Although multigenerational households are
culturally acceptable in black communities24 and are often beneficial to mothers and their children, 25 tensions are common as mothers and grandmothers struggle to define their roles in caregiving activities, such as feeding.24, 26 — 29 Grandmothers play important roles in infant feeding decisions, particularly related to the early introduction of complementary
foods.21 Thus, interventions aimed at shifting cultural patterns of early complementary feeding have to go beyond the provision of information regarding the type and timing of complementary
foods for infants, as proposed by the AAP, WIC, and WHO guidelines.