Marketing digital de fórmulas comerciales infantiles en Argentina: un estudio etnográfico digital

Flavia Demonte; Daniela Paola Bruno; María Celeste Nessier; María Elisa Zapata

doi:10.18294/sc.2024.4776

Digital marketing of commercial infant formula in Argentina: a digital ethnographic study

Flavia Demonte Postdoctoral Fellow in Social Sciences. Adjunct Researcher, Consejo Nacional de Investigaciones Científicas y Técnicas, based at Escuela Interdisciplinaria de Altos Estudios Sociales, Universidad Nacional de San Martín, Buenos Aires, Argentina. , Daniela Paola Bruno Postdoctoral Fellow in Social Sciences. Researcher, Instituto de Investigaciones Gino Germani, Facultad de Ciencias Sociales, Universidad de Buenos Aires, Argentina. Researcher, Facultad de Periodismo y Comunicación Social, Universidad Nacional de la Plata, Ciudad Autónoma de Buenos Aires, Argentina. , María Celeste Nessier Master in Nutrition Sciences. Project Coordinator, Centro de Estudios en Nutrición Infantil "Dr. Alejandro O'Donnell", Ciudad Autónoma de Buenos Aires, Argentina. , María Elisa Zapata PhD in Human Nutrition. Director, Centro de Estudios de Nutrición Infantil "Dr. Alejandro O'Donnell", Ciudad Autónoma de Buenos Aires, Argentina.

Received: 21 December 2023, Accepted: 9 April 2024, Published: 23 April 2024

https://doi.org/10.18294/sc.2024.4776 | PMID: 38896420

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Abstract

Although evidence of the benefits of breastfeeding is widespread, there are several challenges to initiate and sustain it. Infant formula companies use marketing strategies that violate existing regulations, contributing to its early abandonment. We explore the digital marketing exposure of infant formulas in Argentina by analyzing people’s interactions with brands and the traces of these interactions in conversations engaged in Facebook groups during 2022, from a qualitative approach based on digital ethnography. Results show that companies deploy regulatory avoidance tactics and seek contact with mothers. Users do not interact with the accounts but are exposed to their strategies given the correlation between product attributes present in advertising with their motivations and aspirations. The mediators between marketing and mothers are medical professionals, used as marketing resources. We conclude that authorities should promote new agreements on the practices of medical professionals and develop regulations taking into account digital environments.

Keywords: Breast-Milk Substitutes, Infant Formula, Marketing, Qualitative Research, Social Networking, Argentina

Categories: Feeding

Funding: UNICEF

Full-text of the article is available for this language: Español.

References

1. Victora C, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. 2016;387(10017):475-490.
Crossref | PubMed

2. Rollins N, Piwoz E, Baker P, Kingston G, Mabaso KM, McCoy D, et al. Marketing of commercial milk formula: a system to capture parents, communities, science, and policy. The Lancet. 2023;401(10375):486-502.
Crossref | PubMed

3. Pérez Escamilla R, Tomori C, Hernández Cordero S, Baker P, Barrios A, Bégin F, et al. Breastfeeding: crucially important, but increasingly challenged in a market-driven world. The Lancet. 2023;401(10375):472-485.
Crossref | PubMed

4. World Health Organization. Essential nutrition actions: Improving maternal, newborn, infant and young child health and nutrition. Geneva: WHO; 2013.

5. Harris J, Pomeranz J. Infant formula and toddler milk marketing: opportunities to address harmful practices and improve young children’s diets. Nutrition Reviews. 2020;78(10):866–883.
Crossref | PubMed

6. Vallone F. Pequeños grandes clientes: La publicidad de sucedáneos de la leche materna en dos revistas pediátricas de Argentina entre 1977 y 2006. Salud Colectiva. 2009:5(1):87-105.
Crossref

7. Rollins N, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, et al. Why invest, and what it will take to improve breastfeeding practices? The Lancet. 2016;387(10017):491-204.
Crossref | PubMed

8. Cheung K, Petrou L, Helfer B, Porubayeva E, Dolgikh E, Ali S, et al. Health and nutrition claims for infant formula: international cross-sectional survey. BMJ. 2023;380:e071075.
Crossref | PubMed

9. Marshall J, Godfrey M, Renfrew M. Being a ‘good mother’: Managing breastfeeding and merging identities. Social Science & Medicine. 2007;65(10):2147-2159.
Crossref | PubMed

10. Baker P, Smith J, Garde A, Grummer-Strawn L, Wood B, Sen G et al. The political economy of infant and young child feeding: confronting corporate power, overcoming structural barriers, and accelerating progress. The Lancet. 2023;401(10375):503-524.
Crossref | PubMed

11. Murphy E. ‘Breast is best’: Infant feeding decisions and maternal deviance. Sociology of Health & Illness. 1999;21(2):187-208.
Crossref

12. Giordani RCF, Piccoli D, Bezerra I, Almeida CCB. Maternidade e amamentação: identidade, corpo e gênero. Ciência & Saúde Coletiva. 2018;23(8):2731-2739.
Crossref | PubMed

13. Maidana RE, Ojeda N, Vera R, Campeero M, Scavuzzo C. Representaciones sociales respecto a la lactancia humana en aquellas mujeres-madres que decidieron interrumpir la lactancia. Revista de Salud Pública. 2023;29(2):1-10.
Crossref

14. Martínez-Plascencia U, Rangel-Flores YY, Rodríguez-Martínez ME. ¿Lactancia materna o en pareja?: Un estudio sobre las experiencias de reconfiguración de cuerpos, roles y cotidianeidades en madres y padres mexicanos. Cadernos de Saúde Pública. 2017;33(9): e00109616.
Crossref | PubMed

15. Esteban ML. La maternidad como cultura: Algunas cuestiones sobre lactancia materna. En: Perdiguero E, Comelles JM, eds. Medicina y cultura: Estudios entre antropología y medicina. Barcelona: Bellaterra; 2000. p. 207-226.

16. Gutiérrez Martínez AP. ¿Y tú, das pecho o biberón?: Narrativas, identidad de género y lactancia materna. Desacatos. 2020;23(63):104-121.
Crossref

17. Lupton D. Food, the body and the self. California: SAGE; 1996.

18. Becker G, Zambrano P, Ching C, Cashin J, Burns A, Policarpo E, et al. Global evidence of persistent violations of the International Code of Marketing of Breast-milk Substitutes: A systematic scoping review. Maternal & Child Nutrition. 2022;18(Supl 3):e13335.
Crossref | PubMed

19. Hernández-Cordero S, Vilar-Compte M, Castañeda-Márquez A, et al. Exposure to marketing of breastmilk substitutes in Mexican women: Sources and scope. International Breastfeeding Journal. 2020;17:16.
Crossref | PubMed

20. Instituto Nacional de Salud Pública, Fondo de las Naciones Unidas para la Infancia. Publicidad digital de sucedáneos de la leche materna, alimentos y bebidas para niños y niñas menores de dos años en México. México: INSP, UNICEF; 2021.

21. Hastings G, Angus K, Douglas, Hunt K. Selling second best: how infant formula marketing Works. Globalization and Health. 2020;16:77.
Crossref | PubMed

22. World Health Organization, The United Nations Children’s Fund. How the marketing of formula milk influences our decisions on infant feeding. Washington: WHO-UNICEF; 2022.

23. Marins B, Araújo I, Jacob SC. A propaganda de alimentos: orientação, ou apenas estímulo ao consumo? Ciência & Saúde Coletiva. 2011;16(9):3873-3882.
Crossref | PubMed

24. Pereira-Kotze C, Doherty T, Swart C. Uso de plataformas de redes sociales por parte de los fabricantes para comercializar sucedáneos de la leche materna en Sudáfrica. BMJ Global Health. 2020;5(12):e003574.

25. Duffy E, Taillie L, Richter A, Higgins ICA, Harris JL, Hall MG, et al. Parental perceptions and exposure to advertising of toddler milk: A pilot study with Latino parents. International Journal of Environmental Research & Public Health. 2021;18(2):528.
Crossref | PubMed

26. World Health Organization. Scope and impact of digital marketing strategies for promoting breastmilk substitutes. Washington: WHO; 2022.

27. Horwood C, Luthuli S, Pereira-Kotze C, et al. An exploration of pregnant women and mothers’ attitudes, perceptions and experiences of formula feeding and formula marketing, and the factors that influence decision-making about infant feeding in South Africa. BMC Public Health. 2022;22:393.
Crossref | PubMed

28. Boczkowski P, Mitchelstein E. El entorno digital. Buenos Aires: Siglo XXI Editores; 2023.

29. Piaggio L, Nuñez B, Porras I, Guma F. Formula for deception: Corporate violations and state negligence; labelling and advertising in breast-milk substitutes in Argentina. World Nutrition. 2023;14(2):13-32.
Crossref

30. Mangialavori G, Della Rosa G, Finkelstein J. Cumplimiento del Código Internacional de Comercialización de Sucedáneos de la Leche Materna en localidades seleccionadas de la Ciudad Autónoma de Buenos Aires y el Conurbano Bonaerense. ReDSal. 2022;1(1):11–17.
Crossref

31. Jones A, Bhaumik S, Morelli G, Zhao J, Hendry M, Grummer-Strawn L, et al. Digital marketing of breast-milk substitutes: a systematic scoping review. Current Nutrition Reports. 2022;11(3):416-430.
Crossref | PubMed

32. World Health Organization. Monitoring and restricting digital marketing of unhealthy products to children and adolescents. Moscú: WHO; 2018.

33. Fondo de las Naciones Unidas para la Infancia, Centro de Estudios en Nutrición Infantil. Marketing digital de sucedáneos de leche materna en la Argentina. CABA: UNICEF; 2023.

34. Lupton D. Communicating heatlh: the Mass Media and Advertising in health promotion. En: The imperative of health. Public health and the regulated body. London: SAGE; 1995. p. 106-130.
Crossref

35. Hine C. Etnografía virtual. Barcelona: UOC; 2004.

36. Ministerio de Cultura. Encuesta nacional de consumos culturales 2013/2023 [Internet]. 2023 [citado 10 jun 2023] Disponible en: https://tinyurl.com/bdhrx6c2.

37. Cabral CS, Cavalcanti DS, Barbosa JM, Vasconcelos ACCP, Vianna RPT. Inserção de um grupo virtual na rede social de apoio ao aleitamento materno exclusivo de mulheres após a alta hospitalar. Interface. 2020; 24:e190688.
Crossref

38. Martínez Salgado C. El muestreo en investigación cualitativa: Principios básicos y algunas controversias. Ciência & Saúde Coletiva. 2012;17(3):613-619.
Crossref | PubMed

39. Canton C, Baston C, Álvarez Gatti P, Vecchiarelli C, Osio C. Perspectivas y valoración de la lactancia en los padres varones de una maternidad privada de la Ciudad Autónoma de Buenos Aires: Investigación cualitativa. Archivos Argentinos de Pediatría. 2022;120(3):187-194.
Crossref

40. Ladino L, Sánchez N, Vázquez-Frias R, Koletzko B. Latin American considerations for infant and young child formulae. Nutrients. 2021;13:3942.
Crossref | PubMed

41. Muñoz-Zapata D, Marín-Ochoa B, Ariza-Sosa G. Maternidades contemporáneas: tribus digitales e interacciones con las instituciones de salud. Interface. 2020;25:200051.
Crossref

42. Lara-Mejía V, Franco-Lares B, Lozada-Tequeanes A, Villanueva-Vázquez C, Hernández-Cordero S. Methodologies for monitoring the digital marketing of foods and beverages aimed at infants, children, and adolescents (ICA): A scoping review. International Journal of Environmental Research and Public Health. 2022;19(15):8951.
Crossref | PubMed