Barriers to self-management behaviors in college students with food allergies

Sarah E. Duncan, Rachel A. Annunziato

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Objective: This study examined barriers to engagement in self-management behaviors among food-allergic college students (1) within the frameworks of the health belief model (HBM) and common sense self-regulation model (CS-SRM) and (2) in the context of overall risky behaviors. Participants: Undergraduate college students who reported having a physician-diagnosed food allergy (N = 141). Research was conducted from February 2015 through May 2016. Methods: Participants were recruited from college campuses through email and social media. The frequency of adherence to self-management behaviors was measured along with HBM, CS-SRM, and risk-taking behaviors through a self-report survey. Results: Among all participants, HBM and CS-SRM constructs and Tobacco Use explained 30.6% of the variance in adherence. CS-SRM constructs and Tobacco Use explained 44.8% of the variance for participants with self-injectable epinephrine (SIE). Conclusions: Food-allergic college students demonstrate inconsistent adherence, and interventions designed to improve adherence should take both SIE prescription status and contextual factors into consideration.

Original languageEnglish
Pages (from-to)331-339
Number of pages9
JournalJournal of American College Health
Issue number5
StatePublished - 4 Jul 2018


  • Adherence
  • barriers
  • college students
  • food allergy
  • self-management


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