{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T13:04:28Z","timestamp":1791464668512,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T00:00:00Z","timestamp":1724976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005847","name":"Health and Medical Research Fund","doi-asserted-by":"publisher","award":["07181226"],"award-info":[{"award-number":["07181226"]}],"id":[{"id":"10.13039\/501100005847","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study estimated the healthcare cost savings for the government due to the prevention of gastroenteritis (GE) infections and lower respiratory tract infections (LRTI) in the first year of life, attributed to an increase in the exclusive breastfeeding rate at 4\u2009months in Hong Kong.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The model used the best available data inputs, with uncertainty considered using probabilistic sensitivity analysis. We additionally assessed the impact of neonatal jaundice (NNJ) on the economic benefits of increasing exclusive breastfeeding rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During 2010\u20132019, five admissions for GE and three admissions for LRTI per 1000 births would have been prevented in the first year of life if the exclusive breastfeeding rate at 4\u2009months increased from the actual levels (~15\u201330%) to 50%, resulting in annual healthcare cost savings of USD1.05 (95% CI 1.03\u20131.07) million\/year. The cost saving would reach USD1.89 (95% CI 1.86\u20131.92) million\/year if the exclusive breastfeeding rate at 4\u2009months increase to 70%. However, if higher NNJ admissions during 7\u201390\u2009days related to more exclusive breastfeeding are considered, the cost saving would reduce by 60%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings can guide policymakers in allocating budget and resources for breastfeeding promotion in Hong Kong. The prevention of unnecessary NNJ admissions would maximise the economic benefits of exclusive breastfeeding at 4\u2009months.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.17396","type":"journal-article","created":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T09:39:36Z","timestamp":1725010776000},"page":"65-73","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["An economic evaluation on sub\u2010optimal breastfeeding in Hong Kong: Infant health outcomes and costs"],"prefix":"10.1111","volume":"114","author":[{"given":"Lai Ling","family":"Hui","sequence":"first","affiliation":[{"name":"Department of Food Science and Nutrition The Hong Kong Polytechnic University  Hong Kong China"},{"name":"Department of Paediatrics, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Food Science and Nutrition The Hong Kong Polytechnic University  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karene Hoi Ting","family":"Yeung","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6895-6071","authenticated-orcid":false,"given":"Carlos K. H.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Pharmacology and Pharmacy, LKS Faculty of Medicine The University of Hong Kong  Hong Kong China"},{"name":"Department of Family Medicine and Primary Care, School of Clinical Medicine, LKS Faculty of Medicine The University of Hong Kong  Hong Kong China"},{"name":"Laboratory of Data Discovery for Health (D24H) Hong Kong Science and Technology Park  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tharani","family":"Loganathan","sequence":"additional","affiliation":[{"name":"Centre for Epidemiology and Evidence\u2010based Practice, Department of Social and Preventive Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edmund Anthony S.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"},{"name":"School of Medicine The Chinese University of Hong Kong  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,30]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536X.2002.00183.x"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334415599399"},{"key":"e_1_2_13_4_1","unstructured":"Breastfeeding rate at discharge reported by Baby Friendly Hospital Initiative Hong Kong Association.https:\/\/www.babyfriendly.org.hk\/en\/breastfeeding\u2010trend\/. 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