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Published on: August 21, 2015
[THE STATUS OF ADMISSION TO FACILITIES FOR CHILDREN WITH FOOD ALLERGIES]
Noriko Hayashi1,2, Noriyuki Yanagida3, Kiyotake Ogura3
1Department of Health and Nutrition, Jumonji University.
Insights
Admission refusal for children with food allergies (FA) is influenced by factors beyond the child, including facility and staff issues. Comprehensive support systems involving medical care, local government, and facilities are crucial for FA children.
Area of Science:
- Pediatric Allergy and Immunology
- Public Health
- Healthcare Access
Background:
- Food allergy (FA) significantly impacts children's daily lives and access to public facilities.
- Understanding barriers to facility access for FA children is essential for improving inclusivity.
Purpose of the Study:
- To investigate the prevalence and reasons for admission refusal in facilities for children with food allergies.
- To identify factors associated with denial of entry for FA children.
Main Methods:
- A survey was administered to guardians of children with FA who underwent oral food challenges.
- Questionnaires collected data on experiences of facility refusal, reasons for refusal, and child-specific allergy details.
Main Results:
- 12% of FA children experienced admission refusal, with a median of 1.5 refusals.
- History of anaphylaxis and having 5+ causative foods were associated with higher refusal rates.
- Reasons for refusal were categorized into factors related to the child, facility, and facility staff.
Conclusions:
- Admission refusal for FA children is multifactorial, involving child-related, facility-related, and staff-related issues.
- Coordinated efforts between healthcare providers, local governments, and facilities are necessary to support FA children's access.
- Improving facility and staff awareness and preparedness can reduce discriminatory practices against FA children.
Background:
To clarify the status of admission to facilities for food allergy (FA) children.
Methods:
Guardians of FA children who underwent oral food challenges at Sagamihara National Hospital from September to December 2018 were enrolled. We surveyed the experience of refusal to enter facilities, the reason for refusal and so on using a self-administered questionnaire.
Results:
We distributed a questionnaire to 205 guardians, of which 168 responded (response rate 82%). The median age (range) at the time of the survey was 4.5 (0 to 12) years old, 2 (1 to 11) food items had been removed at the time of admission, and 56 (33%) had a history of anaphylaxis before admission. Twenty-nine patients (17%) were prescribed an adrenaline auto injector. Twenty patients (12%) had been denied entry, the median number of refusals (range) was 1.5 (1 to 30). History of anaphylaxis before admission (odds ratio 2.80 [1.08-7.22]) and having 5 or more causative foods (odds ratio 3.44 [1.27-9.32]) were associated with admission refusal. 〔' Factors related to children with FA〕, 〔Factors related to facilities〕, and 〔Factors related to facility staff〕 were extracted as the reasons for refusal.
Conclusions:
In addition to the factors related to children with FA, the factors related to facilities and facility staff were related to admission refusal. Therefore, cooperation between medical care, local governments, and facility that comprehensively supports the living environment of children with FA is needed.
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