Food Allergies and the Teenager

  • Nancy S. RotterEmail author
  • Michael Pistiner


Developmentally, teenagers are increasingly independent, spend more time with their peer group, and engage in more risk-oriented behaviors as they transition toward adulthood. Peer pressure and the natural desire to avoid embarrassment further impact teenage decision-making, potentially increasing safety risks for the food allergic teen. Taken together, normal developmental issues specific to teenagers with food allergies, such as allergen avoidance and independent use of medications, make the transition to food allergy self-management uniquely difficult. There are many issues complicating the typical development for food allergic teenagers. Being attuned to the current information regarding some of these specific issues can be very helpful in tailoring interventions to the specific family and adolescent. The use of education, empowerment, and partnerships can improve self-care, adherence, and quality of life.


Adolescent Teenager Food allergy Anaphylaxis Food allergy management Allergic reaction 



Special thanks to Elisabeth Stieb, RN, BSN, AE-C, for her careful review of this chapter.


  1. 1.
    Umasunthar T, Leonardi-Bee J, Hodes M, Turner PJ, Gore C, Habibi P, Warner JO, Boyle RJ. Incidence of fatal food anaphylaxis in people with food allergy: a systematic review and meta-analysis. Clin Exp Allergy. 2013;43(12):1333–41.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Gupta RS, Springston EE, Warrier MR, Smith B, Kumar R, Pongracic J, Holl JL. The prevalence, severity, and distribution of childhood food allergy in the United States. Pediatrics. 2011;128(1):e9–e17.CrossRefPubMedGoogle Scholar
  3. 3.
    Borse NN, Gilchrist J, Dellinger AM, Rudd RA, Ballesteros MF, Sleet DA. CDC childhood injury report: patterns of unintentional injuries among 0–19 year olds in the United States, 2000–2006. Atlanta: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2008.Google Scholar
  4. 4.
    Bock SA, Muñoz-Furlong A, Sampson HA. Fatalities due to anaphylactic reactions to foods. J Allergy Clin Immunol. 2001;107:191–3.CrossRefPubMedGoogle Scholar
  5. 5.
    Bock SA, Muñoz-Furlong A, Sampson HA. Further fatalities caused by anaphylactic reactions to food, 2001–2006. J Allergy Clin Immunol. 2007;119:1016–8.CrossRefPubMedGoogle Scholar
  6. 6.
    American College of Allergy, Asthma, & Immunology. Food allergy: a practice parameter. Ann Allergy Asthma Immunol. 2006;96(3 Suppl 2):S1–68.Google Scholar
  7. 7.
    Sicherer SH, Sampson HA. Peanut allergy: emerging concepts and approaches for an apparent epidemic. J Allergy Clin Immunol. 2007;120(3):491–503.CrossRefPubMedGoogle Scholar
  8. 8.
    Greenhawt MJ, Singer AM, Baptist AP. Food allergy and food allergy attitudes among college students. J Allergy Clin Immunol. 2009;124:323–7.CrossRefPubMedGoogle Scholar
  9. 9.
    National Vital Statistics Reports. Vol. 65, No. 5. June 30, 2016.Google Scholar
  10. 10.
    Osmont A, Moutier S, Simon G, Bouhours L, Houdé O, Cassotti M. How does explicit versus implicit risk information influence adolescent risk-taking engagement? J Behav Decis Mak. 2017;30:1093–103.CrossRefGoogle Scholar
  11. 11.
    Jackman DM, MacPhee D. Self-esteem and future orientation predict adolescents’ risk engagement. J Early Adolesc. 2017;37(3):339–66.CrossRefGoogle Scholar
  12. 12.
    Sampson MA, Muñoz-Furlong A, Sicherer SH. Risk-taking and coping strategies of adolescents and young adults with food allergy. J Allergy Clin Immunol. 2006;117(6):1440–5.CrossRefPubMedGoogle Scholar
  13. 13.
    Kohut SA, Stinson J, van Wyk M, Giosa L, Luca S. Systematic review of peer support interventions for adolescents with chronic illness. Int J Child Adolesc Health. 2014;7(3):183–97.Google Scholar
  14. 14.
    La Greca AM, Bearman KJ, Moore H. Peer relations of youth with pediatric conditions and health risks: promoting social support and healthy lifestyles. J Dev Behav Pediatr. 2002;23(4):271–80.CrossRefPubMedGoogle Scholar
  15. 15.
    Shemesh E, Annunziato RA, Ambrose MA, Ravid NL, Mullarkey C, Rubes M, Chuang K, Sicherer M, Sicherer SH. Child and parental reports of bullying in a consecutive sample of children with food allergy. Pediatrics. 2013;131(1):e10–7.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Gonzalez-Quintela A, Vidal C, Gude F. Alcohol, IgE and allergy. Addict Biol. 2004;9:195–204.CrossRefPubMedGoogle Scholar
  17. 17.
    Wölbing F, Fischer J, Köberle M, Kaesler S, Biedermann T. About the role and underlying mechanisms of cofactors in anaphylaxis. Allergy. 2013;68(9):1085–92.PubMedGoogle Scholar
  18. 18.
    Maloney JM, Chapman MD, Sicherer SH. Peanut allergen exposure through saliva: assessment and interventions to reduce exposure. J Allergy Clin Immunol. 2006;118(3):719–24.CrossRefPubMedGoogle Scholar

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Child and Adolescent PsychiatryMassachusetts General HospitalBostonUSA
  2. 2.Department of PsychiatryHarvard Medical SchoolBostonUSA
  3. 3.Department of Pediatric AllergyMassGeneral Hospital for Children, Harvard Medical SchoolBostonUSA

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