title: Socioeconomic Impacts of Gluten-Free Diet among Saudi Children with Celiac Disease.
abstract: OBJECTIVE
  To determine the socio-economic impact of gluten free diet (GFD) on Saudi children and their families.
  
  
  METHODS
  A cross-sectional study was conducted in which an online questionnaire was sent to all families registered in the Saudi celiac patients support group. We included only children (age 18 years of age and younger) with biopsy-confirmed celiac disease (CD).
  
  
  RESULTS
  A total of 113 children were included in the final analysis, the median age was 9.9 years; 62.8% were females. One hundred (88.5%) of the participating families reported that GFD food was not easily available in their areas, 17% of them reported that it was not available at all in their area. One hundred and six (93.8%) reported that the price of GFD food was very expensive and 70 (61.9%) families that the diet was heavily affecting their family budget. Significant social difficulties were reported among the participating families and their children including interference with the child's interaction with other children (49.6%), the families' ability to attend social gatherings (60.2%), the families' ability to eat in restaurants (73.5%), and the families' ability to travel (58.4%).
  
  
  CONCLUSIONS
  There is significant negative socio-economic impact of GFD on children with CD & their families. Health care providers should be aware of these psycho-social difficulties and be well trained to provide a proper education and psychological support for these patients and their families.
authors.affiliation: Division of Gastroenterology, Department of Pediatrics, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.; Prince Abdullah Bin Khalid Celiac Disease Research Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Sarkhy
authors.affiliation: Division of Gastroenterology, Department of Pediatrics, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.; Prince Abdullah Bin Khalid Celiac Disease Research Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Mohammad I
authors.initials: MI
authors.lastname: El Mouzan
authors.affiliation: Prince Abdullah Bin Khalid Celiac Disease Research Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Elshazaly
authors.initials: E
authors.lastname: Saeed
authors.affiliation: Division of Gastroenterology, Department of Pediatrics, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.
authors.forename: Aziz
authors.initials: A
authors.lastname: Alanazi
authors.affiliation: Division of Gastroenterology, Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
authors.forename: Sharifa
authors.initials: S
authors.lastname: Alghamdi
authors.affiliation: Consultant Epidemiologist, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Shirin
authors.initials: S
authors.lastname: Anil
authors.affiliation: Division of Gastroenterology, Department of Pediatrics, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.; Prince Abdullah Bin Khalid Celiac Disease Research Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Asaad
authors.initials: A
authors.lastname: Assiri
keywords: Celiac disease; Child; Diet; Economics; Gluten-free diet; Saudi Arabia