Investigating self‐reported food allergy prevalence in Waterloo Region, Canada.

While food allergy prevalence has been studied at the national level, we know little of food allergy prevalence or perceptions of prevalence/management at the local level. This paper uses Waterloo Region as a case study to 1) document self‐reported individual and household food allergy and sensitivity prevalence at the local level; 2) investigate perceptions of food allergy prevalence; and 3) explore perceived confidence in anaphylaxis management. Survey data were collected from January to March 2019. Respondents (n = 500) self‐reported individual and household food allergy and sensitivity, estimated the percentage of Canadians with food allergy, and were queried about their knowledge of food allergy management. Prevalence estimates were weighted to the structure of the 2016 Canadian Census, and univariate and bivariate analysis were conducted. Prevalence of self‐reported food allergy was 12.1% (95%CI, 8.8%‐15.3%), and prevalence of self‐reported food sensitivity was 26.3% (95%CI, 21.9%‐30.7%). When asked to estimate the percentage of Canadians with food allergy, the mean perceived percentage was 35.1% (SD = 22.96). Self‐reported prevalence of food allergy appears higher in Waterloo Region, and the estimated percentage of Canadians with food allergy is inflated. Understanding prevalence and perceptions at the local level is important for targeted allocation of public health resources to ensure safe spaces for individuals with food allergy. Key Messages: Compared to national prevalence estimates, individual self‐reported prevalence of food allergy appears higher in Waterloo Region.The estimated percentage of Canadians with food allergy is almost four times the actual self‐reported prevalence of food allergy in Canada.Inflated perception of food allergy prevalence has implications for local‐level food allergy management, to ensure safe public spaces for individuals affected by food allergy. [ABSTRACT FROM AUTHOR]