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- Golding, Michael A., et al.
(författare)
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A scoping review of the caregiver burden of pediatric food allergy
- 2021
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Ingår i: Annals of Allergy, Asthma & Immunology. - : Elsevier. - 1081-1206 .- 1534-4436. ; 127:5, s. 536-
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Tidskriftsartikel (refereegranskat)abstract
- Objective While a number of papers have described the psychosocial impact of raising a child with a food allergy, recent attempts at synthesizing this literature have been narrow in focus and/or methodologically limited. Consequently, the current study aimed to synthesize both the quantitative and qualitative literature in order to achieve a better understanding of the psychosocial and financial burdens faced by families raising children with food allergy.Data Sources Searches were performed on PubMed, Scopus, PsycInfo and CINAHL for articles related to the psychosocial and financial burden experienced by individuals caring for a child with food allergy.Study Selections English language, original research articles were included in the current review.Results A total of 53 articles were deemed eligible for review. Results from the quantitative literature revealed that parents of children with food allergy (i.e., food allergy and food protein-induced enterocolitis, proctocolitis, and enteropathy) consistently reported lower QoL relative to their comparison groups. Within-group analyses suggest that this burden is increased for parents managing multiple food allergies, severe food allergy, and comorbid allergic conditions. Thematic synthesis of the qualitative literature suggests that the psychosocial burden shouldered by parents of children with food allergy stems, in part, from the unpredictable threat of exposure as well as the practical and social burdens of managing a food allergy. In addition to psychosocial burdens, a small but growing body of literature suggests that families with food allergy also incur greater financial costs.Conclusion Findings suggest that pediatric food allergy imposes considerable burdens on parents both quantitatively and qualitatively.
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| 2. |
- Golding, Michael A., et al.
(författare)
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The burden of food allergy on children and teens : A systematic review
- 2022
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Ingår i: Pediatric Allergy and Immunology. - : John Wiley & Sons. - 0905-6157 .- 1399-3038. ; 33:3
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Forskningsöversikt (refereegranskat)abstract
- Background Over the last two decades, researchers have placed increasing attention on understanding how food allergy affects the health-related quality of life (HRQL) and psychosocial well-being of children and teens. In response, a number of reviews have been published that aim at synthesizing the literature. However, many of these papers focus narrowly on HRQL or suffer from methodological limitations.Method The current review aims to fill this gap by providing a comprehensive overview of the burden of pediatric food allergy by synthesizing the quantitative and qualitative literature.Results Findings from the present review provide evidence of reduced HRQL among children and teens with food allergy, particularly older children and those with more severe manifestations of the condition. In comparison to HRQL, the link between food allergy and psychosocial functioning is less clear; however, some evidence can be cited linking food allergy to greater levels of psychological distress. Qualitative evidence suggests that the burden of pediatric food allergy largely stems from worries surrounding exposures outside of the home and the social consequences of the condition. The current review also highlights several gaps in the literature, including a paucity of longitudinal research, research focused on predictors of psychological distress among children and teens with food allergy as well as a dearth of studies comparing rates of bullying in food-allergic and non-food-allergic samples.Conclusion More emphasis should be placed on not only alleviating the social and psychological consequences of food allergy, but also on identifying and assisting those most acutely burdened by the condition.
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| 3. |
- Kisiel, Marta, 1984-, et al.
(författare)
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Risk Factors for the Absence of Diagnosis of Asthma Despite Disease Symptoms : Results from the Swedish GA2LEN Study
- 2022
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Ingår i: Journal of Asthma and Allergy. - : Dove Press. - 1178-6965. ; 15, s. 179-186
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Tidskriftsartikel (refereegranskat)abstract
- Background: Asthma is a common chronic disease presenting with airway symptoms such as wheezing, chest tightness and attacks of breathlessness. Underdiagnosis of asthma is common and correlates to negative outcomes such as a lower quality of life and reduced work capacity.Purpose: This study aims to identify factors for not being diagnosed with asthma if presenting with asthma symptoms.Patients and Methods: A questionnaire was sent to 45,000 subjects (age 16-74 years) in Sweden. Subjects who reported both wheeze and breathlessness and wheeze when not having a cold were defined as having asthma-related symptoms. Data on demographics, educational level, smoking, physical activity, comorbidities, symptoms and asthma were collected. Logistic regression was used to identify risk factors for not being diagnosed with asthma.Results: Of the 25,391 who responded to the survey, 6.2% reported asthma-related symptoms. Of these, 946 had been diagnosed with asthma previously, while 632 had not. Independent risk factors for not being diagnosed with asthma were higher age (OR (95% CI) (2.17 (1.39-3.40))), male sex (1.46 (1.17-1.81)), current smoking (2.92 (2.22-3.84)), low level of education (1.43 (1.01-2.01)), low physical activity (1.36 (1.06-1.74)), and hypertension (1.50 (1.06-2.12)).Conclusion: Men, smokers, older subjects, and those with low educational level or low physical activity are less likely to be diagnosed with asthma despite presenting asthma-related symptoms.
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