title: Factors that determine parents' perception of their child's risk of life-threatening food-induced anaphylaxis.
abstract: BACKGROUND
  Although food allergy is known to be associated with increased disease burden, factors that shape parents' perception of their child's risk of future severe or fatal anaphylaxis are poorly understood.
  
  
  OBJECTIVE
  This study aimed to evaluate factors associated with parents' perceived risk of food-induced anaphylaxis.
  
  
  METHODS
  A questionnaire-based survey of 202 parents was conducted in a single specialist center outpatient clinic that treats children with food allergies. Parents' perceived risk of their child experiencing further food-induced anaphylaxis was assessed by using a validated food allergy independent measure. Demographic data as well as parents' anxiety and depression scores were assessed by using the Hospital Anxiety and Depression score.
  
  
  RESULTS
  Nineteen percent of parents believed that their child had a moderate-to-high chance of dying from food-induced anaphylaxis. A lack of a university education, higher anxiety score, and, particularly, possession of an epinephrine autoinjector (relative risk 9.9 [95% confidence interval, 3.3-30]) were key factors associated with heightened risk perception. Caring for a child with multiple food allergies was the main factor associated with parents feeling less able to manage future reactions (relative risk 9.5 [95% confidence interval, 1.7-53]). Parents' risk perception of fatal anaphylaxis correlated with anxiety and mood scores.
  
  
  CONCLUSIONS
  Parents' education, affect, and possession of an epinephrine autoinjector were associated with a heightened perceived risk of future anaphylaxis. Clinicians should consider not only the child's needs but should also provide counseling for parents, particularly those who possess autoinjectors. Parents of children with multiple food allergies may need additional education and training to help them cope with future reactions.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Ogg
authors.forename: Jayne
authors.initials: J
authors.lastname: Wong
authors.forename: Ming Wai
authors.initials: MW
authors.lastname: Wan
authors.forename: Naomi
authors.initials: N
authors.lastname: Davis
authors.forename: Peter D
authors.initials: PD
authors.lastname: Arkwright
mesh_terms: D000293:Adolescent; D000707:Anaphylaxis / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D005512:Food Hypersensitivity / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D008297:Male; D010290:Parents / Q000523:psychology; D010465:Perception; D012189:Retrospective Studies; D012306:Risk; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires