Which foods should a child with food allergy avoid? The role of parental knowledge in food avoidance appraisals

Abstract

This study explored factors that influence the accuracy of caregivers' appraisals of the foods their children with food allergy should avoid. Seventy-two caregivers of children with food allergy completed measures of caregiver educational attainment, food allergy knowledge, food allergy worry, and a questionnaire assessing whether or not their child should avoid specific foods (the Foods to Avoid Test). Unnecessary avoidance was indicated when a caregiver reported their child should avoid a food item, even though that item was safe for their child based on their food allergy (i.e., false positive). Lack of appropriate avoidance was represented by caregivers reporting a food did not need to be avoided when it should be avoided based on the child's food allergy (i.e., false negative). Caregivers with lower educational attainment and less food allergy knowledge and whose children were more recently diagnosed had more false negative appraisal errors. In contrast, false positive appraisal errors were most strongly related to parental worry about food allergy. The findings suggest that screening for food allergy general knowledge and food avoidance appraisals may help identify gaps in caregivers' knowledge and ultimately prevent accidental exposures and/or unnecessary avoidance.

Correlation between nutritional status and children's activity with food allergy: A cross-sectional study

“…Caregivers with high general knowledge of food allergies are indeed better to accurately identify foods that their child with a food allergy should avoid, but this is regardless of their general level of education or duration of the child's food allergy. These findings suggest that relatively educated caregivers who have had time to adapt to their child's food allergy diagnosis still need food allergy avoidance training to make safe food choices for their children [ 39 ].…”

Relationship between parents' health literacy and child health: systematic review

“…Parental health literacy is crucial for a child to avoid an accidental exposure to food that causes allergy to the child and to prevent unnecessary avoidance of safe food (Steiner et al, 2020). Parental obesity is correlated with child obesity among Turkish children (Haney, 2020).…”