of changes in breastfeeding rates on population health. Materials and Methods: We used a Monte Carlo simulation model to estimate the population-level changes in disease burden associated with marginal changes in rates of any breastfeeding at each month from birth to 12 months of life, and in rates of exclusive breastfeeding from birth to 6 months of life. We used these marginal estimates to construct an interactive online calculator (available at www.usbreastfeeding.org/saving-calc). The Institutional Review Board of the Cambridge Health Alliance exempted the study. Results: Using our interactive online calculator, we found that a 5% point increase in breastfeeding rates was associated with statistically significant differences in child infectious morbidity for the U.S. population, including otitis media (101,952 cases, 95% confidence interval [CI] 77,929-131,894 cases) and gastrointestinal infection (236,073 cases, 95% CI 190,643-290,278 cases). Associated medical cost differences were $31,784,763 (95% CI $24,295,235-$41,119,548) for otitis media and $12,588,848 ($10,166,203-$15,479,352) for gastrointestinal infection. The state-level impact of attaining Healthy People 2020 goals varied by population size and current breastfeeding rates. Conclusion: Modest increases in breastfeeding rates substantially impact healthcare costs in the first year of life.

AB - Objective: We sought to determine the impact of changes in breastfeeding rates on population health. Materials and Methods: We used a Monte Carlo simulation model to estimate the population-level changes in disease burden associated with marginal changes in rates of any breastfeeding at each month from birth to 12 months of life, and in rates of exclusive breastfeeding from birth to 6 months of life. We used these marginal estimates to construct an interactive online calculator (available at www.usbreastfeeding.org/saving-calc). The Institutional Review Board of the Cambridge Health Alliance exempted the study. Results: Using our interactive online calculator, we found that a 5% point increase in breastfeeding rates was associated with statistically significant differences in child infectious morbidity for the U.S. population, including otitis media (101,952 cases, 95% confidence interval [CI] 77,929-131,894 cases) and gastrointestinal infection (236,073 cases, 95% CI 190,643-290,278 cases). Associated medical cost differences were $31,784,763 (95% CI $24,295,235-$41,119,548) for otitis media and $12,588,848 ($10,166,203-$15,479,352) for gastrointestinal infection. The state-level impact of attaining Healthy People 2020 goals varied by population size and current breastfeeding rates. Conclusion: Modest increases in breastfeeding rates substantially impact healthcare costs in the first year of life.

KW - Breastfeeding

KW - breastfeeding impact

KW - breastfeeding policy

KW - cost savings

KW - economic tools

UR - http://www.scopus.com/inward/record.url?scp=85042598454&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85042598454&partnerID=8YFLogxK

U2 - 10.1089/bfm.2017.0083

DO - 10.1089/bfm.2017.0083

M3 - Article

C2 - 28906133

AN - SCOPUS:85042598454

VL - 12

SP - 645

EP - 658

JO - Breastfeeding Medicine

JF - Breastfeeding Medicine

SN - 1556-8253

IS - 10

ER -