{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:49:10Z","timestamp":1782841750867,"version":"3.54.5"},"reference-count":35,"publisher":"JMIR Publications Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Internet search engines are increasingly being utilized as the first port of call for medical information by the public. The prevalence of allergies in developed countries has risen steadily over time. There exists significant variability in the quality of health-related information available on the web. Inaccurately diagnosed and mismanaged allergic disease has major downstream effects on patients, general practitioners, and regional allergy services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to verify whether Ireland has a relatively high rate of web-based allergy-related searches, to establish the proportion of medically accurate web pages encountered by the public, and to compare current search results localized to Dublin, Ireland with urban centers elsewhere.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Google Trends was used to evaluate regional interest of allergy-related search terms over a 10-year period using terms \u201callergy,\u201d \u201callergy test,\u201d \u201cfood allergy,\u201d and \u201cfood intolerance.\u201d These terms were then inputted into Google search, localizing them to cities in Ireland, the United Kingdom, and the United States. Output for each search was reviewed by two independent clinicians and deemed rational or nonevidence based, as per current best practice guidelines. Searches localized to Dublin were initially completed in 2015 and repeated in 2019 to assess for changes in the quality of search results over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ireland has a persistently high demand for web-based information relating to allergy and ranks first worldwide for \u201callergy test,\u201d second for \u201cfood allergy\u201d and \u201cfood intolerance,\u201d and seventh for \u201callergy\u201d over the specified 10-year timeframe. Results for each of the four subsearches in Dublin (2015) showed that over 60% of websites promoted nonevidence-based diagnostics. A marginal improvement in scientifically robust information was seen in 2019, but results for \u201callergy test\u201d and \u201cfood intolerance\u201d continued to promote alternative testing 57% (8\/14) of the time. This strongly contrasted with results localized to Southampton and Rochester, where academic and hospital-affiliated web pages predominantly featured. Government-funded Department of Health websites did not feature in the top five results for Dublin searches \u201callergy testing,\u201d \u201cfood allergy,\u201d or \u201cfood intolerance\u201d in either 2015 or 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Irish public demonstrates a keen interest in seeking allergy-related information on the web. The proportion of evidence-based websites encountered by the Irish public is considerably lower than that encountered by patients in other urban centers. Factors contributing to this are the lack of a specialist register for allergy in Ireland, inadequate funding for allergy centers currently in operation, and insufficient promotion by the health service of their web-based health database, which contains useful patient-oriented information on allergy. Increased funding of clinical allergology services will more meaningfully impact the health of patients if there is a parallel investment by the health service in information and communication technology consultancy to amplify their presence on the web.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/16763","type":"journal-article","created":{"date-parts":[[2020,1,26]],"date-time":"2020-01-26T17:01:22Z","timestamp":1580058082000},"page":"e16763","source":"Crossref","is-referenced-by-count":3,"title":["Googling Allergy in Ireland: Content 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Testinghttps:\/\/www.asa.org.uk\/advice-online\/health-food-allergy-testing.html"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1177\/1403494817733869"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2017.01.017"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2017.08.021"},{"key":"ref13","unstructured":"Google Trends2019-07-30Explore: allergy testhttps:\/\/trends.google.com\/trends\/explore?date=2009-01-01%202018-12-31&q=allergy%20test"},{"key":"ref14","unstructured":"FoxSDugganMPew Research Center201301152019-08-01Washington, DCPew Internet and American Life ProjectHealth Online 2013https:\/\/www.pewinternet.org\/2013\/01\/15\/health-online-2013\/"},{"key":"ref15","unstructured":"RainieLFoxSPew Research Center200011262019-08-01Washington, DCPew Internet and American Life ProjectThe Online Health Care 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