ArticlePediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2025
Navigating early allergenic food introduction: Practices and barriers among parents and caregivers.
Article in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Optimizing Feeding Practices Improves Outcomes During Early Childhood in Former Small for Gestational Age (SGA) Infants.Nutrients · 2026Article
- Timing of Allergenic Food Introduction in Infants, Saudi Arabia: A Cross-Sectional Study.Nutrients · 2026Article
- Evaluating the face validity of early eats: A consumer-focused educational website to enhance practical skills in complementary feeding and early allergen introduction.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026Article
- Advanced maternal age and childhood allergy: marker or mechanism?Frontiers in allergy · 2026Article
- Navigating early allergenic food introduction: Practices and barriers among parents and caregivers.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly introduction of allergenic foods to infants starting 4-6-months of age has been shown to effectively prevent the development of food allergies. This project examines the practices and barriers among parents and caregivers toward feeding infants allergenic foods.
methodsA cross-sectional online survey was conducted from January to March 2024 with primary focus on the Midwest area of the United States. The survey was advertised through local health departments and social media platforms. Parental practices on feeding allergenic foods to their infants, as well as perceived barriers were collected. Descriptive and inferential statistical analyses were used to summarize participant demographics, parental willingness and feelings toward allergenic food introduction, and the actual practices. Thematic analysis was employed to identify qualitative data such as parental concerns and barriers.
resultsThe study included 563 valid responses from parents and caregivers of children aged 5 years or younger. The surveyed infants were predominantly white (84.9%) and female (58.1%), with a mean age of 7.5 months. Among families who had introduced solid foods to their infants (n = 529), eggs (72%) and wheat (63%) had the highest introduction rates by age one, while shellfish (44%) and sesame (52%) had the lowest. Only 55.9% of families reported receiving guidance from healthcare providers on allergenic food introduction. Thematic analysis revealed concerns about inconsistent advice, fear of allergic reactions, cultural beliefs, social media influence, and safety concerns such as choking hazards and inconsistent allergen labeling.
conclusionParents and caregivers exhibited caution in feeding allergenic foods to their infants by age one. Barriers included lack of awareness, cultural practices, conflicting guidance, and social media influences.
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