Yamamoto-Hanada Kiwako, Futamura Masaki, Takahashi Osamu, Narita Masami, Kobayashi Fumio, Ohya Yukihiro
Division of Allergy, Department of Medical Subspecialties, National Center for Child Health and Development, Tokyo, Japan.
Department of Health and Psychosocial Medicine, Aichi Medical University School of Medicine, Aichi, Japan.
Pediatr Allergy Immunol. 2015 Nov;26(7):614-7. doi: 10.1111/pai.12442. Epub 2015 Aug 13.
Food allergy (FA) is one of the most important health issues in schoolchildren. Although one of the most common places where pediatric anaphylaxis occurs is the home of a peer, the perception and experiences of caregivers who do not have a child with FA are unclear.
An anonymous paper-based questionnaire was distributed to caregivers of FA children (FA caregivers) in the National Center for Child Health and Development and caregivers of non-FA children (non-FA caregivers) in public school in Tokyo. We examined the perception and experiences of FA among three groups: Group 1, non-FA caregiver who had not witnessed adverse reactions and near-miss events related to FA; Group 2, non-FA caregivers who had witnessed adverse reactions and near-miss events related to FA; and Group 3, caregivers who had a child with FA.
Epinephrine auto-injector was recognized by 43.6% non-FA caregivers. Only 2.8% of non-FA caregivers had experienced a child being bullied, harassed, or refused by a school because of FA. There were more caregivers in Group 2 who thought they could take the appropriate action if they witnessed a child with adverse response to causal food than in Group 1 (p < 0.05). All groups felt anxious over adverse events related to FA.
The experiences and perception of FA were lacking among non-FA caregivers. Therefore, it is also important to provide FA education for non-FA caregivers to improve the quality of life of FA children.
食物过敏(FA)是学童最重要的健康问题之一。尽管儿童过敏反应最常见的发生地点之一是同伴家中,但没有患食物过敏症孩子的照料者的认知和经历尚不清楚。
向国立儿童健康与发展中心的食物过敏儿童照料者(食物过敏照料者)以及东京公立学校的非食物过敏儿童照料者(非食物过敏照料者)发放了一份匿名纸质问卷。我们调查了三组人群对食物过敏的认知和经历:第1组,未目睹过与食物过敏相关的不良反应和险些发生的事件的非食物过敏照料者;第2组,目睹过与食物过敏相关的不良反应和险些发生的事件的非食物过敏照料者;第3组,有患食物过敏症孩子的照料者。
43.6%的非食物过敏照料者认识肾上腺素自动注射器。只有2.8%的非食物过敏照料者经历过孩子因食物过敏被学校欺负、骚扰或拒绝。第2组中认为如果目睹孩子对致敏食物有不良反应就能采取适当行动的照料者比第1组更多(p<0.05)。所有组都对与食物过敏相关的不良事件感到焦虑。
非食物过敏照料者对食物过敏的经历和认知不足。因此,为非食物过敏照料者提供食物过敏教育以提高食物过敏儿童的生活质量也很重要。