Kim Sukyung, Kim Minji, Kim Jiwon, Park Boram, Min Nuri, Jung Minyoung, Yu Seoyoung, Lee Ji Young, Yoo Hye Won, Kim Hye-Young, Ahn Kangmo, Kim Jihyun
Department of Pediatrics, Hallym University Dongtan Sacred Heart Hospital, Hallym University School of Medicine, Hwaseong, Korea.
Department of Pediatrics, Chungnam National University Sejong Hospital, Chungnam National University College of Medicine, Sejong, Korea.
Allergy Asthma Immunol Res. 2023 Jan;15(1):43-54. doi: 10.4168/aair.2023.15.1.43.
PURPOSE: This study aimed to evaluate the reliability and validity of the Korean version of the Food Allergy Quality of Life Questionnaire-Parent Form (K-FAQLQ-PF) and to identify clinical characteristics related to low quality of life (QoL) in Korean children with food allergy (FA). METHODS: Parents of 0-12-year-old patients with FA were enrolled. The English version of FAQLQ-PF was translated into Korean. Construct validation was confirmed by the Food Allergy Independent Measure-Parent Form (FAIM-PF) and the Child Health Questionnaire Parent Form 28 (CHQ-PF28). Logistic regression analyses were used to evaluate associations between potential risk factors and QoL outcomes. RESULTS: A total of 182 patients with a median age of 5.0 years were enrolled in the study. Cronbach's α coefficient values indicating internal consistency were higher than 0.8. Intraclass correlation coefficient values for test-retest reliability were good for all age groups ( > 0.6). Total K-FAQLQ-PF scores were positively correlated with the FAIM-PF ( = 0.56, < 0.05) and were negatively correlated with the parental impact-emotional domain in the CHQ-PF28 ( = -0.44, < 0.05). In multivariable logistic regression analysis, low QoL was significantly associated with female sex (adjusted odds ratio [aOR], 2.07; 95% confidence interval [CI], 1.03-4.18), age ≥ 5 years (aOR, 2.84; 95% CI, 1.31-6.16), FA diagnosis before the age of 3 years (aOR, 3.96; 95% CI, 1.13-13.93), the presence of atopic dermatitis (aOR, 2.21; 95% CI, 1.07-4.57), and residence in non-metropolitan areas (aOR, 3.44; 95% CI, 1.73-6.85). CONCLUSIONS: According to parental perceptions, the K-FAQLQ-PF is a valid and reliable tool to assess psychosocial QoL in Korean children with FAs. Age, sex, residential area, and comorbid AD can affect the QoL of pediatric patients with FA.
目的:本研究旨在评估韩文版食物过敏生活质量问卷家长版(K-FAQLQ-PF)的信效度,并确定韩国食物过敏(FA)儿童生活质量(QoL)低下相关的临床特征。 方法:纳入0至12岁FA患儿的家长。将英文版FAQLQ-PF翻译成韩文。通过食物过敏独立测量家长版(FAIM-PF)和儿童健康问卷家长版28(CHQ-PF28)确认结构效度。采用逻辑回归分析评估潜在危险因素与QoL结果之间的关联。 结果:共纳入182例中位年龄为5.0岁的患者。表明内部一致性的Cronbach's α系数值高于0.8。所有年龄组的重测信度组内相关系数值良好(>0.6)。K-FAQLQ-PF总分与FAIM-PF呈正相关(=0.56,<0.05),与CHQ-PF28中家长影响-情感领域呈负相关(= -0.44,<0.05)。在多变量逻辑回归分析中,低QoL与女性性别(调整优势比[aOR],2.07;95%置信区间[CI],1.03 - 4.18)、年龄≥5岁(aOR,2.84;95% CI,1.31 - 6.16)、3岁前诊断为FA(aOR,3.96;95% CI,1.13 - 13.93)、存在特应性皮炎(aOR,2.21;95% CI,1.
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