title: Consumer attitudes and risks associated with packaged foods having advisory labeling regarding the presence of peanuts.
abstract: BACKGROUND
  Foods with advisory labeling (eg, "may contain") are increasingly prevalent. Consumers with food allergies might ignore advisory labeling advice.
  
  
  OBJECTIVE
  We sought to determine whether consumers with food allergy heeded advisory labels and whether products with advisory labels contained detectable peanut allergen.
  
  
  METHODS
  Surveys (n = 625 in 2003 and n = 645 in 2006) were conducted at Food Allergy & Anaphylaxis Network patient conferences. Food products bearing advisory statements regarding peanuts were analyzed for the presence of peanut.
  
  
  RESULTS
  Consumers were less likely to heed advisory labeling in 2006 (75%) compared with in 2003 (85%, P < .01); behavior varied significantly according to the form of the statement. Peanut protein was detected in 10% (20/200) of total food products bearing advisory statements, although clinically significant levels of peanut (>1 mg of peanut or >0.25 mg of peanut protein) were detected in only 13 of 200 such products.
  
  
  CONCLUSIONS
  Consumers with food allergy are increasingly ignoring advisory labeling. Because food products with advisory labeling do contain detectable levels of peanuts, a risk exists to consumers choosing to eat such foods. The format of the labeling statement did not influence the likelihood of finding detectable peanut, except for products listing peanuts as a minor ingredient, but did influence the choices of consumers with food allergy.
  
  
  CONCLUSIONS
  Allergic patients are taking risks by increasingly disregarding advisory labeling.
authors.affiliation: Food Allergy Research and Resource Program, Department of Food Science and Technology, University of Nebraska, Lincoln, NE 68583-0919, USA.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Hefle
authors.forename: Terence J
authors.initials: TJ
authors.lastname: Furlong
authors.forename: Lynn
authors.initials: L
authors.lastname: Niemann
authors.forename: Heather
authors.initials: H
authors.lastname: Lemon-Mule
authors.forename: Scott
authors.initials: S
authors.lastname: Sicherer
authors.forename: Steve L
authors.initials: SL
authors.lastname: Taylor
mesh_terms: D000485:Allergens / Q000032:analysis; D001290:Attitude; D005504:Food Analysis; D005515:Food Labeling; D006801:Humans; D021183:Peanut Hypersensitivity / Q000523:psychology*; D012306:Risk
chemical_list: D000485:Allergens