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Introduction: COVID-19 affects the daily lives of many food allergy (FA) patients To characterize its impact, a national survey was administered to parents/caregivers of food-allergic children Methods: Surveys were administered to parents/caregivers from 1)FARE’s patient registry, 2)the multi-site FORWARD clinical cohort study of Black and White food-allergic children, and 3)Stanford clinical FA patient database Visual analogue scales from 0(much less)—5(equivalent)—10(much greater) quantified FA-related psychosocial burden relative to 2019 COVID-19 Exposure and Family Impact Surveys (CEFIS) were also administered Results: Responses were obtained through FARE (N=488), FORWARD (N=118), and Stanford (N=65) between 5/15-7/7 While a greater proportion of FARE and Stanford respondents were high-SES and reported White race/ethnicity relative to FORWARD participants, CEFIS scores were similar (M=6 9-7 6)–indicative of similar levels of COVID-19 exposure/impact Compared to 2019, FARE respondents reported slightly elevated levels of concern (M=5 4;SD=2 5) about accidental ingestion, anaphylaxis management self-efficacy (M=5 2;SD=1 99);FA-related worry/anxiety/stress (M=5 7;SD=2 2-2 3);their child’s nutrition (M=5 4;SD=2 2), and risk of severe (M=6 4;SD=2 3) and fatal (M=6 0;SD=2 1) FA outcomes Greater parental concern was reported regarding ability to obtain safe foods (M=6 5;SD=2 4);worry about cross-contact among prepared/delivered foods (M=6 4;SD=2 3);activation of EMS (M=7 0;SD=2 3 or going to the ED (M=7 8;SD=2 1) for anaphylaxis treatment Comparing parental self- vs child-proxy-report responses suggested children were less burdened However, parent self- and child-proxy-report among FORWARD and Stanford patients indicated less concern relative to 2019 (M<5) for most of the aforementioned domains except for activating EMS (M=6 0-6 7;SD=2 8-2 3) or receiving FA treatment in the ED (M=6 9-7 3;SD=2 7-2 2) Conclusions: The impact of COVID-19 on FA patients and their parents/caregivers is substantial, but heterogenous
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