Brown Linda P, Bair Angel H, Meier Paula P
School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Pediatrics. 2003 Apr;111(4 Pt 1):e360-4. doi: 10.1542/peds.111.4.e360.
To determine the number and dollar amount of federally funded research projects in the area of infant nutrition/breastfeeding/lactation from 1994 to 1996, and the impact of these funded projects on the achievement of our national goals for increasing the rates of breastfeeding initiation and duration.
Data were obtained from the Computer Retrieval of Information on Scientific Projects database, available through the National Institutes of Health. Abstracts of funded projects were identified, printed, and subjected to content analysis. Key information identified from the abstracts included: National Institutes of Health institute, center, or division funding the project; type of extramural funding; amount of federal dollars awarded; and a classification of the project's impact (direct, indirect, or none) on achievement of the Healthy People 2000 goals for breastfeeding.
The final sample consisted of 362 abstracts in the broad category of infant nutrition/breastfeeding/lactation, which were awarded approximately 40.4 million dollars in federal research funds over the 3 years addressed in this study. Of this amount, only 13.7% (5.6 million dollars) was awarded to projects determined to have either a direct or indirect impact on achieving the Healthy People 2000 goals for increasing the incidence and duration of breastfeeding. A total of 27 (7.5%) funded projects in this category, reflecting $4.1 million, had no relationship to breastfeeding per se, as they involved the use of human milk composition and technologies to improve artificial milks and develop new pharmaceuticals and therapies.
These findings suggest an incongruity between the national priorities for breastfeeding and the funding of scientific research in this content area, and provide important information for researchers and policymakers with respect to identification and redirection of funding priorities.
确定1994年至1996年期间联邦政府资助的婴儿营养/母乳喂养/哺乳期领域研究项目的数量和资金数额,以及这些资助项目对实现我国提高母乳喂养启动率和持续时间的国家目标的影响。
数据来自通过美国国立卫生研究院可获取的科学项目信息计算机检索数据库。确定并打印资助项目的摘要,并进行内容分析。从摘要中确定的关键信息包括:资助该项目的美国国立卫生研究院的研究所、中心或部门;外部资助类型;授予的联邦资金数额;以及该项目对实现2000年健康人母乳喂养目标的影响分类(直接、间接或无)。
最终样本包括婴儿营养/母乳喂养/哺乳期这一广泛类别中的362篇摘要,在本研究涉及的3年期间,这些项目获得了约4040万美元的联邦研究资金。其中,只有13.7%(560万美元)授予了被确定对实现2000年健康人提高母乳喂养发生率和持续时间目标有直接或间接影响的项目。该类别中共有27个(7.5%)资助项目,涉及资金410万美元,与母乳喂养本身无关,因为它们涉及利用母乳成分和技术来改进人工奶以及开发新的药物和疗法。
这些发现表明母乳喂养的国家优先事项与该领域科学研究的资金投入之间存在不一致,并为研究人员和政策制定者在确定和重新调整资金优先事项方面提供了重要信息。