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. 2018 May 12;18(1):164.
doi: 10.1186/s12887-018-1135-6.

Parent perspectives on school food allergy policy

S Shahzad Mustafa  1   2 , Anne F Russell  3 , Olga Kagan  4 , Lauren M Kao  5 , Diane V Houdek  5 , Bridget M Smith  5   6 , Julie Wang  7 , Ruchi S Gupta  8   9   10
Affiliations

Parent perspectives on school food allergy policy

S Shahzad Mustafa et al. BMC Pediatr. .

Abstract

Background: Food allergy affects up to 8% of children in the U.S. There is minimal research to date on food allergy policies that are currently in place in schools and the opinions of parents of children with food allergy on the effectiveness of or need for these policies.

Methods: An electronic survey was disseminated to parents of children with food allergy. Frequencies were calculated to describe respondent characteristics and responses. Chi-square tests were performed to examine associations between school and child characteristics and outcomes.

Results: Of the 289 parent respondents, 27.4% were unsure or felt school was unsafe for their child with food allergy. While the majority felt that the polices in their child's school were helpful, most also believed that implementation of additional polices was necessary, including availability of stock epinephrine (94.2%), lunch menus with allergen information (86%), ingredient labels on food items (81%), and direct food allergy education for students (86%). There were significant differences in school food allergy policy depending on the age of the student body, private versus public school, and geographic location.

Conclusions: While most schools reportedly have one or more food allergy policies in place, many parents have concerns over the safety of their child at school and feel that additional policies are necessary to improve the safety of the school environment for children with food allergy. The availability of stock epinephrine, improved allergen labeling of food and menus and increased food allergy education may be key policy areas on which to focus.

Keywords: Anaphylaxis; Epinephrine; Food allergy; Food labeling; Policy; School.

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Conflict of interest statement

Ethics approval and consent to participate

Informed consent was obtained before a participant could access the survey. This study was deemed exempt by the Institutional Review Board of Northwestern University.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. Gupta RS, Springston EE, Warrier MR, Smith B, Kumar R, Pongracic J, Holl JL. Pediatrics. 2011;128(1):e9–17. doi: 10.1542/peds.2011-0204. - DOI - PubMed
    1. Liu AH, Jaramillo R, Sicherer SH, Wood RA, Bock SA, Burks AW, Massing M, Cohn RD, Zeldin DC. J Allergy CIin Immunol. 2010;126(4):798–806. doi: 10.1016/j.jaci.2010.07.026. - DOI - PMC - PubMed
    1. Sampath V, Sindher SB, Zhang W, Nadeau KC. Annals Allergy Asthma Immunol. 2018;120:254–262. doi: 10.1016/j.anai.2018.01.004. - DOI - PMC - PubMed
    1. United States Centers for Disease Control and Prevention. Voluntary guidelines for managing food allergies in schools and early care and education programs. https://www.cdc.gov/healthyschools/foodallergies/pdf/13_243135_A_Food_Al.... Accessed 25 Mar 2018.
    1. Hogue SL, Goss D, Hollis K, Silvia S, White MV. J Asthma Allergy. 2016;9:109–115. doi: 10.2147/JAA.S106567. - DOI - PMC - PubMed

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