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• W2019726439 abstract "RationaleCaregivers of children with food allergy may have reduced Quality of Life (QoL). The impact of the accuracy of parental diagnosis on food allergy QoL is unknown.MethodsCaregivers of milk, egg, peanut, or tree nut allergic children, followed at the University of Michigan Allergy and Immunology Clinics between 2009-2012, completed a questionnaire assessing the details their child’s most severe reaction to food, and food allergy QoL using the FAQL-PB. Survey responses were verified through chart review. Ordered logistic regression was used to determine factors associated with food allergy QoL.ResultsAmong 305 caregivers surveyed, 65% accurately perceived the severity of their child’s reaction. Correct perception was higher among caregivers of children with provider confirmed anaphylaxis (56.3% vs. 43.7%, p=0.008) but was not allergen dependent. In an adjusted ordered logistic regression model, age of most severe reaction (-0.02 per month increase, p=0.018); peanut (-1.13, p=0.013), tree nut (-1.84, p<0.001), and milk (-2.02, p<0.001) compared to egg allergy; income >$50,000 versus <$50,000 (-0.96, p=0.013); and correct reaction perception (-0.54, p=0.043) were significantly associated with a decreased ordered log-odds of a higher QoL score (better QoL). Eczema (+0.87, p<0.001) parent-reported anaphylaxis (+0.91, p=0.002), and milk allergy occurring at older ages (interaction term, +0.06, p>0.001) were associated with an increased ordered log-odds of a higher QoL score (worse QoL).ConclusionsIn our population, allergen type, age of the most severe reaction, income, eczema, caregiver-reported anaphylaxis, and correct reaction perception all significantly affect QoL. Educational efforts to aid correct caregiver perception may be beneficial to QoL. RationaleCaregivers of children with food allergy may have reduced Quality of Life (QoL). The impact of the accuracy of parental diagnosis on food allergy QoL is unknown. Caregivers of children with food allergy may have reduced Quality of Life (QoL). The impact of the accuracy of parental diagnosis on food allergy QoL is unknown. MethodsCaregivers of milk, egg, peanut, or tree nut allergic children, followed at the University of Michigan Allergy and Immunology Clinics between 2009-2012, completed a questionnaire assessing the details their child’s most severe reaction to food, and food allergy QoL using the FAQL-PB. Survey responses were verified through chart review. Ordered logistic regression was used to determine factors associated with food allergy QoL. Caregivers of milk, egg, peanut, or tree nut allergic children, followed at the University of Michigan Allergy and Immunology Clinics between 2009-2012, completed a questionnaire assessing the details their child’s most severe reaction to food, and food allergy QoL using the FAQL-PB. Survey responses were verified through chart review. Ordered logistic regression was used to determine factors associated with food allergy QoL. ResultsAmong 305 caregivers surveyed, 65% accurately perceived the severity of their child’s reaction. Correct perception was higher among caregivers of children with provider confirmed anaphylaxis (56.3% vs. 43.7%, p=0.008) but was not allergen dependent. In an adjusted ordered logistic regression model, age of most severe reaction (-0.02 per month increase, p=0.018); peanut (-1.13, p=0.013), tree nut (-1.84, p<0.001), and milk (-2.02, p<0.001) compared to egg allergy; income >$50,000 versus <$50,000 (-0.96, p=0.013); and correct reaction perception (-0.54, p=0.043) were significantly associated with a decreased ordered log-odds of a higher QoL score (better QoL). Eczema (+0.87, p<0.001) parent-reported anaphylaxis (+0.91, p=0.002), and milk allergy occurring at older ages (interaction term, +0.06, p>0.001) were associated with an increased ordered log-odds of a higher QoL score (worse QoL). Among 305 caregivers surveyed, 65% accurately perceived the severity of their child’s reaction. Correct perception was higher among caregivers of children with provider confirmed anaphylaxis (56.3% vs. 43.7%, p=0.008) but was not allergen dependent. In an adjusted ordered logistic regression model, age of most severe reaction (-0.02 per month increase, p=0.018); peanut (-1.13, p=0.013), tree nut (-1.84, p<0.001), and milk (-2.02, p<0.001) compared to egg allergy; income >$50,000 versus <$50,000 (-0.96, p=0.013); and correct reaction perception (-0.54, p=0.043) were significantly associated with a decreased ordered log-odds of a higher QoL score (better QoL). Eczema (+0.87, p<0.001) parent-reported anaphylaxis (+0.91, p=0.002), and milk allergy occurring at older ages (interaction term, +0.06, p>0.001) were associated with an increased ordered log-odds of a higher QoL score (worse QoL). ConclusionsIn our population, allergen type, age of the most severe reaction, income, eczema, caregiver-reported anaphylaxis, and correct reaction perception all significantly affect QoL. Educational efforts to aid correct caregiver perception may be beneficial to QoL. In our population, allergen type, age of the most severe reaction, income, eczema, caregiver-reported anaphylaxis, and correct reaction perception all significantly affect QoL. Educational efforts to aid correct caregiver perception may be beneficial to QoL." @default.
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• W2019726439 date "2013-02-01" @default.
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• W2019726439 title "Correct Parental Reaction Perception Affects Quality of Life in Food Allergy" @default.
• W2019726439 doi "https://doi.org/10.1016/j.jaci.2012.12.1461" @default.
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