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Cited by 19Food Allergy and Anaphylaxis ResearchDrug-Induced Adverse ReactionsEosinophilic Esophagitis

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Factors that determine parents’ perception of their child’s risk of life-threatening food-induced anaphylaxis

Open access
Ogg, Jennifer, Wong, Jayne, Wan, Ming Wai, Davis, Naomi, Arkwright, Peter D.·2017·Allergy and Asthma Proceedings
DOI 10.2500/aap.2017.38.4002
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Abstract

BACKGROUND: Although food allergy is known to be associated with increased disease burden, factors that shape parents' perception of their child's risk of future severe or fatal anaphylaxis are poorly understood. OBJECTIVE: This study aimed to evaluate factors associated with parents' perceived risk of food-induced anaphylaxis. METHODS: A questionnaire-based survey of 202 parents was conducted in a single specialist center outpatient clinic that treats children with food allergies. Parents' perceived risk of their child experiencing further food-induced anaphylaxis was assessed by using a validated food allergy independent measure. Demographic data as well as parents' anxiety and depression scores were assessed by using the Hospital Anxiety and Depression score. RESULTS: Nineteen percent of parents believed that their child had a moderate-to-high chance of dying from food-induced anaphylaxis. A lack of a university education, higher anxiety score, and, particularly, possession of an epinephrine autoinjector (relative risk 9.9 [95% confidence interval, 3.3-30]) were key factors associated with heightened risk perception. Caring for a child with multiple food allergies was the main factor associated with parents feeling less able to manage future reactions (relative risk 9.5 [95% confidence interval, 1.7-53]). Parents' risk perception of fatal anaphylaxis correlated with anxiety and mood scores. CONCLUSION: Parents' education, affect, and possession of an epinephrine autoinjector were associated with a heightened perceived risk of future anaphylaxis. Clinicians should consider not only the child's needs but should also provide counseling for parents, particularly those who possess autoinjectors. Parents of children with multiple food allergies may need additional education and training to help them cope with future reactions.

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  • AAI administration has been discussed in some previous research but considered less frequently than AAI prescription, particularly in relation to anxiety.

    “Whilst an AAI having been administered has been discussed in some previous research (e.g. Ogg et al., 2017; Williams et al., 2009), it has been considered less frequently than an AAI having been prescribed, particularly in relation to anxiety.”

    From Parental Anxiety and Posttraumatic Stress Symptoms in Pediatric Food Allergy. (2021) · cites this paper as Ogg et al., 2017

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Metadata

Authors
Ogg, J., Wong, J., Wan, M. W., Davis, N., & Arkwright, P. D.
ORCID
Venue
Allergy and Asthma Proceedings
Publisher
Oceanside Publications Inc.
Published
2017-01-01
Volume
38
Issue
1
Pages
44-53
ISSN
1088-5412 (ISSN-L)
DOI
10.2500/aap.2017.38.4002
OpenAlex
W2571226328
Cited by
19
References
0
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 5 · 2019: 2 · 2018: 1 · 2017: 2
FWCI
1.11
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Allergy and Asthma Proceedings (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
  • Health Sciences › Medicine › Pharmacology (medical) › Drug-Induced Adverse Reactions
  • Health Sciences › Medicine › Gastroenterology › Eosinophilic Esophagitis
Keywords
food allergy, food-induced anaphylaxis, parental risk perception, parental anxiety, parental depression, epinephrine auto-injector, parental education, multiple food allergies, parental counseling, children
MeSH terms
Adolescent, Anaphylaxis, Child, Child, Preschool, Combined Modality Therapy, Female, Food Hypersensitivity, Humans, Infant, Health Knowledge, Attitudes, Practice, Male, Parents, Perception, Surveys and Questionnaires, Retrospective Studies, Risk, Severity of Illness Index

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