The Impact of Allergic Rhinitis on Australian Adults in an Urban Setting: A Qualitative Exploration.

Background/Objectives: Allergic rhinitis (AR) is a prevalent and chronic condition that is frequently underestimated in clinical practice, despite its substantial impact on quality of life (QoL). While epidemiological studies have quantified the prevalence, risk factors and symptom burden, limited research has explored the lived experiences of adults living with AR in Australia, and more specifically in Victoria. This study aimed to explore the lived experiences of adults with AR in urban Victoria, Australia. Methods: A qualitative study utilising online semi-structured in-depth interviews was conducted with thirty-eight adults residing in Melbourne and Geelong, Victoria, Australia. Data were analysed using reflexive thematic analysis as described by Braun and Clarke. Results: Of the 38 participants, 57.9% (n = 22) were self-diagnosed and 42.1% (n = 16) had received a professional diagnosis of AR. The following five themes were constructed: 1. AR is shaped by onset, family history and comorbidities; 2. Environmental exposures and seasonal changes strongly influence the experience of AR patients; 3. Coping with AR involves a mix of lifestyle adjustments, medication and personal adaptive strategies; 4. AR disrupts QoL through poor sleep, emotional strain, social limitations and reduced productivity; and 5. Limited awareness and barriers in healthcare access hinder effective management of AR. Conclusions: Participants described AR as extending beyond physical symptoms to emotional, social and economic impacts shaped by multiple factors. These complex lived experiences emphasise the need for more tailored management and improved clinical recognition of the psychosocial burden of AR.