Barriers to self-management behaviors in college students with food allergies

Duncan, Sarah E.; Annunziato, Rachel A.

doi:10.1080/07448481.2018.1431898

Cited by 11 publications

(7 citation statements)

References 29 publications

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“…A recent study conducted from February 2015 through May 2016 involved evaluating 141 undergraduate college students who have a physician-diagnosed food allergy. It found that there is an inconsistent adherence to food avoidance and there is a need for a strategy to encourage avoidance to prevent events [52]. A 6-year comparison study was completed by the University of Michigan looking at the impact of a food allergy awareness implementation across the campus.…”

Section: Transition Of Pediatric Care Into Adulthoodmentioning

confidence: 99%

IgE-Mediated Food Allergy

Anvari

Miller

Yeh

et al. 2018

Clinic Rev Allerg Immunol

225

197

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Food allergies are defined as adverse immune responses to food proteins that result in typical clinical symptoms involving the dermatologic, respiratory, gastrointestinal, cardiovascular, and/or neurologic systems. IgE-mediated food-allergic disease differs from non-IgE-mediated disease because the pathophysiology results from activation of the immune system, causing a T helper 2 response which results in IgE binding to F c ε receptors on effector cells like mast cells and basophils. The activation of these cells causes release of histamine and other preformed mediators, and rapid symptom onset, in contrast with non-IgE-mediated food allergy which is more delayed in onset. The diagnosis of IgE-mediated food allergy requires a history of classic clinical symptoms and evidence of food-specific IgE by either skin-prick or serum-specific IgE testing. Symptoms of IgE-mediated food allergies range from mild to severe. The severity of symptoms is not predicted by the level of specific IgE or skin test wheal size, but the likelihood of symptom onset is directly related. Diagnosis is excluded when a patient can ingest the suspected food without clinical symptoms and may require an in-office oral food challenge if testing for food-specific IgE by serum or skin testing is negative or low. Anaphylaxis is the most severe form of the clinical manifestation of IgE-mediated food allergy, and injectable epinephrine is the first-line treatment. Management of food allergies requires strict avoidance measures, counseling of the family about constant vigilance, and prompt treatment of allergic reactions with emergency medications. Guidelines have changed recently to include early introduction of peanuts at 4-6 months of life. Early introduction is recommended to prevent the development of peanut allergy. Future treatments for IgE-mediated food allergy evaluated in clinical trials include epicutaneous, sublingual, and oral immunotherapy.

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Section: Transition Of Pediatric Care Into Adulthoodmentioning

confidence: 99%

IgE-Mediated Food Allergy

Anvari

Miller

Yeh

et al. 2018

Clinic Rev Allerg Immunol

225

197

View full text Add to dashboard Cite

show abstract

“…For example, a study found that factors such as past experiences, socioeconomic, social influence, and medical recommendations had both direct and indirect effects on inoculation behaviors during the swine flu of 1976. 22 The HBM has been widely used in studies that predict adopting preventive and healthy behaviors among college students, including intentions of getting the H1N1 vaccines 23 ; intentions and predictions of getting the seasonal flu vaccines 24 ; involvement in vigorous physical activity to improve health 25 ; perceived barriers and benefits of weight management 26 ; self-management behaviors among food-allergic college students 27 ; perceived threat and perceptions of using e-cigarettes 28 ; and, the effectiveness of a health campaign encouraging students to take naps on campus. 29 In one study, college students with higher scores of perceived susceptibility, perceived severity, perceived benefits, cues to action, and selfefficacy were more likely to follow preventive health measures to lower the risk of getting the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) than those with lower scores.…”

Section: Theoretical Framework Health Belief Model (Hbm)mentioning

confidence: 99%

The Use of the Health Belief Model to Assess U.S. College Students’ Perceptions of Covid-19 and Adherence to Preventive Measures

Alsulaiman

Rentner

2021

Journal of Public Health Research

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Background: This study utilized the Health Belief Model to examine college students’ perceptions of the COVID-19 pandemic. It examined the extent to which the Health Belief Model and perceived threat are associated with the adoption of COVID-19 preventive measures among college students.Design and Methods: An online questionnaire was utilized and sent to a simple random sample of college students at a large Midwestern university in the United States between May and July of 2020. The number of undergraduate and graduate students who participated in this study was 1,723.Results: The study found that the Health Belief Model and perceived threat are significantly associated with COVID-19 preventive measures. College students with higher Health Belief Model scores were more likely to adhere to COVID-19 preventive measures than those with lower scores. College students also reported high cues to action and low perceived barriers to most of the COVID-19 preventive measures.Conclusion: Applying the Health Belief Model is crucial for health professionals and university administrators for developing effective communication messages for COVID-19 prevention and future health outbreaks.

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“…Subsequently, high rates of anaphylactic shock and fatality have been reported among this population group (Gupta, 2014). College students are more likely to engage in risk-taking behaviors, such as intentionally ingesting potentially unsafe foods or foods with “may contain” labels (Duncan and Annunziato, 2018; Monk et al. , 2010; Sampson et al.…”

Section: Introductionmentioning

confidence: 99%

“…, 2006). Many students are also reluctant to carry an epinephrine dose in case of emergency (Duncan and Annunziato, 2018; Monk et al. , 2010; Sampson et al.…”

Section: Introductionmentioning

confidence: 99%

“…Subsequently, high rates of anaphylactic shock and fatality have been reported among this population group (Gupta, 2014). College students are more likely to engage in risktaking behaviors, such as intentionally ingesting potentially unsafe foods or foods with "may contain" labels (Duncan and Annunziato, 2018;Monk et al, 2010;Sampson et al, 2006). Many Food choice among students with allergies students are also reluctant to carry an epinephrine dose in case of emergency (Duncan and Annunziato, 2018;Monk et al, 2010;Sampson et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

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A qualitative study of food choice behaviors among college students with food allergies in the US

Lee

Sözen²,

Wen³

2022

BFJ

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PurposeThis study explored how food allergies have affected food-related behaviors and quality of life of college students with food allergies and identified factors influencing food choice decisions among this group of individuals.Design/methodology/approachOne-on-one interviews were conducted with 26 college students with self-reported or clinically diagnosed food allergies, recruited from two universities located in the southern region of the United States. The participants were asked a series of questions based on a semi-structured discussion guide. Each interview lasted about 30 min; all interviews were audio-recorded and transcribed verbatim. The transcriptions were coded independently by three researchers, and themes were identified.FindingsFood allergies affected the participants' food-related behaviors, including eating, food preparation and shopping, as well as some aspects of their quality of life. Individual factors, such as mood, other diseases, cultural background and sensory properties, also influenced food choices. Friends and families were the two most important social influencers of food choices. Regarding physical environmental factors, cost, convenience, value and variety were considered important in selecting food. However, the participants' food choices were less influenced by food advertisements and social media. Additionally, experiences and complex cuisines were also key factors in making food choices.Research limitations/implicationsTheoretically, this qualitative study applied a food choice decision framework in the context of college students with food allergies. Practical recommendations are provided, particularly to campus dining facilities, to fulfill the needs of college students with food allergies.Originality/valueThis study advanced the understanding of the complexity of food choice decision-making among college students with food allergies. A path diagram specific to food choice among college students with food allergies was developed based on the results of this study. This study also highlighted that food allergy management would involve various behavioral changes and revealed that the food choices are influenced by a wide range of factors.

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Barriers to self-management behaviors in college students with food allergies

Abstract: Food-allergic college students demonstrate inconsistent adherence, and interventions designed to improve adherence should take both SIE prescription status and contextual factors into consideration.

Cited by 11 publications

References 29 publications

IgE-Mediated Food Allergy

IgE-Mediated Food Allergy

The Use of the Health Belief Model to Assess U.S. College Students’ Perceptions of Covid-19 and Adherence to Preventive Measures

A qualitative study of food choice behaviors among college students with food allergies in the US

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