The main problems of food allergic consumers concerning food labeling: an ethnographic study

It has been estimated that 58% of children and 12% of the adults in developed countries are affected by food allergy, with symptoms ranging from discomfort to fatality. At present, avoidance of problematic foods is the only effective treatment strategy. As of November 25 th , 2005 food manufacturers in the EU are obliged to list 12 potentially allergic ingredients in food. Although the label is still not always fully understood by the consumer, or they get confused by precautionary labelling practices. This paper aims to gain insights into the information preferences of food allergic consumers regarding existing food labelling and additional information delivery systems. The results of this study will facilitate the development of best practices in information provision regarding food safety in the area of food allergy. In particular the research will elicit preferences for new ICT approaches to information delivery which can be focused on the individual needs of consumers. We argue that improved information supply will contribute to the quality of life of food allergic people.Food allergy, consumers, food labelling, information needs, Consumer/Household Economics, Food Consumption/Nutrition/Food Safety,

The main problems of food allergic consumers concerning food labeling: an ethnographic study

It has been estimated that 5-8% of children and 1-2% of the adults in developed countries are affected by food allergy, with symptoms ranging from discomfort to fatality. At present, avoidance of problematic foods is the only effective treatment strategy. As of November 25 th , 2005 food manufacturers in the EU are obliged to list 12 potentially allergic ingredients in food. Although the label is still not always fully understood by the consumer, or they get confused by precautionary labelling practices. This paper aims to gain insights into the information preferences of food allergic consumers regarding existing food labelling and additional information delivery systems. The results of this study will facilitate the development of best practices in information provision regarding food safety in the area of food allergy. In particular the research will elicit preferences for new ICT approaches to information delivery which can be focused on the individual needs of consumers. We argue that improved information supply will contribute to the quality of life of food allergic people

Social and Economic Costs of Food Allergies in Europe: Development of a Questionnaire to Measure Costs and Health Utility

Objectives. To develop a questionnaire to measure the additional social costs of food allergies (FAs). Data Source and Study Setting. People with FAs and sampled members of the general population (with and without FAs) in the Netherlands and the United Kingdom in 2006. Study Design. (1) Literature review. (2) Focus group to identify key costs of FAs and seek views on the questionnaires. (3) Pilot survey to test the questionnaires in cases and controls. Data Collection. Twenty-eight participants in the United Kingdom and the Netherlands with clinically or self-diagnosed FAs took part in one of five focus groups. A case¿control postal survey was conducted in the United Kingdom and the Netherlands (with 125 FA cases and 62 controls). Principal Findings. Methods exist to measure social costs in chronic illness, but not FAs. Focus groups found features of FAs likely to impact costs of living. Pilot results suggest higher costs of living and health care costs, and well-being in FAs. Conclusion. The questionnaire is proposed for use in wider European and other comparative studies of FAs

THE DIRECT AND INDIRECT COSTS ASSOCIATED WITH FOOD HYPERSENSITIVITY IN HOUSEHOLDS: A STUDY IN THE NETHERLANDS, POLAND, AND SPAIN

Recent studies show that food hypersensitivity, such as food allergy or food intolerance, has the potential to affect direct, indirect and intangible economic costs experienced by individuals and their families. This research assesses the direct and indirect economic costs of food hypersensitivity at the household level in the Netherlands, Poland, and Spain.A self-administered postal survey was conducted (n=1558). Respondents with food hypersensitivity were clinically diagnosed cases recruited through clinical centres in Poland and Spain. In the Netherlands, food hypersensitivity cases were recruited through hospitals, patient organisations and advertisements. The controls formed the baseline sample and were obtained from households in which none of the members had food hypersensitivity. The monetary value of indirect costs, forgone time, was calculated using the opportunity cost method. The indirect and direct costs were expressed in purchasing power parity. Analysis of co-variance on the cost items was used to test the within-country differences between respondents with food hypersensitivity and respondents without food hypersensitivity, as well as across the three countries.The average total direct and indirect costs across all countries for families with food hypersensitive family members are not higher than for households without food hypersensitive members. However, the intangible costs for food hypersensitive individuals appear to be higher than for individuals in the control group.These results do not support the hypothesis that all food allergies incur high costs to the individual. However, being hypersensitive to foods may have a negative impact on quality of life compared to people who are not food hypersensitive

The information needs and labelling preferences of food allergic consumers: the views of stakeholders regarding information scenarios

The information provision to foodallergicconsumers might be improved if new information and communication technologies were used to optimise traceability of potentially allergenic ingredients. Eight different informationscenarios were developed, and their feasibility of application in European food chains discussed with different interested food chain actors in five European countries. The standardised label was chosen as a first preferred scenario, although participants were also positive about the feasibility of introducing novel ICT approaches to traceability and information delivery. Concerns were raised about accountability, upkeep of food allergy data bases, and the additional costs for the services to the food industry

Subjective Welfare, Well-Being, and Self-Reported Food Hypersensitivity in Four European Countries: Implications for European Policy

This study estimates the effects of food hypersensitivity on individuals’ perceived welfare and well-being compared to non-food hypersensitive individuals. Study respondents were recruited in the Netherlands, Poland, Spain and UK. The difference in welfare between food hypersensitive respondents and those asymptomatic to foods was estimated using a subjective welfare approach, including income evaluation. Well-being was measured using the Cantril Ladder-of-Life Scale, and health status using the Self-Perceived Health Scale. The difference in well-being, welfare and health status between participant groups was explained further using a number of background variables. No significant within-country differences in welfare between food hypersensitive respondents and respondents asymptomatic to foods were found. In terms of well-being, adult food hypersensitive respondents and their spouses reported significantly less happiness than respondents and their spouses asymptomatic to foods in the Netherlands and Poland. In Spain, the spouses of the food hypersensitive respondents were significantly less happy than respondents aymptomatic to foods. The well-being of children did not significantly differ between groups. The degree of severity of food hypersensitivity was negatively related to overall health status. In Poland, food hypersensitive respondents reported worse health status compared to asymptomatic respondents. In Spain, the converse was true. Food hypersensitive respondents were generally less happy with their life as a whole than respondents asymptomatic to foods, presumably because they experienced more negative effects, which were not related to perceived health statu

The direct and indirect costs associated with food hypersensitivity in households: A study in the Netherlands, Poland, and Spain

Background: Recent studies show that food hypersensitivity, such as food allergy or food intolerance, has the potential to affect direct, indirect and intangible economic costs experienced by individuals and their families. This research assesses the direct and indirect economic costs of food hypersensitivity at the household level in the Netherlands, Poland, and Spain. Methods:  A self-administered postal survey was conducted (n=1558). Respondents with food hypersensitivity were clinically diagnosed cases recruited through clinical centres in Poland and Spain. In the Netherlands, food hypersensitivity cases were recruited through hospitals, patient organisations and advertisements. The controls formed the baseline sample and were obtained from households in which none of the members had food hypersensitivity. The monetary value of indirect costs, forgone time, was calculated using the opportunity cost method. The indirect and direct costs were expressed in purchasing power parity. Analysis of co-variance on the cost items was used to test the within-country differences between respondents with food hypersensitivity and respondents without food hypersensitivity, as well as across the three countries. Results: The average total direct and indirect costs across all countries for families with food hypersensitive family members are not higher than for households without food hypersensitive members. However, the intangible costs for food hypersensitive individuals appear to be higher than for individuals in the control group.Conclusions: These results do not support the hypothesis that all food allergies incur high costs to the individual. However, being hypersensitive to foods may have a negative impact on quality of life compared to people who are not food hypersensitive

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

<p>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$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..</p>