Health disparities in pediatric food allergy

Tepler, Elizabeth; Wong, Katelyn H; Soffer, Gary

doi:10.1016/j.anai.2022.04.022

Cited by 23 publications

(7 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…24 A more recent study has demonstrated that the incidence of food allergy increases and minority groups and individuals with low socioeconomic status are disproportionately affected and are more at risk of allergies because of the difficulty of having allergen-free foods. 25 In the present study, a low socioeconomic level was found to be higher in both patient groups than in the control group. This factor appeared to play a protective role against food allergies.…”

Section: Discussionsupporting

confidence: 44%

Risk factors predisposing children to food allergies

Firtin,

Turan,

Ozceker

et al. 2023

Allergol Immunopathol

View full text Add to dashboard Cite

Background: Food allergies are the most common cause of anaphylaxis in children, and their incidence is increasing globally. The aim of this study was to determine the risk factors leading to food allergies in childhood. Methods: Children with food allergies and non-atopic healthy children were compared using a questionnaire that included prenatal, neonatal, and postnatal risk factors. Results: A total of 314 subjects, 155 patients and 159 healthy children for the control group, were enrolled in the study. The median age of patients with a food allergy at diagnosis was 6 months (1–156 months), and 71 patients (45.8%) were males. The median age of the control group was 12 months (1–61 months), and 67.0% were males. Older maternal age (P = 0.023), birth by caesarean section (P = 0.001), birth in the summer or autumn (P = 0.011), crowded housing (P = 0.001), damp houses (P = 0.001), being fed with breast milk and complementary food (P = 0.001), use of synthetic bedding (P = 0.024), and being the oldest child in the family (P = 0.001) were the considered risk factors for an immunoglobulin-E (IgE)-mediated food allergy. A low frequency of yoghurt consumption by mother (P = 0.001) and use of wool bedding (P = 0.018) were identified as risk factors for non-IgE-mediated food allergies. Low socioeconomic status (P = 0.001) played a protective role against both IgE- and non-IgE-mediated food allergies whereas breastfeeding played a protective role against IgE-mediated food allergies (P = 0.030). Conclusion: The most important aspect of this study was that it separately identified pre-natal, neonatal, and postnatal risk factors for IgE- and non-IgE-mediated food allergies.

show abstract

Section: Discussionsupporting

confidence: 44%

Risk factors predisposing children to food allergies

Firtin,

Turan,

Ozceker

et al. 2023

Allergol Immunopathol

View full text Add to dashboard Cite

show abstract

“…Additional future directions include the need to expand beyond common food allergens and include consideration of emerging (i.e., novel or rare) food allergens [36], the costs of which, to this point, remain understudied. Likewise, as food insecurity [37][38][39] and health disparities [40,41] amongst those managing food allergy are now beginning to be recognised, exploration of these topics is warranted. Finally, as adult-onset allergies are increasingly prevalent [42], and various forms of immunotherapy [43] and biologics are becoming more commonly used for those with food allergy [44,45], these topics additionally need consideration, in relation to indirect costs, but also direct costs, and longitudinal changes of these costs types and their contributions to total costs.…”

Section: Discussionmentioning

confidence: 99%

The Indirect Costs of Avoidance in Food Allergy Management: A Scoping Review

Protudjer,

Engel

2024

Allergies

View full text Add to dashboard Cite

Background: Food allergy management requires avoidance of allergenic food. While the direct costs of food allergy management have been described, avoidance may also contribute to time and opportunity costs. We aimed to conduct a scoping review of the peer-reviewed literature on the indirect costs of food allergy, and to characterise these costs through a series of fictitious case studies. Methods: We performed a scoping review, guided by Arskey and O’Malley’s methodological framework, and reported using the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews. Eligible studies included original, peer-reviewed, English language literature with no lower limits to publication dates, which addressed the indirect costs of food allergy, including time and opportunity costs. A search strategy was developed by content experts with experience performing multi-database scoping reviews. The search was performed on 10 July 2023, managed using Rayyan (Cambridge, USA), and screened for eligibility. Results: Searches yielded 104 articles. After deduplication, 96 articles were screened at the title and abstract level; 12 articles were included following full-text screening. Of these, three studies were performed on adults with food allergy, eight studies were based on data collected from caregivers of children with food allergy, and one study made use of data reflecting adults and caregivers of children with food allergy. Collectively, indirect costs were identified as higher amongst those with vs. without food allergy. The few studies on age and food allergy differences (e.g., type and number of food allergies, history of reaction) are equivocal. Conclusions: The limited body of peer-reviewed literature supports that food allergy commonly carries substantial indirect costs across diverse measurement tools, albeit with age-group differences.

show abstract

“…A large and growing corpus of epidemiologic studies 1 suggests that the population-level burden of FA is not equitably distributed across key sociodemographic strata. [2][3][4][5] More specifically, like other more extensively studied allergic disease states (e.g., asthma, atopic dermatitis, and allergic rhinitis), 6 data indicate that FA may be more prevalent among certain populations experiencing lower socioeconomic status (SES), particularly those with specific racial and ethnic minority backgrounds living in highly urbanized regions. 1 Emerging data 7 also indicate that these patients may also experience more severe FA-related physical health, psychosocial, and economic outcomes.…”

Section: B Irth Cohorts: An Underutilized Re Source For Food Allergy ...mentioning

confidence: 99%

Sociodemographic inequities in food allergy: Insights on food allergy from birth cohorts

Warren,

Bartell

2024

Pediatric Allergy Immunology

View full text Add to dashboard Cite

A large and growing corpus of epidemiologic studies suggests that the population‐level burden of pediatric FA is not equitably distributed across major sociodemographic groups, including race, ethnicity, household income, parental educational attainment, and sex. As is the case for more extensively studied allergic disease states such as asthma and atopic dermatitis epidemiologic data suggest that FA may be more prevalent among certain populations experiencing lower socioeconomic status (SES), particularly those with specific racial and ethnic minority backgrounds living in highly urbanized regions. Emerging data also indicate that these patients may also experience more severe FA‐related physical health, psychosocial, and economic outcomes relating to chronic disease management. However, many studies that have identified sociodemographic inequities in FA burden are limited by cross‐sectional designs that are subject to numerous biases. Compared with cross‐sectional study designs or cohorts established later in life, birth cohorts offer advantages relative to other study designs when investigators seek to understand causal relationships between exposures occurring during the prenatal or postnatal period and the atopic disease status of individuals later in life. Numerous birth cohorts have been established across recent decades, which include evaluation of food allergy‐related outcomes, and a subset of these also have measured sociodemographic variables that, together, have the potential to shed light on the existence and possible etiology of sociodemographic inequities in food allergy. This manuscript reports the findings of a comprehensive survey of the current state of this birth cohort literature and draws insights into what is currently known, and what further information can potentially be gleaned from thoughtful examination and further follow‐up of ongoing birth cohorts across the globe. image

show abstract

Health disparities in pediatric food allergy

Cited by 23 publications

References 48 publications

Risk factors predisposing children to food allergies

Risk factors predisposing children to food allergies

The Indirect Costs of Avoidance in Food Allergy Management: A Scoping Review

Sociodemographic inequities in food allergy: Insights on food allergy from birth cohorts

Contact Info

Product

Resources

About