{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T18:13:02Z","timestamp":1783361582210,"version":"3.54.6"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T00:00:00Z","timestamp":1592352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010318","name":"University of Manitoba","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010318","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Allergy Immunology"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Food allergy is a substantial health burden, which disproportionately affects children. Among children with food allergy, as many as 70% have multiple food allergies. Whereas the overall burden of food allergy on quality of life has been described, little is known about the burden of individual allergens. We aimed to examine the perception of burden among families with multiple food\u2010allergic children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Parents of children with 1\u00a0+\u00a0children with multiple food allergies including milk responded to online questions, including both open\u2010ended and closed\u2010ended questions on food allergy\u2013related burdens of time, financial costs, social restrictions, and emotional demands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 64 children (69.8% boys) of whom (73.0%) most were aged 10 and younger were included. Most had been diagnosed with food allergy in infancy and by a (pediatric) allergist. Other common allergies included peanut (65.6%), tree nuts (57.8%), egg (76.6%), and sesame (31.3%). Quantitatively, milk allergy was reported as carrying the most burden, including most socially limiting (81.5%), requiring the most planning (75.9%), causing the most anxiety (68.5%), most challenging to find \u201csafe\u201d or allergy\u2010friendly foods (72.2%), and costly (81.5%). Qualitatively, we identified five themes that captured burdens associated with costs, marketing of milk products to children, risk of cross\u2010contamination, ubiquity of milk\/dairy and public confusion with lactose intolerance, and an unwillingness of others to accommodate the allergy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Parents whose children have multiple food allergies, including milk, report milk as the allergy associated with the greatest time, financial, social, and emotional burdens.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pai.13274","type":"journal-article","created":{"date-parts":[[2020,5,16]],"date-time":"2020-05-16T03:51:34Z","timestamp":1589601094000},"page":"827-834","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Milk allergy most burdensome in multi\u2010food allergic children"],"prefix":"10.1111","volume":"31","author":[{"given":"Elissa Michele","family":"Abrams","sequence":"first","affiliation":[{"name":"Department of Pediatrics and Child Health The University of Manitoba Winnipeg MB Canada"},{"name":"Division of Allergy &amp; Immunology Department of Pediatrics Faculty of Medicine The University of British Columbia Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harold","family":"Kim","sequence":"additional","affiliation":[{"name":"Western University London ON Canada"},{"name":"McMaster University Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Gerdts","sequence":"additional","affiliation":[{"name":"Food Allergy Canada Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3888-8688","authenticated-orcid":false,"given":"Jennifer Lisa Penner","family":"Protudjer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health The University of Manitoba Winnipeg MB Canada"},{"name":"George and Fay Yee Centre for Healthcare Innovation Winnipeg MB Canada"},{"name":"The Children\u2019s Health Research Institute of Manitoba Winnipeg MB Canada"},{"name":"Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden"},{"name":"Centre for Allergy Research Karolinska Institutet, Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2012.06.029"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2017.11.003"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2019.10.021"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-0204"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2009.12.843"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13044"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13601-019-0244-0"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13601-016-0128-5"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2008.01843.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2222.2000.00889.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2014.04.016"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2014.12.022"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2014.09.021"},{"key":"e_1_2_9_15_1","volume-title":"Qualitative Research and Evaluation Methods","author":"Patton MQ","year":"2002"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c4587"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2014.10.025"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.12582"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2019.07.006"},{"issue":"8","key":"e_1_2_9_20_1","first-page":"605","article-title":"Diet and nutritional status in children with cow\u2019s milk allergy","volume":"49","author":"Tiainen JM","year":"1995","journal-title":"Eur J Clin Nutr"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(02)90351-2"},{"issue":"19","key":"e_1_2_9_22_1","first-page":"30048","article-title":"Nutritional status and food intake of children with cow's milk allergy","volume":"0301","author":"Boaventura RM","year":"2019","journal-title":"Allergol Immunopathol (Madr)"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11051051"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1159\/000493669"},{"key":"e_1_2_9_25_1","unstructured":"Dairy Farmers of Canada.Canada joins in on World School Milk Day [updated 2018092720200205]`.https:\/\/dairyfarmersofcanada.ca\/en\/dairy\u2010in\u2010canada\/news\u2010releases\/canada\u2010joins\u2010world\u2010school\u2010milk\u2010day. 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