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Pediatric food allergy-related household costs are influenced by age, but not disease severity
Karolinska Inst, Sweden; Karolinska Inst, Sweden.
Karolinska Inst, Sweden; Karolinska Inst, Sweden.
Karolinska Inst, Sweden.
Karolinska Inst, Sweden; Soder Sjukhuset, Sweden.
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2019 (English)In: World Allergy Organization Journal, ISSN 1731-3317, E-ISSN 1939-4551, Vol. 12, no 9, article id 100061Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
ELSEVIER , 2019. Vol. 12, no 9, article id 100061
Keywords [en]
Adolescents; Children; Costs; Food allergy; Household
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-162561DOI: 10.1016/j.waojou.2019.100061ISI: 000497740400008PubMedID: 31641409OAI: oai:DiVA.org:liu-162561DiVA, id: diva2:1376251
Note

Funding Agencies|Swedish Asthma and Allergy Foundation [F2015-0004, F2015-0042]

Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2020-01-21

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Nilsson, EvalillStrömquist, JennieNilsson, Lennart
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Division of Community MedicineFaculty of Medicine and Health SciencesResearch & Development Unit in Local Health CareDepartment of Clinical and Experimental MedicineAllergy CenterDivision of Neuro and Inflammation Science
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