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Understanding the challenges faced by adolescents and young adults with allergic conditions: a systematic review

Understanding the challenges faced by adolescents and young adults with allergic conditions: a systematic review
Understanding the challenges faced by adolescents and young adults with allergic conditions: a systematic review

BACKGROUND: Adolescence represents a vulnerable time for individuals with asthma and allergic conditions. They suffer an unexpected degree of morbidity. This systematic review aimed to understand the challenges faced by adolescents and young adults with these conditions.

METHODS: A systematic literature search was undertaken across eight databases. References were checked by two reviewers for inclusion. Study data were extracted and their quality was assessed in duplicate. A narrative meta-synthesis was undertaken.

RESULTS: A total of 108 papers describing 106 studies were retrieved, most focused on asthma. Five themes were identified across studies. (1) Health-related quality of life: impairment was associated with poor disease control, psychosocial issues, adolescent-onset allergic disease and female sex. (2) Psychological factors: asthma and food allergy were associated with anxiety and depression; atopic dermatitis was associated with suicidal ideation; and that parental emotional support may be protective. (3) Adherence: suboptimal adherence was associated with older age, barriers to medication usage, poor symptom perception and failure to take responsibility; positive factors were routines, simpler treatment regimes, better knowledge and perceptions about medications. (4) Self-management: facilitated by education, knowledge and a positive attitude. (5) Supportive relationships: families could modify barriers to adherence and foster positive views about self-management; adolescents suggested that their peers should be more involved in supporting them; adolescents also wished to have support from non-judgemental healthcare professionals.

CONCLUSIONS: We have some understanding of the challenges faced by adolescents with asthma, less so for other allergic conditions. This knowledge will be used to support guidelines for managing adolescents.

adolescent, allergy, asthma, food allergy, rhinoconjunctivitis, transition, young adult
0105-4538
1849-1879
Vazquez-Ortiz, Marta
890eb8f6-2903-44dd-b494-36af021f7708
Angier, Elizabeth
d98c8257-d8b2-4aa6-bb77-42ba29757c52
Blumchen, Katharina
be44905f-fa8a-46f7-9fb6-efeb0098a00a
Comberiati, Pasquale
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Duca, Bettina
66510372-ddf4-4b43-b814-7ccffce88400
DunnGalvin, Audrey
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Gore, Claudia
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Hox, Valérie
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Jensen, Britt
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Pite, Helena
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Santos, Alexandra F.
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Sanchez, Silvia
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Alviani, Cherry
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Garriga-Baraut, Teresa
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Knibb, Rebecca
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Mortz, Charlotte G.
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Gowland, M. Hazel
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Timmermans, Frans
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Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Vazquez-Ortiz, Marta
890eb8f6-2903-44dd-b494-36af021f7708
Angier, Elizabeth
d98c8257-d8b2-4aa6-bb77-42ba29757c52
Blumchen, Katharina
be44905f-fa8a-46f7-9fb6-efeb0098a00a
Comberiati, Pasquale
753e1130-8357-4921-ab16-604a73976555
Duca, Bettina
66510372-ddf4-4b43-b814-7ccffce88400
DunnGalvin, Audrey
cb3a7df5-feb4-414a-b528-459c52dd2a80
Gore, Claudia
4ad3cf91-6348-44bc-b5f0-1cbcef54afc0
Hox, Valérie
46142219-f63f-401a-861b-636c9586be9f
Jensen, Britt
aa3bb810-3a5b-4d70-a31f-4f396988d073
Pite, Helena
81752103-e5a4-4b9d-882f-7693a36e0b86
Santos, Alexandra F.
f5b69586-7f5c-4972-88dd-c463990bda94
Sanchez, Silvia
6096959e-0b02-4fc3-a879-7a25786004a9
Alviani, Cherry
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Garriga-Baraut, Teresa
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Knibb, Rebecca
ecf7d254-dfd6-4048-b274-6719b71ef410
Mortz, Charlotte G.
753eaf0c-6f37-4847-8fde-2c057ab46907
Gowland, M. Hazel
72a62d3c-fe49-4b92-9776-ff235a7c5db3
Timmermans, Frans
b6bb2f65-cf2f-4497-abee-1a247cfec494
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3

Vazquez-Ortiz, Marta, Angier, Elizabeth, Blumchen, Katharina, Comberiati, Pasquale, Duca, Bettina, DunnGalvin, Audrey, Gore, Claudia, Hox, Valérie, Jensen, Britt, Pite, Helena, Santos, Alexandra F., Sanchez, Silvia, Alviani, Cherry, Garriga-Baraut, Teresa, Knibb, Rebecca, Mortz, Charlotte G., Gowland, M. Hazel, Timmermans, Frans and Roberts, Graham (2020) Understanding the challenges faced by adolescents and young adults with allergic conditions: a systematic review. Allergy, 75 (8), 1849-1879. (doi:10.1111/all.14258).

Record type: Article

Abstract

BACKGROUND: Adolescence represents a vulnerable time for individuals with asthma and allergic conditions. They suffer an unexpected degree of morbidity. This systematic review aimed to understand the challenges faced by adolescents and young adults with these conditions.

METHODS: A systematic literature search was undertaken across eight databases. References were checked by two reviewers for inclusion. Study data were extracted and their quality was assessed in duplicate. A narrative meta-synthesis was undertaken.

RESULTS: A total of 108 papers describing 106 studies were retrieved, most focused on asthma. Five themes were identified across studies. (1) Health-related quality of life: impairment was associated with poor disease control, psychosocial issues, adolescent-onset allergic disease and female sex. (2) Psychological factors: asthma and food allergy were associated with anxiety and depression; atopic dermatitis was associated with suicidal ideation; and that parental emotional support may be protective. (3) Adherence: suboptimal adherence was associated with older age, barriers to medication usage, poor symptom perception and failure to take responsibility; positive factors were routines, simpler treatment regimes, better knowledge and perceptions about medications. (4) Self-management: facilitated by education, knowledge and a positive attitude. (5) Supportive relationships: families could modify barriers to adherence and foster positive views about self-management; adolescents suggested that their peers should be more involved in supporting them; adolescents also wished to have support from non-judgemental healthcare professionals.

CONCLUSIONS: We have some understanding of the challenges faced by adolescents with asthma, less so for other allergic conditions. This knowledge will be used to support guidelines for managing adolescents.

This record has no associated files available for download.

More information

Accepted/In Press date: 6 March 2020
e-pub ahead of print date: 6 March 2020
Keywords: adolescent, allergy, asthma, food allergy, rhinoconjunctivitis, transition, young adult

Identifiers

Local EPrints ID: 441424
URI: http://eprints.soton.ac.uk/id/eprint/441424
ISSN: 0105-4538
PURE UUID: 7d253c26-97c7-4f34-8bc1-b5f404e5aeef
ORCID for Graham Roberts: ORCID iD orcid.org/0000-0003-2252-1248

Catalogue record

Date deposited: 11 Jun 2020 16:41
Last modified: 10 Jan 2022 02:50

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Contributors

Author: Marta Vazquez-Ortiz
Author: Elizabeth Angier
Author: Katharina Blumchen
Author: Pasquale Comberiati
Author: Bettina Duca
Author: Audrey DunnGalvin
Author: Claudia Gore
Author: Valérie Hox
Author: Britt Jensen
Author: Helena Pite
Author: Alexandra F. Santos
Author: Silvia Sanchez
Author: Cherry Alviani
Author: Teresa Garriga-Baraut
Author: Rebecca Knibb
Author: Charlotte G. Mortz
Author: M. Hazel Gowland
Author: Frans Timmermans
Author: Graham Roberts ORCID iD

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