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KMID : 1225720230150010043
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Allergy, Asthma & Immunology Research : AAIR
2023 Volume.15 No. 1 p.43 ~ p.54
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Quality of Life in Food Allergy: Validation of the Korean Version of the Food Allergy Quality of Life Questionnaire Parent Form (K-FAQLQ-PF) and Risk Factor Analysis
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Kim Su-Kyung
Kim Min-Ji
Kim Ji-Won
Park Bo-Ram
Min Nu-Ri
Jung Min-Young
Yu Seo-Young
Lee Ji-Young
Yoo Hye-Won
Kim Hye-Young
Ahn Kang-Mo
Kim Ji-Hyun
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Abstract
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Purpose : This study aimed to evaluate the reliability and validity of the Korean version of the Food Allergy Quality of Life Questionnaire-Parent Form (K-FAQLQ-PF) and to identify clinical characteristics related to low quality of life (QoL) in Korean children with food allergy (FA).
Methods : Parents of 0?12-year-old patients with FA were enrolled. The English version of FAQLQ-PF was translated into Korean. Construct validation was confirmed by the Food Allergy Independent Measure-Parent Form (FAIM-PF) and the Child Health Questionnaire Parent Form 28 (CHQ-PF28). Logistic regression analyses were used to evaluate associations between potential risk factors and QoL outcomes.
Results : A total of 182 patients with a median age of 5.0 years were enrolled in the study. Cronbach’s α coefficient values indicating internal consistency were higher than 0.8. Intraclass correlation coefficient values for test-retest reliability were good for all age groups (r > 0.6). Total K-FAQLQ-PF scores were positively correlated with the FAIM-PF (r = 0.56, P < 0.05) and were negatively correlated with the parental impact-emotional domain in the CHQ-PF28 (r = ?0.44, P < 0.05). In multivariable logistic regression analysis, low QoL was significantly associated with female sex (adjusted odds ratio [aOR], 2.07; 95% confidence interval [CI], 1.03?4.18), age ≥ 5 years (aOR, 2.84; 95% CI, 1.31?6.16), FA diagnosis before the age of 3 years (aOR, 3.96; 95% CI, 1.13?13.93), the presence of atopic dermatitis (aOR, 2.21; 95% CI, 1.07?4.57), and residence in non-metropolitan areas (aOR, 3.44; 95% CI, 1.73?6.85).
Conclusions : According to parental perceptions, the K-FAQLQ-PF is a valid and reliable tool to assess psychosocial QoL in Korean children with FAs. Age, sex, residential area, and comorbid AD can affect the QoL of pediatric patients with FA.
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KEYWORD
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Food allergy, food hypersensitivity, quality of life, children, questionnaires, caregivers, daily life, risk factors, anxiety
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