Sponsorship of paediatric associations by manufacturers of breastmilk substitutes

Waterston, Tony; Wright, Charlotte

doi:10.1016/s0140-6736(18)32845-9

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…Although, only a small proportion of HMS advertising (1.7%) was found and IC compliance among reviewed publications containing HMS advertising was assessed as poor (Morgan et al, 2018). Concerns about the influence of HMS advertising have been highlighted by others (Costello et al, 2017; Morgan et al, 2019; Waterston & Wright, 2019) and this has contributed to some professional associations and publications reviewing and amending their policies on accepting advertising and funding from HMS companies (Godlee, 2019; Royal College of Paediatrics and Child Health, 2019). While some HCP may argue that they can easily distinguish between the sales pitch and the facts, no one is immune to the persuasive power of marketing (Hastings et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…However, the combination of insufficient breastfeeding training and prevalence of HMS advertising in publications may influence the limited understanding of the physiology of breastfeeding for some HCP, leading to the provision of poor-quality information and support for breastfeeding (Biggs et al, 2020;Rothstein et al, 2019). A sense of loyalty and inherent bias resulting from the acceptance of funding or advertising from HMS manufacturers may further impact HCP ability to ensure the information they impart is evidence-based (Costello et al, 2017;Grummer-Strawn et al, 2019;van Tulleken, 2018;Waterston & Wright, 2019). The high number of HMS advertisements for products marketed to manage cow's milk allergies (CMA) illustrate issues raised in an investigation by van Tulleken ( 2018) into the provision of information on CMA from HMS companies.…”

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confidence: 99%

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Advertising of Human Milk Substitutes in United Kingdom Healthcare Professional Publications: An Observational Study

Hickman

Morgan²,

Crawley³

et al. 2021

J Hum Lact

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Background Inappropriate marketing of human milk substitutes negatively influences efforts to protect breastfeeding. Although healthcare professionals can positively influence infant feeding decisions, government regulations permit manufacturers to communicate messages to them through advertising. Research Aims (1) To identify the extent of human milk substitute advertising in publications aimed at United Kingdom healthcare professionals and (2) to describe compliance with the International Code of Marketing of Breast-Milk Substitutes and United Kingdom Formula and Follow-on Formula Regulations. Methods This was a cross-sectional observational study. We reviewed publications targeting healthcare professionals working with families in the United Kingdom ( N = 19). Quantity and type of human milk substitute advertisements, as a proportion of all advertising, in each publication were recorded. All unique advertisements were double assessed for compliance. Results Human milk substitute advertising was found in nine (47%) of the 19 publications (four affiliated with professional associations), making up 10.3% ( n = 196) of these publications’ total advertising. Of human milk substitute advertisements found, 65.4% ( n = 110) were for products used to manage cows’ milk protein allergy. Of the 32 unique human milk substitute advertisements found, none complied with the International Code of Marketing of Breast Milk Substitutes or United Kingdom Formula and Follow-on Formula Regulations. Conclusions Many healthcare professionals’ publications had non-compliant human milk substitute advertisements. There is an urgent need to ensure full compliance with international and local regulation in future advertisements and to consider whether advertisements are justified at all.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Advertising of Human Milk Substitutes in United Kingdom Healthcare Professional Publications: An Observational Study

Hickman

Morgan²,

Crawley³

et al. 2021

J Hum Lact

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“…One of the major barriers to achieving optimal breastfeeding practices in all countries is the aggressive marketing of BMS (2,4,5) . Recent studies show an escalation in BMS sales worldwide, mostly concentrated in high-and uppermiddle-income countries (6,7) .…”

mentioning

confidence: 99%

Consumption of breast milk, formula and other non-human milk by children aged under 2 years: analysis of eighty-six low- and middle-income countries

Neves

Barros

Baker

et al. 2020

Public Health Nutr.

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Objective: To investigate the prevalence and socioeconomic inequalities in breastmilk, breastmilk substitutes (BMS) and other non-human milk consumption, by children under two years in low- and middle-income countries (LMICs). Design: We analyzed the prevalence of continued breastfeeding at one and two years, and frequency of formula and other non-human milk consumption by age in months. Indicators were estimated through 24-hour dietary recall. Absolute and relative wealth indicators were used to describe within- and between-country socioeconomic inequalities. Setting: Nationally representative surveys from 2010 onwards from 86 LMICs. Participants: 394,977 children aged under two years. Results: Breastfeeding declined sharply as children became older in all LMICs, especially in upper-middle income countries. BMS consumption peaked at six months of age in low/lower-middle income countries, and at around 12 months in upper-middle income countries. Irrespective of country, BMS consumption was higher in children from wealthier families, and breastfeeding in children from poorer families. Multilevel linear regression analysis showed that BMS consumption was positively associated with absolute income, and breastfeeding negatively associated. Findings for other non-human milk consumption were less straightforward. Unmeasured factors at country level explained a substantial proportion of overall variability in BMS consumption and breastfeeding. Conclusions: Breastfeeding falls sharply as children become older, especially in wealthier families in upper-middle income countries; this same group also consumes more BMS at any age. Country-level factors play an important role in explaining BMS consumption by all family wealth groups, suggesting that BMS marketing at national level might be partly responsible for the observed differences.

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Sponsorship of paediatric associations by manufacturers of breastmilk substitutes

Cited by 2 publications

References 15 publications

Advertising of Human Milk Substitutes in United Kingdom Healthcare Professional Publications: An Observational Study

Advertising of Human Milk Substitutes in United Kingdom Healthcare Professional Publications: An Observational Study

Consumption of breast milk, formula and other non-human milk by children aged under 2 years: analysis of eighty-six low- and middle-income countries

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