Journal of Nutrition and Health

  • 제56권2호
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  • Pages.184-202
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  • 2023
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
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식품알레르기 유경험 미취학아동 양육자의 지식 및 식사관리에 대한 연구

Knowledge and management of food allergy by parents of preschool children who experience food allergies

  • 김승희 (연세대학교 교육대학원 영양교육전공) ;
  • 이승민 (연세대학교 생활과학대학 식품영양학과)
  • Seung Hui Kim (Nutrition Education, Graduate School of Education, Yonsei University) ;
  • Seung-Min Lee (Department of Food and Nutrition, BK21 FOUR Project, College of Human Ecology, Yonsei University)
  • 투고 : 2022.12.16
  • 심사 : 2023.02.27
  • 발행 : 2023.04.30
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초록

본 연구는 식품알레르기 경험이 있는 미취학아동의 양육자를 대상으로 양육자가 식품알레르기 관리를 위해 필요한 교육이 무엇인지 파악하고자 하였다. 양육자 400명을 대상으로 2022년 7월 온라인 업체를 통해 설문조사를 진행하였으며, 모든 데이터는 SPSS 통계 (ver. 25)를 사용하여 분석되었다. 미취학아동의 식품알레르기 경험에도 불구하고 양육자의 식품알레르기 지식수준은 낮았다. 특히 '원인식품' (74.2%)과 '식품반응' (65.2%) 관련된 문항의 오답률이 높았다. 또한, 식품알레르기 지식수준을 '상', '중', '하'로 구분하여 평가한 결과 미취학아동의 연령에 따라 아동의 나이가 어릴수록 지식수준이 유의하게 높았다 (p < 0.05). 양육자의 식품알레르기 관리여부를 4가지 문항으로 측정한 결과, '식재료 및 조리기기 분리사용' (50.5%), '식품알레르기 유발표시 확인' (34.0%) 관리율이 낮았다. 식품알레기 진단여부에 따라 식재료 및 조리기기를 분리사용 관리에 유의적인 차이가 있었으며, 의사진단을 받은 미취학아동의 양육자 중 59.4%가 분리사용 관리를 하고 있었다 (p < 0.01). 또한, 식품알레르기 지식이 높아질수록 관리의 총점이 높아졌다 (r = 0.137, p < 0.01). 본 연구결과를 바탕으로 살펴볼 때 지식수준이 낮거나, 자녀가 만 4세 이상, 자가진단을 하는 양육자의 경우 식품알레르기 관리율이 낮았다. 따라서 해당 양육자의 지식수준을 높일 수 있는 '유발식품제한', '식품알레르기 유발표시 확인', '식재료 및 조리기기 분리사용' 하는 방법 등 맞춤 교육이 필요하다고 사료된다.

Purpose: This study investigates the necessary educational materials from the perspective of caregivers managing food allergies of preschoolers. Methods: An online survey enrolled 400 caregivers of preschoolers with food allergies. The study was conducted in July 2022, and data were analyzed using the IBM SPSS Statistics 25. Results: The caregivers of preschoolers with food allergies showed low food allergy knowledge. The highest percentage of incorrect answers were for items related to the cause (74.2%) and response (65.2%) to food allergies. Moreover, categorizing the levels of knowledge as high, medium, and low, we found that caregivers with younger children exhibited a better understanding of food allergies. Approximately 56.9% of subjects in the high class were caregivers with preschoolers under three years, whereas caregivers with preschoolers over four years comprised 43.2% of the high-class subjects. Regarding food allergy treatment, four questions measured how well the caregivers tended to the children. With higher levels of knowledge, caregivers were more likely to read nutrient information and check for food allergens. The caregivers of preschoolers who were clinically diagnosed with food allergies demonstrated a higher percentage of using separate ingredients and cooking utensils. Conclusion: This study shows how the caregivers' knowledge levels are critical in managing and treating food allergies among preschoolers. With caregivers' lower knowledge of food allergies and preschoolers younger than four years, self-diagnosis of food allergies and existing food allergies were not managed efficiently. Hence, customized education for caregivers is essential to improve their knowledge level regarding limiting foods that may cause allergies, reading food labels, and using ingredients and cooking utensils separately.

키워드

과제정보

This study was supported by BK21 FOUR, College of Human Ecology, Yonsei University, Seoul 03722, Korea.

참고문헌

  1. Min TK, Pyun BY, Kim HH, Park YM, Jang GC, Kim HY, et al. Epidemiology of food allergy in Korean children. Allergy Asthma Respir Dis 2018; 6(1): 4-13. https://doi.org/10.4168/aard.2018.6.1.4
  2. Kim SM. Management of food allergy in the facilities registered at center for children's foodservice management in Gangdong-gu. Korean J Community Nutr 2021; 26(5): 396-407. https://doi.org/10.5720/kjcn.2021.26.5.396
  3. Lee YJ, Choi SH, Han JS. A study on the actual state of food allergy and food behavior in adults. J East Asian Soc Dietary Life 2003; 13(3): 167-175.
  4. Han YS. Management of food allergy in the community. Food Sci Biotechnol 2015; 48(1): 24-31.
  5. Ahn KM. The past, present, and future of the research on food allergy in Korean children. Allergy Asthma Respir Dis 2018; 6: S44-S51. https://doi.org/10.4168/aard.2018.6.S1.S44
  6. Seo WH, Jang EY, Han YS, Ahn KM, Jung JT. Management of food allergies in young children at a child care center and hospital in Korean. Allergy Asthma Respir Dis 2011; 21(1): 32-38. https://doi.org/10.7581/pard.2011.21.1.32
  7. Kim YH, Lee SY, Lee E, Cho HJ, Kim HB, Kwon JW, et al. The change in food allergy prevalence of elementary school children in Seoul since the last 20 years and the risk factor analysis. Allergy Asthma Respir Dis 2016; 4(4): 276-283. https://doi.org/10.4168/aard.2016.4.4.276
  8. Lee YJ, Jeon YH, Kim HH, Park YM, Jang GC, Kim HY, et al. The current status and issue of food allergen labeling in Korea. Allergy Asthma Respir Dis 2019; 7(2): 62-72.
  9. Kim M, Lee JY, Jeon HY, Yang HK, Lee KJ, Han Y, et al. Prevalence of immediate-type food allergy in Korean schoolchildren in 2015: a nationwide, population-based study. Allergy Asthma Immunol Res 2017; 9(5): 410-416. https://doi.org/10.4168/aair.2017.9.5.410
  10. Kim HR, Song KH, Lee YM, Han YS, Kang BM, Kweoun SJ. Effectiveness evaluation of food allergy education program for elementary school children. J East Asian Soc Dietary Life 2015; 25(6): 1058-1064. https://doi.org/10.17495/easdl.2015.12.25.6.1058
  11. Kim SB, Kim JH. Food allergy awareness and nutritional management by preschooler's faculty members of child care facilities. Korean J Community Nutr 2017; 22(4): 298-306. https://doi.org/10.5720/kjcn.2017.22.4.298
  12. Yang EJ. Dietary behaviors of preschool children and food allergy prevalence of preschool childcare facilities in Gwangsan-gu, Gwangju metropolitan city. J. Korean Soc Food Cult 2020; 35(1): 97-106.
  13. Sicherer SH, Sampson HA. Food allergy: a review and update on epidemiology, pathogenesis, diagnosis, prevention, and management. J Allergy Clin Immunol 2018; 141(1): 41-58. https://doi.org/10.1016/j.jaci.2017.11.003
  14. Lee ES, Kim KS. Parental burden of food-allergic children's parents and influencing factors. J Nutr Health 2018; 51(2): 140-152. https://doi.org/10.4163/jnh.2018.51.2.140
  15. Lee SL. A healthy dining table: food allergy. Korea Public Health Association 2011; 2011(74): 16-17.
  16. Seoul Food Safety Promotion Team. Food allergy education and meal management manual. Seoul: Seoul Food Safety Promotion Team; 2010.
  17. Cho WK, Kim JA. The current state of food allergy of preschool childcare facilities in Hanam. Korean J Community Nutr 2015; 20(4): 251-258.
  18. Kim GE, Pyun BY, Ahn KM, Kim HH, Kim JH, Jang GC, et al. Research for food allergy prevention and Management. Policy Services Research Report. Cheongju: Ministry of Food and Drug Safety; 2015.
  19. Seo AD, Lee JY, Yang SI, Lee HR, Lee SY. Food allergic reactions in the community: a questionnaire survey of caregivers. Allergy Asthma Respir Dis 2017; 5(1): 27-33. https://doi.org/10.4168/aard.2017.5.1.27
  20. Statistics Korea. Use status and number of private education and childcare institutions. Daejeon: Statistics Korea; c2023 [cited 2022 Oct 21]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=331&tblId=DT_33109_A463&conn_path=I2.
  21. Ministry of Government Legislation. Infant Care Act. Act No. 17785. Sejong: Ministry of Government Legislation; c2023 [cited 2022 Oct 31]. Available from: https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%98%81%EC%9C%A0%EC%95%84%EB%B3%B4%EC%9C%A1%EB%B2%95.
  22. Ministry of Education. "Early Childhood Education Act. Partial amendment bill passed by the State Council". Sejong: Korea Policy Briefing; 2022 Feb 3 [cited 2022 Oct 13]. Available from: https://www.korea.kr/news/pressReleaseView.do?newsId=156494217.
  23. Ministry of Government Legislation. School Meals Law. Presidential Decree No. 32720. Sejong: Ministry of Government Legislation; c2023 [cited 2022 Oct 31]. Available from: https://www.law.go.kr/LSW/lsInfoP.do?lsiSeq=241439#0000.
  24. Ministry of Government Legislation. School Meals Law Act No. 18639. Sejong: Ministry of Government Legislation; c2023 [cited 2022 Oct 31]. Available from: https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%ED%95%99%EA%B5%90%EA%B8%89%EC%8B%9D%EB%B2%95.
  25. Choi YL. A study on the emotional experiences of child care teachers and changes in their daily routine in centers after COVID-19. Korean J Early Child Educ 2020; 22(1): 253-279. https://doi.org/10.15409/riece.2020.22.1.12
  26. Seok MA, Moon IK, Lee BH. A study on parent's experience of in-home childcare due to the COVID-19 pandemic. J Korea Open Assoc Early Child Educ 2021; 26(3): 199-230.
  27. Kim SB. Food allergy awareness and nutritional management by preschooler's parents and faculties of childcare centers [dissertation]. Seoul: Seoul Women's University; 2016.
  28. Ministry of Government Legislation. School Meals Law Act No. 11771. Sejong: Ministry of Government Legislation; c2023 [cited 2022 Oct 31]. Available from: https://www.law.go.kr/LSW/lsInfoP.do?lsiSeq=140225&viewCls=lsRvsDocInfoR#.
  29. Yoon HB, Kim HJ, Kim MR. Analysis on the status of food allergy among elementary school students and parental perception and the educational need for a food allergen labeling system of school foodservice in Daegu. Korean Journal of Human Ecology 2020; 29(3): 407-420. https://doi.org/10.5934/kjhe.2020.29.3.407
  30. Oh JE, Kim EY, Lee YK. The status of food allergy and parental burden of preschoolers in Jeju area. J Nutr Health 2021; 54(6): 664-678.
  31. Yoo EC. Analysis of the importance and performance of food allergy management in day care center teachers in Seoul [dissertation]. Seoul: Yonsei University; 2018.
  32. Jang MJ, Kim KS. Risk factors for food allergy among children in Seoul: focusing on dietary habits and environmental factors. J Nutr Health 2019; 52(6): 559-568. https://doi.org/10.4163/jnh.2019.52.6.559
  33. Lee JE. Convergence analysis on food allergy management of home childcare center's directors in C city. J Korea Converg Soc 2018; 9(12): 287-294.
  34. Han YS, Lee YN. Correct understanding of food allergy: management manual in children's facilities. Seoul: Chungaram Media; 2016.
  35. Lee JA. Perception on the allergy to food and allergen labeling among elementary and middle school students in Gyeonggi province [dissertation]. Seoul: Kyung Hee University; 2011.
  36. Lee HN. Knowledge of food allergy in infant and child teachers teacher education needs survey [dissertation]. Seoul: Duksung Women's University; 2019.
  37. Lee SY, Kim KW, Ahn KM, Kim HH, Pyun BY, Park YM, et al. Consumer's use and satisfaction of allergic food labels. Pediatr Allergy Respir Dis 2011; 21(4): 294-301. https://doi.org/10.7581/pard.2011.21.4.294
  38. Ma SO. A study on the effects of consumer and social characteristics of food allergen labelling on intention to use: focused on the technology acceptance model. Culin Sci Hosp Res 2019; 25(10): 170-180.
  39. Choi SH, Rha YH. Food allergy in children. J Korean Med Assoc 2009; 52(11): 1090-1099. https://doi.org/10.5124/jkma.2009.52.11.1090