Impact of food allergy on food insecurity and health literacy in a tertiary care pediatric allergy population

Dilley, Meredith A.; Rettiganti, Mallikarjuna; Christie, Lynn; O’Brien, Erin; Patterson, Megan F.; Weeks, C.A.; Aronson, Julia; Scurlock, Amy M.; Perry, Tamara T.; Pesek, Robbie D.; Bell, Matthew C.; Kennedy, Joshua L.; Chandler, Peggy L.; Magee, James S.; Simmons, Larry; Chervinskiy, Sheva K.; Casey, Patrick H.; Jones, Stacie M.

doi:10.1111/pai.13019

Cited by 33 publications

(20 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, out-of-pocket expenses were found to account for a sizeable proportion of the additional costs of food allergy as well. Not surprisingly, research suggests lower income families are disproportionately affected by the costs of pediatric food allergy [11][12][13], including the costs of epinephrine auto-injectors (EAIs) [11]. However, the economic impact of pediatric food allergy on lower income families is not fully understood.…”

Section: Introductionmentioning

confidence: 99%

The excess costs of childhood food allergy on Canadian families: a cross-sectional study

Golding

Simons

Abrams

et al. 2021

Allergy Asthma Clin Immunol

View full text Add to dashboard Cite

Background The impact of childhood food allergy on household costs has not been examined in Canada. The current study sought to examine differences in direct, indirect, and intangible costs among Canadian families with and without a food-allergic child. Methods Families with a child with a specialist-diagnosed food allergy (cases) were recruited from two tertiary pediatric allergy clinics in the Province of Manitoba, Canada, and matched, based on age and sex, to families without a food-allergic child (controls). Cost data for the two groups were collected via an adapted version of the Food Allergy Economic Questionnaire (FA-EcoQ). Consideration was given to income, defined as above vs. below the provincial annual median income. Results Results from 35 matched case/control pairs revealed that while total household costs did not significantly differ between cases and controls, food-allergic families did incur higher direct costs ($12,455.69 vs. $10,078.93, p = 0.02), which were largely attributed to spending on food. In contrast, cases reported lower, but not statistically significant, total indirect costs compared to controls ($10,038.76 vs. $12,294.12, p = 0.06). Families also perceived their food-allergic child as having poorer quality of life relative to their healthy peers. Lastly, stratification of the analyses by annual income revealed several differences between the higher and lower income groups. Conclusions Relative to families without a food-allergic child, food-allergic families incurred higher direct costs across a number of different areas.

show abstract

Section: Introductionmentioning

confidence: 99%

The excess costs of childhood food allergy on Canadian families: a cross-sectional study

Golding

Simons

Abrams

et al. 2021

Allergy Asthma Clin Immunol

View full text Add to dashboard Cite

show abstract

“…13 Allergen avoidance imposes dietary restrictions, with potential nutritional consequences, and can lead to food insecurity. [14][15][16] Eighty-six per cent of mothers of children with suspected FA avoid foods on their own initiative. 17 Goldberg et al 16 have recently shown that milk-allergic young adults have reduced bone mineral density and that low calcium intake, asthma and weight constitute independent risk factors.…”

mentioning

confidence: 99%

Update on food allergy

Peters

Krawiec

Santos

2021

Pediatric Allergy Immunology

View full text Add to dashboard Cite

Food allergy (FA) can be classified into IgE-and non-IgE-mediated depending on the involvement of IgE in its pathogenesis. In this review, we are focusing on IgE-mediated food allergy. FA affects about 8% of children in the Western countries and seems to be rising in other parts of the world such as in Vietnam and South Africa, and other parts of Asia and Africa, particularly in urban rather than rural areas. [1][2][3][4] The prevalence of FA has increased over the recent decades, as has the number of hospitalizations for food-induced anaphylaxis, following what seems to be the 'second wave of the allergy epidemic' after the rise in the prevalence of asthma and respiratory allergy in previous decades. [5][6][7] Pouessel et al 8 have shown that foods caused 37% of cases of ICU admissions for anaphylaxis and 79% of recurrent anaphylaxis. Self-reported FA is even more common with an often underappreciated impact. 1 Gupta et al 1 report that about 40% of food allergic children report multiple food allergies, often severe food allergies, and carry an adrenaline auto-injector. In Western countries, such as the USA and the UK, FA affects disproportionally children from ethnic minorities, such as children of Afro-Caribbean descent. 1,9,10 Whether this has to do with genetic predisposition in face of environmental factors related to the modern lifestyle

show abstract

“…We also did not collect data on the type or number of household food allergies, which might modulate food accessibility or financial burden of the restriction. 60 …”

Section: Discussionmentioning

confidence: 99%

COVID-19-Related Food Insecurity Among Households with Dietary Restrictions: A National Survey

Guillaume

Jagai

Makelarski

et al. 2021

The Journal of Allergy and Clinical Immunology: In Practice

View full text Add to dashboard Cite

Background Food insecurity dramatically increased because of the COVID-19 pandemic; however, little is known about pandemic-related food insecurity in households with dietary restrictions. Objective To examine pre-pandemic rates of and pandemic-related change in food insecurity among households with and without dietary restrictions. Methods A cross-sectional, panel-based survey of 3200 U.S. women was conducted in April 2020. Pre-pandemic food insecurity and early pandemic-related change in food insecurity were assessed using the adapted Hunger Vital Sign. Weighted, multivariate logistic regression was used to model the odds of pre-pandemic food insecurity and the odds of incident or worsening pandemic-related food insecurity among households with and without dietary restrictions. In models predicting pandemic-related outcomes, interaction effects between race/ethnicity and dietary restrictions were examined. Results Before the COVID-19 pandemic, households with self-reported food allergy (adjusted odds ratio [aOR]: 1.5, 95% confidence interval [CI]: 1.2-1.9), celiac disease (aOR: 2.3, 95% CI: 1.4-3.5), or both (aOR: 2.1, 95% CI: 1.2-3.6) were significantly more likely to be food insecure than households without restrictions. Households with dietary restrictions were also significantly more likely to experience incident or worsening food insecurity during the early pandemic (food allergy: aOR: 1.6, 95% CI: 1.3-2.1) (celiac disease: aOR: 2.3, 95% CI: 1.5-3.5) (both: aOR: 2.0, 95% CI: 1.2-3.4). Race/ethnicity was not a significant moderator of the relationship between dietary restrictions and pandemic-related food insecurity. Conclusion Households with dietary restrictions were more likely to experience both pre-pandemic and pandemic-related incident or worsening food insecurity than households without restrictions. Clinical care for patients with dietary restrictions requires attention to food insecurity.

show abstract

Impact of food allergy on food insecurity and health literacy in a tertiary care pediatric allergy population

Cited by 33 publications

References 27 publications

The excess costs of childhood food allergy on Canadian families: a cross-sectional study

The excess costs of childhood food allergy on Canadian families: a cross-sectional study

Update on food allergy

COVID-19-Related Food Insecurity Among Households with Dietary Restrictions: A National Survey

Contact Info

Product

Resources

About