Associations of Food Allergy-Related Dietary Knowledge, Attitudes, and Behaviors Among Caregivers of Black and White Children With Food Allergy.
Associations of Food Allergy-Related Dietary Knowledge, Attitudes, and Behaviors Among Caregivers of Black and White Children With Food Allergy.
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DOI：
10.1016/j.jand.2021.11.017
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发表时间：
2022-04
影响因子：
4.8
通讯作者：
Gupta, Ruchi S.
中科院分区：
文献类型：
--
作者：
Vincent, Eileen;Bilaver, Lucy A.;Fierstein, Jamie L.;Thivalapill, Neil;Pappalardo, Andrea A.;Coleman, Amaziah;Robinson, Adam;Sharma, Hemant P.;Brewer, Audrey;Assa'ad, Amal H.;Jiang, Jialing;Hultquist, Haley W.;Kulkarni, Ashwin J.;Choi, Johnathan;Mahdavinia, Mahboobeh;Pongracic, Jacqueline;Tobin, Mary C.;Warren, Christopher;Gupta, Ruchi S.
在美国，儿童食物过敏（FA）的患病率越来越高，对非西班牙裔黑人青年的影响不成比例。然而，种族和其他社会经济的差异，在FA的儿童照顾者之间的FA管理仍不清楚。确定社会经济、临床和医疗保健因素与FA相关知识、态度和行为（KAB）之间的关联，这些因素存在于患有FA的黑人和白色儿童的照顾者中。来自白色和非洲裔美国人种族差异相关的食物过敏结局（FORWARD）研究的横断面调查分析。2017年至2021年3月期间，居住在伊利诺伊州芝加哥、俄亥俄州辛辛那提和华盛顿，华盛顿特区的385名出生至12岁FA年龄的黑人和白色儿童的看护者纵向队列。有三个主要关注的结局：1）通过知识调查的评分评估FA知识，2）通过新开发的调查评估FA相关态度，3）通过入组后6个月完成的FORWARD饮食和购买习惯调查评估食物相关行为。多变量线性和logistic回归。对入组后6个月调查的总体应答率为51.3%（751人中的385人）。白色照顾者占参与者的69.4%。黑人与FA知识得分低1.5分相关（95%置信区间（CI）：-2.2，-0.7）而获得研究生学位或学士学位与1.7分的增长相关（95% CI：0.8，2.7）和1.1点增加（95% CI：0.2，2.0）的整体FA知识得分分别与收入低于学士学位的照顾者。有多种食物过敏和曾经访问过艾德的食物相关的过敏反应也与较高水平的FA知识。到艾德看过FA也与反映父母焦虑的FA态度的两个指标的更高几率相关。更高的FA知识得分始终与几种FA相关的食物购买和饮食行为的可能性较低相关，这些行为被认为具有升高的风险。吃学校准备的食物是唯一与种族有关的FA行为。与白色儿童相比，黑人儿童吃学校准备的食物的可能性高2.5倍（95% CI：1.2 - 5.6）。这项研究的结果确定了社会经济，种族和临床因素与照顾者的FA相关的KAB，但进一步的研究是必要的，以更好地了解这些关系。
The increasing prevalence of pediatric food allergy (FA) in the US has disproportionately affected non-Hispanic Black youth. However, racial and other socioeconomic disparities in FA management among caregivers of children with FA remain unclear. To determine associations between socioeconomic, clinical, and healthcare factors and FA-related knowledge, attitudes and behaviors (KAB) among caregivers of Black and White children with FA. Cross-sectional survey analysis from the Food Allergy Outcomes Related to White and African American Racial Differences (FORWARD) Study. Longitudinal cohort of caregivers of 385 Black and White children with FA ages birth-12 years of age residing in Chicago, IL, Cincinnati, OH and Washington, D.C. from 2017- March 2021. There were three primary outcomes of interest: 1) FA knowledge assessed by scores from the Knowledge Survey, 2) FA-related attitudes assessed by newly developed survey and 3) food- related behaviors assessed by the FORWARD Diet and Purchasing Habit Surveys completed six months post-enrollment. Multivariable linear and logistic regression. The overall response rate to the six months post-enrollment survey was 51.3% (385 of 751). White caregivers represented 69.4% of the participants. Black race was associated with a 1.5-point lower FA knowledge score (95% Confidence Interval (CI):: −2.2, −0.7) while earning a graduate degree or bachelor’s degree was associated with associated with a 1.7-point increase (95% CI: 0.8, 2.7) and 1.1-point increase (95% CI: 0.2, 2.0) in overall FA knowledge score, respectively, compared with caregivers earning less than a bachelor’s degree. Having multiple food allergies and having ever visited the ED for a food-related allergic reaction were also associated with higher levels of FA knowledge. Having visited the ED for FA was also associated with higher odds of two measures of FA attitudes reflecting parental anxiety. Greater FA knowledge scores were consistently associated with lower odds of several FA related food purchasing and eating behaviors assumed to have elevated risk. Eating food prepared at school was the only FA behavior associated with race. Compared to White children, Black children were 2.5 times more likely to eat school-prepared foods (95% CI: 1.2 – 5.6). Findings from this study identified socioeconomic, racial, and clinical factors associated with caregivers’ FA-related KAB, but further research is warranted to better understand these relationships.
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DOI：
10.1016/j.jaip.2016.10.006
发表时间：
2017-03-01
影响因子：
9.4
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影响因子：
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