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

Fox, Margaret, Mugford, Miranda, Voordouw, Jantine, Cornelisse-Vermaat, Judith, Antonides, Gerrit, de la Hoz Caballer, Belen, Cerecedo, Inma, Zamora, Javier, Rokicka, Ewa, Jewczak, Maciej, Clark, Allan B., Kowalski, Marek L., Papadopoulos, Nikos, Knulst, Anna C., Seneviratne, Suranjith, Belohlavkova, Simona, Asero, Roberto, de Blay, Frederic, Purohit, Ashok, Clausen, Michael, Flokstra de Blok, Bertine, Dubois, Anthony E., Fernandez-Rivas, Montserrat, Burney, Peter, Frewer, Lynn J. and Mills, Clare E. N. (2013) Health sector costs of self-reported food allergy in Europe: A patient-based cost of illness study. European Journal of Public Health, 23 (5). pp. 757-762. ISSN 1101-1262

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Abstract

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 immunoglobulin 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.

Item Type:	Article
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Rehabilitation Sciences (former - to 2014) Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Health Economics Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Science > Research Groups > Statistics
Depositing User:	Users 2731 not found.
Date Deposited:	08 Mar 2013 12:48
Last Modified:	28 Mar 2025 02:28
URI:	https://ueaeprints.uea.ac.uk/id/eprint/41900
DOI:	10.1093/eurpub/ckt010

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