The public health burden of parent-reported food allergy-related missed school days among US children.

Autor:	Sansweet SR; From the Center for Food Allergy and Asthma Research, Feinberg School of Medicine, Northwestern University, Chicago, IL., Dyer AA; From the Center for Food Allergy and Asthma Research, Feinberg School of Medicine, Northwestern University, Chicago, IL., Hultquist HW; From the Center for Food Allergy and Asthma Research, Feinberg School of Medicine, Northwestern University, Chicago, IL., Gupta RS; From the Center for Food Allergy and Asthma Research, Feinberg School of Medicine, Northwestern University, Chicago, IL.; Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, IL; and., Warren CM; Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Jazyk:	angličtina
Zdroj:	Journal of food allergy [J Food Allergy] 2024 Jul 01; Vol. 6 (1), pp. 47-51. Date of Electronic Publication: 2024 Jul 01 (Print Publication: 2024).
DOI:	10.2500/jfa.2024.6.240001
Abstrakt:	Background: Food allergy (FA) is a common chronic condition among U.S. children. Children with FA and their families often report greater psychosocial burden, which is adversely impacted by the inability to participate in daily activities. Regularly attending school remains central to supporting the well-being of children with FAs and related academic success. Objective: The objective was to estimate the frequency of FA-related school absences, determine predictors, and understand how report of such absences is associated with FA-related psychosocial burden. Methods: A survey was administered to a nationally representative sample of U.S. households in 2015-2016, obtaining parent-proxy responses for 38,408 children. Prevalence estimates were based on responses from NORC's AmeriSpeak Panel (51% completion rate), which were augmented by nonprobability-based responses via calibration weighting to increase precision. Prevalence was estimated via weighted proportions. Multiple logistic regression models evaluated factors associated with FA-related missed school days. Results: Thirty-seven percent of children with FA who attended school in the past 12 months reportedly had one or more FA-related absence, with 13% missing 1-2 days (95% confidence interval [CI], 11.41-15.49 days), 17% missing 3-7 days (95% CI, 6.82-10.91 days), and 4% missing 8-14 days (95% CI, 3.13-6.20 days). Hispanic children were more likely to report missed school days in the past 12 months compared with white, non-Hispanic children with FA (odds ratio [OR] 1.62 [95% CI, 1.16-2.26]). Children with multiple FAs (OR 1.35 [95% CI, 1.03-1.76]), history of epinephrine use (OR 2.22 [95% CI, 1.70-2.90]), and anaphylaxis (OR 1.64 [95% CI, 1.26-2.14]) in the past 12 months, and those with a current epinephrine prescription (OR 1.05 [95% CI, 0.075-1.47]) have greater odds of reported FA-related school absence. Report of one or more FA-related absences was also associated with greater FA-related psychosocial burden (OR 1.72 [95% CI, 1.46-2.01]). Conclusion: Parent report of children missing school for reasons related to FA is remarkably common and associated with greater FA-related psychosocial burden. Competing Interests: R.S. Gupta reports receiving research support from the National Institutes of Health (R21 ID AI135705, R01 ID AI130348, U01 ID AI138907), Food Allergy Research and Education, Melchiorre Family Foundation, Sunshine Charitable Foundation; The Walder Foundation, UnitedHealth Group, Thermo Fisher Scientific, and Genentech; serves as a medical consultant/advisor for Genentech, Novartis, Aimmune LLC, Allergenis LLC, and Food Allergy Research and Education; and reports having an ownership interest in Yobee Care, Inc. C.M. Warren reports research support from the National Institutes of Health, Food Allergy Research and Education, and the Sunshine Charitable Foundation. The remaining authors have no conflicts of interest to declare pertaining to this article (Copyright © 2024, The Author(s). Published by OceanSide Publications, Inc., U.S.A.)
Databáze:	MEDLINE
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