Understanding Precautionary Allergen Labeling (PAL) Preferences Among Food Allergy Stakeholders
Understanding Precautionary Allergen Labeling (PAL) Preferences Among Food Allergy Stakeholders
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DOI：
10.1016/j.jaip.2020.09.022
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发表时间：
2021-01-06
影响因子：
9.4
通讯作者：
Bilaver, Lucy
中科院分区：
文献类型：
--
作者：
Gupta, Ruchi;Kanaley, Madeleine;Bilaver, Lucy
背景：食物过敏(FA)在美国是一个日益严重的公共卫生问题，大约8%的儿童和11%的成年人受到影响。美国目前对包装食品上使用预防性过敏原标签(PAL)缺乏明确的要求，如“可能含有”或“在共享设备上制造”。由于缺乏具体的政府政策，导致了不一致的标签实践和混乱。目的：本研究旨在了解FA利益相关者对PAL声明的当前知识和偏好。结果：在3008名被调查者中，24.2%的被调查者能够正确回答4个有关PAL政策的问题。当被问及他们的购物习惯时，大多数受访者从来没有购买过带有“可能含有微量过敏原”标签的产品(85.5%)，相比之下，从未购买过带有“用于在同时加工过敏原的工厂中分离成分的良好制造规范”的产品(35.0%)。他们最喜欢的PAL声明是“不适合患有‘空白’过敏症的人”(29.3%)和“可能含有”(22.1%)。卫生保健提供者对PAL的讨论各不相同，并与购买行为密切相关。结论：这些结果表明，FA消费者不知道PAL政策，并根据PAL中的词语做出决定。他们更喜欢在产品上有更清晰、更具体和一致的标签，这表明需要明确的PAL政策，以使客户能够轻松地识别安全食品。爱思唯尔公司代表美国过敏、哮喘和免疫学学会出版
BACKGROUND: Food allergy (FA) is an increasing public health concern in the United States, affecting approximately 8% of children and 11% of adults. The United States currently lacks clear requirements for the use of precautionary allergen labeling (PAL) on packaged foods, such as "may contain" or "made on shared equipment." This lack of specific governmental policy results in inconsistent labeling practices and confusion.OBJECTIVE: This study aimed to understand current knowledge and preferences for PAL statements among FA stakeholders.METHODS: A cross-sectional survey was sent to FA stakeholders. Descriptive statistics and associations from logistic regressions were used to assess respondents' knowledge of PAL policy, shopping habits, and preferences around PAL.RESULTS: Of 3008 respondents, 24.2% were able to correctly answer 4 questions surrounding PAL policies. When asked about their shopping habits, the majority of respondents never purchase products with a "May contain traces of allergen" label (85.5%) in comparison with never purchasing products with a "Good manufacturing practices used to segregate ingredients in a facility that also processes allergen" label (35.0%). Their top preferences for a PAL statement were "Not suitable for people with 'blank' allergy" (29.3%) and "May contain" (22.1%). Health care provider discussions around PAL varied and were strongly associated with purchasing behaviors.CONCLUSIONS: These results suggest that FA consumers are not aware of PAL policies and make decisions based on the words in the PAL. They prefer having clearer, more specific, and consistent labeling on products, indicating that explicit PAL policies are needed to allow customers to easily identify safe foods. Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology