Risk taking and self-care behaviours amongst adolescents and young adults with food allergies

Main Article Content

Hannah Keohane
Caoimhe Cronin
Juan Trujillo

Keywords

Adolescents, teenagers, food-allergy, behaviour, anaphylaxis

Abstract

Background: Anaphylaxis is a systemic, life-threatening reaction and its prevalence is rising amongst adolescents and young adults (AYA) with food allergies. The likelihood of fatal anaphylaxis is disproportionately high in this population. The effective management of anaphylaxis can be done by adhering to various food allergy-related self-care behaviours, namely avoidance of allergens, carriage and use of adrenaline auto-injectors (AAI). Unfortunately, compliance of AYA to these behaviours is believed to be suboptimal and the likely reason behind their increased rates of fatal anaphylaxis.


Methodology: To evaluate the adherence to food allergy-related self-care behaviours amongst adolescents and young adults with anaphylaxis an electronic search was conducted utilizing PubMed, MEDLINE, and CINAHL plus to identify relevant studies. 175 article abstracts were screened, and 26 remained which were read in full to determine which best satisfied the inclusion and exclusion criteria. Ultimately, 10 articles were selected for this review.


Results: The compliance to food allergy-related self-care behaviours amongst AYA founded to be suboptimal. AAI design, peer influence, and emotional attitudes of AYA were found to be the most significant factors influencing AYA compliance to self-care behaviours.


Conclusions: The adherence of AYA to food allergy-related self-care behaviours is suboptimal and evidence on the factors affecting AYA compliance has been largely contradictory. AAI design, peer influence, and emotional attitudes are significant factors influencing AYA adherence. Therefore, further research directed at these factors is imperative in facilitating the design of guidelines to maximize the adherence of AYA to food allergy-related self-care behaviours.

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References

1. Wood RA, Camargo CA, Lieberman P, Sampson HA, Schwartz LB, Zitt M, et al. Anaphylaxis in America: The prevalence and characteristics of anaphylaxis in the United States. J Aller Clin Immunol. 2014;133(2):461–467. 10.1016/j.jaci.2013.08.016

2. Sampson HA, Muñoz-Furlong A, Campbell RL, Adkinson NF, Bock SA, Branum A, et al. Second symposium on the definition and management of anaphylaxis: Summary report–Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. J Aller Clin Immunol. 2006;117(2):391–397. 10.1016/j.jaci.2005.12.1303

3. Robinson M, Greenhawt M, Stukus DR. Factors associated with epinephrine administration for anaphylaxis in children before arrival to the emergency department. Ann Allergy Asthma Immunol. 2017;119(2):164–169. 10.1016/j.anai.2017.06.001

4. Pumphrey RSH. Fatal anaphylaxis in the UK, 1992-2001. In: Novartis Foundation Symposium; 2004. London

5. Bock SA, Muñoz-Furlong A, Sampson HA. Further fatalities caused by anaphylactic reactions to food, 2001-2006. J Allergy Clin Immunol. 2007; 119(4):1016–1018. 10.1016/j.jaci.2006.12.622

6. Jones CJ, Llewellyn CD, Frew AJ, du Toit G, Mukhopadhyay S, Smith H. Factors associated with good adherence to self-care behaviours amongst adolescents with food allergy. Pediatr Allergy Immunol. 2015;26(2):111–118. 10.1111/pai.12333

7. Noimark L, Wales J, du Toit G, Pastacaldi C, Haddad D, Gardner J, et al. The use of adrenaline autoinjectors by children and teenagers. Clin Exp Allergy. 2012;42(2):284–292. 10.1111/j.1365-2222.2011.03912.x

8. Sampson MA, Muñoz-Furlong A, Sicherer SH. Risk-taking and coping strategies of adolescents and young adults with food allergy. J Allergy Clin Immunol. 2006;117(6):1440–1445. 10.1016/j.jaci.2006.03.009

9. Warren CM, Dyer AA, Otto AK, Smith BM, Kauke K, Dinakar C, et al. Food allergy-related risk-taking and management behaviors among adolescents and young adults. J Allergy Clin Immunol. 2017;5(2):381.e13–390.e13. 10.1016/j.jaip.2016.12.012

10. Gallagher M, Worth A, Cunningham-Burley S, Sheikh A. Epinephrine auto-injector use in adolescents at risk of anaphylaxis: A qualitative study in Scotland, UK. Clin Exp Allergy. 2011;41(6):869–877. 10.1111/j.1365-2222.2011.03743.x

11. Simons FER, Clark S, Camargo CA. Anaphylaxis in the community: Learning from the survivors. J Allergy Clin Immunol. 2009;124(2):301–306. 10.1016/j.jaci.2009.03.050

12. Greenhawt MJ, Singer AM, Baptist AP. Food allergy and food allergy attitudes among college students. J Allergy Clin Immunol. 2009;124(2):323–327. 10.1016/j.jaci.2009.05.028

13. Múgica-García MV, Tejedor-Alonso MA, Moro-Moro M, Esteban-Hernández J, Rojas-Perez-Ezquerra PE, Vila-Albelda C, et al. Self-management of anaphylaxis is not optimal. J Invest Allergol Clin Immunol. 2015;25(6):408–415. PMid: 26817137.

14. MacAdam C, Barnett J, Roberts G, Stiefel G, King R, Erlewyn-Lajeunesse M, et al. What factors affect the carriage of epinephrine auto-injectors by teenagers? Clin Transl Allergy. 2012;2(1):3. 10.1186/2045-7022-2-3

15. Monks H, Gowland MH, MacKenzie H, Erlewyn-Lajeunesse M, King R, Lucas JS, et al. How do teenagers manage their food allergies? Clin Exp Allergy. 2010;40(10):1533–1540. 10.1111/j.1365-2222.2010.03586.x

16. Simons KJ, Simons FER. Epinephrine and its use in anaphylaxis: Current issues. Curr Opinion Allergy Clin Immunol. 2010;10(4):354–361. 10.1097/ACI.0b013e32833bc670

17. Sheikh A, Shehata YA, Brown SGA, Simons FER. Adrenaline for the treatment of anaphylaxis: Cochrane systematic review. Allergy: Eur J Allergy Clin Immunol. 2009;64(2):204–212. 10.1097/ACI.0b013e32833bc670

18. Berg CA, King PS, Butler JM, Pham P, Palmer D, Wiebe DJ. Parental involvement and adolescents’ diabetes management: The mediating role of self-efficacy and externalizing and internalizing behaviors. J Pediatr Psychol. 2011;36(3):329–339. 10.1093/jpepsy/jsq088

19. Mullins RJ. Anaphylaxis: Risk factors for recurrence. ClinExp Allergy. 2003;33(8):1033–1040. 10.1046/j.1365-2222.2003.01671.x

20. Cummings AJ, Knibb RC, King RM, Lucas JS. The psychosocial impact of food allergy and food hypersensitivity in children, adolescents and their families: A review. Allergy: Eur J Allergy Clin Immunol. 2010;65(8):933–945. 10.1111/j.1398-9995.2010.02342.x

21. Brantlee Broome-Stone S. The psychosocial impact of life-threatening childhood food allergies. Pediat Nurs. 2012;38(6):327–330. PMid: 23362632.

22. Feng C, Kim JH. Beyond avoidance: The psychosocial impact of food allergies. Clin Rev Allergy Immunol. 2019;57(1):74–82. 10.1007/s12016-018-8708-x

23. Pumphrey RSH. When should self-injectible epinephrine be prescribed for food allergy and when should it be used? Curr Opinion Allergy Clin Immunol. 2008;8(3):254–260. 10.1097/ACI.0b013e3282ffb168

24. Dean AJ, Walters J, Hall A. A systematic review of interventions to enhance medication adherence in children and adolescents with chronic illness. Arch Dis Child. 2010;95:(9):717–723. 10.1136/adc.2009.175125

25. Harris KM, Kneale D, Lasserson TJ, Mcdonald VM, Grigg J, Thomas J. School-based self-management interventions for asthma in children and adolescents: A mixed methods systematic review. Cochrane Database Syst Rev. 2019;1(1):CD011651. 10.1002/14651858.CD011651.pub2

26. Harris K, Mosler G, Grigg J. Theory-based self-management intervention to improve adolescents’ asthma control: A cluster randomised controlled trial protocol. BMJ Open. 2019;9(4):e025867. 10.1136/bmjopen-2018-025867

27. Grape A, Rhee H, Sanchez P. Evaluation of a peer-led asthma self-management group intervention for urban adolescents. J Pediatr Nurs. 2019;45:1–6. 10.1016/j.pedn.2018.12.011

28. Voltas N, Arija V, Aparicio E, Canals J. Longitudinal study of psychopathological, anthropometric and sociodemographic factors related to the level of Mediterranean diet adherence in a community sample of Spanish adolescents. Public Health Nutr. 2016;19(10):1812–1822. 10.1017/S1368980015003560

29. van Wyk BE, Davids LAC. Challenges to HIV treatment adherence amongst adolescents in a low socio-economic setting in Cape Town. Southern African J HIV Med. 2019;20(1):1002. 10.4102/sajhivmed.v20i1.1002

30. Adejumo OA, Malee KM, Ryscavage P, Hunter SJ, Taiwo BO. Contemporary issues on the epidemiology and antiretroviral adherence of HIV-infected adolescents in sub-Saharan Africa: A narrative review. J Int AIDS Soc. 2015;18(1):20049. 10.7448/IAS.18.1.20049

31. Jeminiwa R, Hohmann L, Qian J, Garza K, Hansen R, Fox BI. Impact of eHealth on medication adherence among patients with asthma: A systematic review and meta-analysis. Respiratory Med. 2019;149:59–68. 10.1016/j.rmed.2019.02.011

32. Scalzi LV., Hollenbeak CS, Mascuilli E, Olsen N. Improvement of medication adherence in adolescents and young adults with SLE using web-based education with and without a social media intervention, a pilot study. Pediatr Rheumatol. 2018;16(1):18. 10.1186/s12969-018-0232-2

33. Rachid O, Rawas-Qalaji M, Simons KJ. Epinephrine in anaphylaxis: Preclinical study of pharmacokinetics after sublingual administration of taste-masked tablets for potential pediatric use. Pharmaceutics. 2018;10(1):24. 10.3390/pharmaceutics10010024