Skip to main content
Top
Published in: BMC Pediatrics 1/2018

Open Access 01-12-2018 | Research article

Parent perspectives on school food allergy policy

Authors: S. Shahzad Mustafa, Anne F. Russell, Olga Kagan, Lauren M. Kao, Diane V. Houdek, Bridget M. Smith, Julie Wang, Ruchi S. Gupta

Published in: BMC Pediatrics | Issue 1/2018

Login to get access

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.
Literature
1.
go back to reference Gupta RS, Springston EE, Warrier MR, Smith B, Kumar R, Pongracic J, Holl JL. Pediatrics. 2011;128(1):e9–17.CrossRefPubMed Gupta RS, Springston EE, Warrier MR, Smith B, Kumar R, Pongracic J, Holl JL. Pediatrics. 2011;128(1):e9–17.CrossRefPubMed
2.
go back to reference 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.CrossRef 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.CrossRef
3.
go back to reference Sampath V, Sindher SB, Zhang W, Nadeau KC. Annals Allergy Asthma Immunol. 2018;120:254–62.CrossRef Sampath V, Sindher SB, Zhang W, Nadeau KC. Annals Allergy Asthma Immunol. 2018;120:254–62.CrossRef
6.
go back to reference Nowak-Wegrzyn A, Conover-Walker MK, Wood RA. Arch Ped Adolest Med. 2001;155(7):790–5.CrossRef Nowak-Wegrzyn A, Conover-Walker MK, Wood RA. Arch Ped Adolest Med. 2001;155(7):790–5.CrossRef
7.
go back to reference White MV, Hogue SL, Bennett ME, Gross D, Millar K, Hollis K, Siegel PH, Wolf RA, Wooddell MJ, Silvia S. Allergy Asthma Proc. 2015;36(4):306–12.CrossRefPubMed White MV, Hogue SL, Bennett ME, Gross D, Millar K, Hollis K, Siegel PH, Wolf RA, Wooddell MJ, Silvia S. Allergy Asthma Proc. 2015;36(4):306–12.CrossRefPubMed
9.
go back to reference Sicherer SH, Furlong TJ, DeSimone J, Sampson HA. J Pediatrics. 2001;138(4):560–5.CrossRef Sicherer SH, Furlong TJ, DeSimone J, Sampson HA. J Pediatrics. 2001;138(4):560–5.CrossRef
10.
go back to reference Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. J Biomed Inform. 2009;42(2):377–81.CrossRefPubMed Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. J Biomed Inform. 2009;42(2):377–81.CrossRefPubMed
15.
go back to reference Shah SS, Parker CL, Smith EB, Davis CM. J Allergy Clin Immunol IP. 2014;2(3):288–93.CrossRef Shah SS, Parker CL, Smith EB, Davis CM. J Allergy Clin Immunol IP. 2014;2(3):288–93.CrossRef
17.
go back to reference Sicherer SH, Mahr T. American Academy of Pediatrics section on allergy and immunology. Pediatrics. 2010;126(6):1232–9.CrossRefPubMed Sicherer SH, Mahr T. American Academy of Pediatrics section on allergy and immunology. Pediatrics. 2010;126(6):1232–9.CrossRefPubMed
18.
go back to reference McIntyre CL, Sheetz AH, Carroll CR, Young MC. Pediatrics. 2005;11695:1134–40.CrossRef McIntyre CL, Sheetz AH, Carroll CR, Young MC. Pediatrics. 2005;11695:1134–40.CrossRef
20.
21.
go back to reference Wahl A, Stephens H, Ruffo M, Jones AL. J School Nursing. 2015;31(2):91–8.CrossRef Wahl A, Stephens H, Ruffo M, Jones AL. J School Nursing. 2015;31(2):91–8.CrossRef
23.
24.
25.
go back to reference Bollinger ME, Dahlquist LM, Mudd K, Sonntag C, Dillinger L, McKenna K. Ann Allergy Asthma Immunol. 2006;96(3):415–21.CrossRefPubMed Bollinger ME, Dahlquist LM, Mudd K, Sonntag C, Dillinger L, McKenna K. Ann Allergy Asthma Immunol. 2006;96(3):415–21.CrossRefPubMed
26.
go back to reference Springston EE, Smith B, Shulruff J, Pongracic J, Holl JL, Gupta RS. Ann Allergy Asthma Immunol. 2010;105(4):287–94.CrossRefPubMed Springston EE, Smith B, Shulruff J, Pongracic J, Holl JL, Gupta RS. Ann Allergy Asthma Immunol. 2010;105(4):287–94.CrossRefPubMed
28.
Metadata
Title
Parent perspectives on school food allergy policy
Authors
S. Shahzad Mustafa
Anne F. Russell
Olga Kagan
Lauren M. Kao
Diane V. Houdek
Bridget M. Smith
Julie Wang
Ruchi S. Gupta
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-018-1135-6

Other articles of this Issue 1/2018

BMC Pediatrics 1/2018 Go to the issue