Children's Hospital Research Institute of Manitoba, Winnipeg, Canada; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Canada.
Department of Social Work, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Ann Allergy Asthma Immunol. 2021 Nov;127(5):536-547.e3. doi: 10.1016/j.anai.2021.04.034. Epub 2021 May 7.
OBJECTIVE: Although a number of articles have described the psychosocial impact of raising a child with a food allergy, recent attempts at synthesizing this literature have been narrow in focus or methodologically limited. Consequently, this study aimed to synthesize both the quantitative and qualitative literature to achieve a better understanding of the psychosocial and financial burdens faced by families who raise children with food allergy. DATA SOURCES: Searches were performed on PubMed, Scopus, PsycInfo, and Cumulative Index to Nursing and Allied Health Literature databases for articles related to the psychosocial and financial burden experienced by individuals who care for a child with food allergy. STUDY SELECTIONS: English language, original research articles were included in this review. RESULTS: A total of 54 articles were deemed eligible for review. Results from the quantitative literature revealed that parents of children with food allergy (ie, food allergy and food protein-induced enterocolitis, proctocolitis, and enteropathy) consistently reported lower quality of life than their comparison groups. Within-group analyses suggest that this burden is increased for parents who manage multiple food allergies, severe food allergy, and comorbid allergic conditions. Thematic synthesis of the qualitative literature suggests that the psychosocial burden shouldered by parents of children with food allergy stems, in part, from the unpredictable threat of exposure and the practical and social burdens of managing a food allergy. In addition to psychosocial burdens, a small but growing body of literature suggests that families with food allergy also incur greater financial costs. CONCLUSION: Findings suggest that pediatric food allergy imposes considerable burdens on parents both quantitatively and qualitatively.
目的:尽管已有许多文章描述了养育食物过敏儿童对其心理社会的影响,但最近综合这些文献的尝试要么聚焦狭窄,要么方法学上受限。因此,本研究旨在综合定量和定性文献,以更好地了解养育食物过敏儿童的家庭所面临的心理社会和经济负担。
资料来源:在 PubMed、Scopus、PsycInfo 和 Cumulative Index to Nursing and Allied Health Literature 数据库中进行了与照顾食物过敏儿童的个体所经历的心理社会和经济负担相关的文章检索。
研究选择:纳入本综述的文章为英文原创研究。
结果:共有 54 篇文章被认为符合审查标准。定量文献的结果表明,食物过敏儿童的父母(即食物过敏和食物蛋白诱导的结肠炎、直肠结肠炎和肠病)的生活质量始终低于对照组。组内分析表明,对于管理多种食物过敏、严重食物过敏和并存过敏疾病的父母来说,这种负担会增加。对定性文献的主题综合表明,养育食物过敏儿童的父母所承受的心理社会负担部分源于暴露的不可预测性威胁,以及管理食物过敏的实际和社会负担。除了心理社会负担外,越来越多的文献表明,食物过敏的家庭还会产生更大的经济成本。
结论:研究结果表明,儿科食物过敏在数量和质量上都给父母带来了相当大的负担。
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