Quality of life in childhood, adolescence and adult food allergy: patient and parent perspectives

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dc.contributor.author Stensgaard, A.
dc.contributor.author Bindslev-Jensen, Carsten
dc.contributor.author Nielsen, D.
dc.contributor.author Munch, M.
dc.contributor.author Dunn Galvin, Audrey
dc.date.accessioned 2017-06-12T11:33:33Z
dc.date.available 2017-06-12T11:33:33Z
dc.date.issued 2016-12-14
dc.identifier.citation Stensgaard, A., Bindslev-Jensen, C., Nielsen, D., Munch, M. and Dunn Galvin, Audrey (2016) 'Quality of life in childhood, adolescence and adult food allergy: patient and parent perspectives', Clinical and Experimental Allergy, 47(4), pp. 530-539. doi:10.1111/cea.12849 en
dc.identifier.volume 47 en
dc.identifier.issued 4 en
dc.identifier.startpage 530 en
dc.identifier.endpage 539 en
dc.identifier.issn 1365-2222
dc.identifier.uri http://hdl.handle.net/10468/4071
dc.identifier.doi 10.1111/cea.12849
dc.description.abstract Background: Studies of children with food allergy typically only include the mother and have not investigated the relationship between the amount of allergen needed to elicit a clinical reaction (threshold) and health-related quality of life (HRQL). Our aims were (i) to compare self-reported and parent-reported HRQL in different age groups, (ii) to evaluate the impact of severity of allergic reaction and threshold on HRQL, and (iii) to investigate factors associated with patient-reported and parent-reported HRQL. Methods: Age-appropriate Food Allergy Quality of Life Questionnaires (FAQLQ) were completed by 73 children, 49 adolescents and 29 adults with peanut, hazelnut or egg allergy. Parents (197 mothers, 120 fathers) assessed their child's HRQL using the FAQLQ-Parent form. Clinical data and threshold values were obtained from a hospital database. Significant factors for HRQL were investigated using univariate and multivariate regression. Results: Female patients reported greater impact of food allergy on HRQL than males did. Egg and hazelnut thresholds did not affect HRQL, but lower peanut threshold was associated with worse HRQL. Both parents scored their child's HRQL better than the child's own assessment, but whereas mother-reported HRQL was significantly affected by limitations in the child's social life, father-reported HRQL was affected by limitations in the family's social life. Severity of allergic reaction did not contribute significantly to HRQL. Conclusion: The risk of accidental allergen ingestion and limitations in social life are associated with worse HRQL. Fathers provide a unique perspective and should have a greater opportunity to contribute to food allergy research. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher John Wiley & Sons, Inc. en
dc.rights This is the peer reviewed version of the following article: Stensgaard, A., Bindslev-Jensen, C., Nielsen, D., Munch, M. and Dunn Galvin, Audrey (2016) 'Quality of life in childhood, adolescence and adult food allergy: patient and parent perspectives', Clinical and Experimental Allergy, 47(4), pp. 530-539, which has been published in final form at http://dx.doi.org/10.1111/cea.12849. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. en
dc.subject Adolescent en
dc.subject Adult en
dc.subject Child en
dc.subject Food allergy en
dc.subject Quality of life en
dc.title Quality of life in childhood, adolescence and adult food allergy: patient and parent perspectives en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Audrey Dunn Galvin, Paediatrics & Child Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: a.dunngalvin@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2017-12-14
dc.date.updated 2017-06-12T11:24:28Z
dc.description.version Accepted Version en
dc.internal.rssid 398687238
dc.description.status Peer reviewed en
dc.identifier.journaltitle Clinical and Experimental Allergy en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress A.DunnGalvin@ucc.ie en


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