Health sector costs of self-reported food allergy in Europe: a patient-based cost of illness study

被引：51

作者：

Fox, Margaret ^{[1
]}

Mugford, Miranda ^{[2
]}

Voordouw, Jantine ^{[3
]}

Cornelisse-Vermaat, Judith ^{[3
]}

Antonides, Gerrit ^{[4
]}

de la Hoz Caballer, Belen ^{[5
]}

Cerecedo, Inma ^{[6
]}

Zamora, Javier ^{[7
,8
]}

Rokicka, Ewa ^{[9
]}

Jewczak, Maciej ^{[9
]}

Clark, Allan B. ^{[1
]}

Kowalski, Marek L. ^{[10
]}

Papadopoulos, Nikos ^{[11
]}

Knulst, Anna C. ^{[12
]}

Seneviratne, Suranjith ^{[13
]}

Belohlavkova, Simona ^{[14
]}

Asero, Roberto ^{[15
]}

de Blay, Frederic ^{[16
]}

Purohit, Ashok ^{[16
]}

Clausen, Michael ^{[17
]}

de Blok, Bertine Flokstra ^{[18
]}

Dubois, Anthony E. ^{[19
]}

Fernandez-Rivas, Montserrat ^{[20
]}

Burney, Peter ^{[21
]}

Frewer, Lynn J. ^{[3
,22
]}

Mills, Clare E. N. ^{[23
,24
,25
]}

机构：

[1] Univ E Anglia, Fac Med & Hlth Sci, Sch Allied Hlth Profess, Norwich NR4 7TJ, Norfolk, England

[2] Univ E Anglia, Fac Med & Hlth Sci, Norwich Med Sch, Norwich NR4 7TJ, Norfolk, England

[3] Wageningen Univ, Mkt & Consumer Behav Grp, NL-6700 AP Wageningen, Netherlands

[4] Wageningen Univ, Econ Consumers & Households Grp, NL-6700 AP Wageningen, Netherlands

[5] Univ Hosp Ramon & Cajal IRYCIS, Dept Allergy, Madrid, Spain

[6] Hosp Sureste, Dept Med, Div Allergy, Madrid, Spain

[7] Univ Hosp Ramon & Cajal IRYCIS, Clin Biostat Unit, Madrid, Spain

[8] CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain

[9] Univ Lodz, Fac Econ & Sociol, PL-90131 Lodz, Poland

[10] Med Univ Lodz, Dept Immunol Rheumatol & Allergy, Lodz, Poland

[11] Univ Athens, Dept Allergy, Pediat Clin 2, Athens, Greece

[12] UMC Utrecht, Utrecht, Netherlands

[13] St Marys Hosp, Dept Clin Immunol, London, England

[14] Fac Hosp Bulovka, Dept Pediat, Prague, Czech Republic

[15] Clin San Carlo, Milan, Italy

[16] Univ Strasbourg, Univ Hosp, Dept Chest Dis, Strasbourg, France

[17] Landspitali Univ Hosp, Dept Allergy Resp Med & Sleep, Reykjavik, Iceland

[18] Univ Groningen, Univ Med Ctr Groningen, Dept Gen Practice, Groningen, Netherlands

[19] Univ Groningen, Univ Med Ctr Groningen, Beatrix Childrens Hosp, Dept Pediat Pulmonol & Pediat Allergy, Groningen, Netherlands

[20] Hosp Clin San Carlos, Serv Alergia, Madrid, Spain

[21] Univ London Imperial Coll Sci Technol & Med, London, England

[22] Newcastle Univ, Sch Agr Food & Rural Dev, Ctr Rural Econ, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England

[23] Inst Food Res, Norwich NR4 7UA, Norfolk, England

[24] Univ Manchester, Manchester Acad Hlth Sci Ctr, Sch Translat Med, Manchester, Lancs, England

[25] Univ Manchester, Manchester Interdisciplinary Bioctr, Manchester, Lancs, England

来源：

EUROPEAN JOURNAL OF PUBLIC HEALTH | 2013年 / 23卷 / 05期

关键词：

PREVALENCE;

D O I：

10.1093/eurpub/ckt010

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Introduction: Food allergy is a recognized health problem, but little has been reported on its cost for health services. The EuroPrevall project was a European study investigating the patterns, prevalence and socio-economic cost of food allergy. Aims: To investigate the health service cost for food-allergic Europeans and the relationship between severity and cost of illness. Methods: Participants recruited through EuroPrevall studies in a case-control study in four countries, and cases only in five countries, completed a validated economics questionnaire. Individuals with possible food allergy were identified by clinical history, and those with food-specific immuno-globulin E were defined as having probable allergy. Data on resource use were used to estimate total health care costs of illness. Mean costs were compared in the case-control cohorts. Regression analysis was conducted on cases from all 9 countries to assess impact of country, severity and age group. Results: Food-allergic individuals had higher health care costs than controls. The mean annual cost of health care was international dollars (I$)2016 for food-allergic adults and I$1089 for controls, a difference of I$927 (95% confidence interval I$324-I$1530). A similar result was found for adults in each country, and for children, and was not sensitive to baseline demographic differences. Cost was significantly related to severity of illness in cases in nine countries. Conclusions: Food allergy is associated with higher health care costs. Severity of allergic symptoms is a key explanatory factor..

引用

页码：757 / 762

页数：6

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