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Pediatric food allergy-related household costs are influenced by age, but not disease severity

Wai, Hay Mar (author)
Karolinska Inst, Sweden; Karolinska Inst, Sweden,Karolinska Institutet, Sweden
Middelveld, Roelinde (author)
Karolinska Institutet,Karolinska Inst, Sweden; Karolinska Inst, Sweden,Karolinska Institutet, Sweden
Thornqvist, Victoria (author)
Karolinska Inst, Sweden,Karolinska Institutet, Sweden
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Ballardini, Natalia (author)
Karolinska Institutet,Karolinska Inst, Sweden; Soder Sjukhuset, Sweden,Karolinska Institutet, Sweden;Södersjukhuset, Sweden
Nilsson, Evalill (author)
Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Linköping University, Sweden
Strömquist, Jennie (author)
Linköpings universitet,Institutionen för klinisk och experimentell medicin,Medicinska fakulteten,Region Östergötland, Allergicentrum US,Linköping University, Sweden
Nilsson, Lennart, 1954- (author)
Linköpings universitet,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Allergicentrum US,Linköping University, Sweden
Ahlstedt, Staffan (author)
Karolinska Institutet,Karolinska Inst, Sweden; Karolinska Inst, Sweden,Karolinska Institutet, Sweden
Protudjer, Jennifer Lisa Penner (author)
Karolinska Institutet,Karolinska Inst, Sweden; Karolinska Inst, Sweden; Univ Manitoba, Canada; George and Fay Yee Ctr Healthcare Innovat, Canada; Childrens Hosp Res Inst Manitoba, Canada,Karolinska Institutet, Sweden;University of Manitoba, Canada;George and Fay Yee Centre for Healthcare Innovation, Canada;The Children's Hospital Research Institute of Manitoba, Canada
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 (creator_code:org_t)
ELSEVIER, 2019
2019
English.
In: World Allergy Organization Journal. - : ELSEVIER. - 1939-4551. ; 12:9
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Objective: The economic burden of food allergy on households is poorly understood. We evaluated the household costs associated with specialist-diagnosed pediatric food allergy, with focus on age and disease severity. Study design: A cross-sectional study of 70 Swedish case-control pairs (59% boys) was conducted using Food Allergy Economic questionnaire. Household costs were analyzed between age- and gender-matched cases (children aged 0-17 years, with specialist-diagnosed food allergy) and controls (non-food allergic households). Results: Parents were predominantly university-educated and employed full-time. Most cases had parent-reported previous anaphylaxis. Mean total annual household costs were comparable between cases and controls. However, compared to controls, cases had significantly higher direct medical-, and non-medical related costs; higher indirect medical-related costs, and higher intangible costs (all p amp;lt; 0.05). In a sensitivity analyses of only cases aged 0-12 years, direct household costs, including lost earnings due to childs hospitalization, were significantly higher than controls. Results from only children with severe disease paralleled those of all cases vs. controls. Conclusions: Although pediatric food allergy is not associated with higher total annual household costs, these households have significantly higher direct medical-related, indirect and intangible costs vs. non-food allergic households. Higher household costs were identified amongst younger children, but not disease severity.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)

Keyword

Adolescents; Children; Costs; Food allergy; Household
Medicin

Publication and Content Type

ref (subject category)
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