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Exploring the Social Norms, Their Development, and Influence on Complementary Feeding in High- and

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Social norms significantly shape complementary feeding practices. Understanding these influences is crucial for supporting infant nutrition and development, especially in diverse populations.

Keywords:
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Area of Science:

  • Public Health
  • Nutrition Science
  • Sociology

Background:

  • Complementary feeding is critical for infant growth and establishing eating habits.
  • Social norms heavily influence parental decisions regarding complementary feeding, yet these norms are poorly understood.

Purpose of the Study:

  • To systematically review social norms surrounding complementary feeding.
  • To examine the development and influences of these norms in high and upper-middle income countries.

Main Methods:

  • A mixed-methods systematic review was conducted using data from five databases.
  • Included studies focused on caregivers of children aged 0-5 years and complementary feeding social norms.
  • Bayesian methods were used for data synthesis.

Main Results:

  • Identified social and cultural norms related to timing, first foods, food types, feeding methods, preparation, family meals, infant weight, and social contexts.
  • Social norms influenced intentions and behaviors regarding complementary food introduction.
  • Norms were shaped by family, peers, health professionals, community, culture, religion, and education.

Conclusions:

  • Health professionals and public health initiatives must consider social norms to support families in meeting nutritional recommendations.
  • Particular attention is needed for migrant populations and those with strong family influences.
  • Longitudinal research is recommended to further elucidate the role of social norms in complementary feeding.