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首页> 外文期刊>Pediatric allergy, immunology, and pulmonology >Food Security, Utilization of Food Assistance Programs, and Caregiver Perceptions of Food-Induced Anaphylaxis Risk in Children with Food Allergies
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Food Security, Utilization of Food Assistance Programs, and Caregiver Perceptions of Food-Induced Anaphylaxis Risk in Children with Food Allergies

机译：粮食安全，食物援助计划的利用，以及食物诱导的食物诱导的食物过敏的过敏性危险的看法

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This study provides a preliminary investigation of food insecurity (FIS), food assistance program utilization (Supplemental Nutrition Assistance Program [SNAP], food banks), and history of food-induced anaphylaxis (FIA) in children with Food Allergy (FA). Pediatric FA affects 4% to 8% of US children. FIS is the uncertainty or inability to meet family food requirements. We expected that children of FIS families would be more likely to have history of FIA due to limited control over food selection. Caregivers (n=183; 50% mothers) of children with history of physician-diagnosed FA (57% male; M-Age=7.5 years; 67% white, 22% black, and 21% Latino) completed an online survey. Key variables included demographics, perceptions about FIS, and history of child FIA. Caregivers classified as FIS reported increased perceived risk of accidental ingestion ((2)=11.99, P=0.001, phi=0.27; 41% versus 17%), severe reaction ((2)=6.24, P=0.01, phi=0.20; 45% versus 24%), and death ((2)=22.55, P0.001, phi=0.36; 38% versus 12%). FIS status was associated with child history of FIA ((2)=5.54, P=0.02, phi=0.19) and utilization of food assistance programs ((2)=39.31, P0.01, phi=0.46; 52% versus 8%) and food banks ((2)=183)=37.99, P0.01, phi=0.46; 74% versus 28%). No differences between FIS and non-FIS caregivers were observed for income, ethnicity, or age. Surprisingly, no associations were observed between FIS status and demographics. Differences in perceptions of FA-related risks may reflect the challenges these families face to meet basic nutritional needs. Findings may also reflect experiences specific to FA, such as the economic burden of obtaining FA-safe foods; access to FA-safe foods; and FA-related anxiety. Future research is needed to examine FA risks and the impact of FIS on nutritional status.
机译：本研究规定了粮食不安全（FIS），粮食援助方案利用（补充营养援助计划[Snap]，食品银行）和食物诱导的食物过敏（FA）的过敏性（FIA）的疾病救助计划，食物银行（FIA）的初步调查。儿科FA影响美国儿童的4％至8％。 FIS是满足家庭食品要求的不确定性或无法确定性。我们希望FIS家庭的儿童更有可能由于对食品选择的控制而导致FIA的历史。护理人员（n = 183; 50％母亲）的医生诊断的FA历史（57％男性; M-岁= 7.5岁; 67％的白色，22％黑色和21％的拉丁裔）完成了在线调查。关键变量包括人口统计数据，关于FIS的看法以及儿童FIA的历史。作为FIS的护理人员报告了意外摄入的感知风险增加（（2）= 11.99，P = 0.001，PHI = 0.27; 41％对17％），重量反应（（2）= 6.24，P = 0.01，PHI = 0.20; 45％对24％）和死亡（（2）= 22.55，P <0.001，PHI = 0.36; 38％与12％）。 FIS状态与FIA的儿童历史有关（（2）= 5.54，P = 0.02，PHI = 0.19）和食物辅助程序的利用（（2）= 39.31，P <0.01，PHI = 0.46; 52％与8％ ）和食物堤（（2）= 183）= 37.99，P <0.01，PHI = 0.46; 74％对28％）。无法可及的收入，种族或年龄没有差别和非FIS护理人员之间没有差异。令人惊讶的是，在FIS状态和人口统计学之间没有观察到任何协会。对FA相关风险看法的差异可能反映了这些家庭面临基本营养需求的挑战。调查结果还可以反映对FA特定的经验，例如获得FA安全食品的经济负担;进入FA安全食品;和对相关的焦虑。未来的研究需要检查FA风险和FIS对营养状况的影响。

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