Evidence map›Paper›PMID 39701275›Full record

ArticleThe journal of allergy and clinical immunology. In practice2025

The Psychosocial Burden of Pediatric Food Allergy in the United States: A Population-Based Survey.

Melissa L Engel, Christopher M Warren, Linda J Herbert, Andrea A Pappalardo, Ashley Ramos, Ruchi S Gupta

Abstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Incidence of food allergic reactions among adolescents engaged in food allergy management.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
    Trial
  2. Food allergy-related social anxiety: Novel conceptualization of an important but overlooked construct.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Melissa L EngelPritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill; Center for Food Allergy and Asthma Research and Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill. Electronic address: mengel@luriechildrens.org.
Christopher M WarrenCenter for Food Allergy and Asthma Research and Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill.
Linda J HerbertChildren's National Hospital and George Washington University School of Medicine, Washington, DC.
Andrea A PappalardoUniversity of Illinois at Chicago, Department of Medicine and Department of Pediatrics, Chicago, Ill.
Ashley RamosUniversity Hospitals Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Ruchi S GuptaCenter for Food Allergy and Asthma Research and Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill; Advanced General Pediatrics and Primary Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill.

Funding

FORWARD Supplement Standardizing EHR Data CollectionR01AI130348 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Ruchi S Gupta · 2017 to 2026
$10.9M
Intervention to Reduce Early (Peanut) Allergy in Children (iREACH)U01AI138907 · NIAID · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI GUPTA, RUCHI S · 2019 to 2023
$8.0M
US Prevalence, Distribution and Determinants of Adult and Childhood Food AllergyR21AI135702 · NIAID · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI GUPTA, RUCHI S · 2018 to 2019
$433k
NIAID NIH HHS R01 AI130348NIAID NIH HHS R21 AI135702NIAID NIH HHS U01 AI138907
6 · The paper itself

Abstract

backgroundFood allergy (FA) affects approximately 1 in 12 US children, with prevalence increasing. Aside from considerable health care utilization, accumulating research suggests heightened psychosocial burden among this population.

objectiveTo characterize FA-related psychosocial burden among a large, nationally representative pediatric sample, and its correlates, including sociodemographic characteristics, comorbid conditions, allergy severity, allergic symptoms, number and type of allergens, and health care utilization.

methodsA survey was administered between October 2015 and September 2016 to a nationally representative sample of US households. Survey constructs included the Food Allergy Independent Measure (FAIM), which was developed to quantify adverse impacts of living with FA on psychosocial burden (range, 1-7; higher scores indicate greater burden). FAIM responses were analyzed from caregivers reporting current FA in their child (N = 4734). Linear regression models examined associations with sociodemographic and FA characteristics.

resultsThe overall estimated mean caregiver-proxy FAIM scores for the US pediatric population were 2.79 (SE, 0.03) for reported FA, 2.96 (SE, 0.04) for convincing FA, and 3.21 (SE, 0.05) for physician-confirmed, convincing FA. Significant differences in caregiver-reported burden (P < .05) were found for sociodemographic (ie, household income, birth country, child age) and clinical (ie, FA severity, physician diagnosis, specific allergens) factors.

conclusionsAlthough heterogeneous to a degree, the psychosocial burden of children with FA was substantial irrespective of sociodemographic and clinical characteristics. FAIM norms can be used clinically, as well as be leveraged by other economic, epidemiological, and health efforts to understand the public health impact of FA.

Indexed as

Cost of IllnessFood HypersensitivityAdolescentAllergensCaregiversChildChild, PreschoolFemaleHumansInfantMalePrevalenceSurveys and QuestionnairesUnited StatesAllergensEpidemiologyFood allergyFood Allergy Independent MeasurePediatricsPsychosocial burdenQuality of life

Identifiers

PMID39701275
PMCPMC11921788

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.