Food Allergy in New Zealand Adults: Insights from ACC data and a General Practitioners survey

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dc.contributor.advisor Kool, B en
dc.contributor.advisor Tenbensel, T en
dc.contributor.author Cumming, Tania en
dc.date.accessioned 2015-09-17T04:29:50Z en
dc.date.issued 2015 en
dc.identifier.citation 2015 en
dc.identifier.uri http://hdl.handle.net/2292/26992 en
dc.description Full text is available to authenticated members of The University of Auckland only. en
dc.description.abstract Food allergy (FA) is a significant public health concern that may be becoming more prevalent. This thesis aimed to examine FA in New Zealand with a focus on financial support from the Accident Compensation Corporation (ACC) and on FA in adults. This was explored through three complementary studies; a literature review, analysis of (ACC) claims data, and a survey of General Practitioners (GPs). A narrative review of the literature explored and critiqued published FA research. Key issues highlighted included diagnosis and management, risk factors, prevalence and its changes over time, impacts on quality of life, and burden of disease. Records for FA-related claims by adults were collected from ACC for a 5 year period (2009-2013). During this time a total of $504,455 was paid by ACC for 3,037 probable FA claims. There was no significant change in the annual number of probable FA claims during this period. There was a substantial difference in the proportion of probable FA claims accepted in 2009 (78.2 %) compared to subsequent years (54.9 - 56.3 %). Claims were more likely to be accepted if the claim description named a specific causative food or outlined a history of FA. Seafood was the most common food type implicated, followed by nuts. A survey of a sample of New Zealand GPs was conducted to explore management of FA in primary care, including knowledge of ACC coverage of FA expenses. This was distributed via email and 17 complete responses were received. Most GPs surveyed believe FA prevalence is increasing. Few GPs had a solid understanding of whether FA costs can be claimed from ACC. The majority reported that they would like further training on FA and identified key areas of concern, including diagnostics and access to specialists. Together, the three studies within this thesis demonstrate the importance of FA as a public health concern with substantial impacts on individuals, families, health systems and economies. The results of this thesis highlight the importance of training for GPs, including education on ACC entitlements. Further research is needed to better understand the burden of FA, globally and in New Zealand. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.relation.isreferencedby UoA99264809912802091 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights Restricted Item. Available to authenticated members of The University of Auckland. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/3.0/nz/ en
dc.title Food Allergy in New Zealand Adults: Insights from ACC data and a General Practitioners survey en
dc.type Thesis en
thesis.degree.discipline Public Health en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Masters en
dc.rights.holder Copyright: The Author en
pubs.elements-id 497876 en
pubs.record-created-at-source-date 2015-09-17 en


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