Racial, ethnic, and socioeconomic differences in adolescent food allergy

Coulson, Elise; Rifas‐Shiman, Sheryl L.; Sordillo, Joanne E.; Bunyavanich, Supinda; Camargo, Carlos A.; Platts-Mills, Thomas A.E.; Coull, Brent A.; Oken, Emily; Gold, Diane R.; Rice, Mary B.

doi:10.1016/j.jaip.2019.06.006

Cited by 11 publications

(5 citation statements)

References 9 publications

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“…14 A recent study of 1148 adolescents from Project Viva found that adolescents who self-identified as non-Hispanic Black were more likely that those from other racial and ethnic groups to be sensitized (>0.35 k/UL) to the five tested foods-milk, egg, soy, peanut, and wheat-compared with their peers who self-identified as non-Hispanic White. 15 Lower SES, as defined in this study by maternal educational attainment of less than a college degree, was associated with sensitization risk to all five foods, and annual household income of <$40,000/year was also positively associated with risk of sensitization to all foods but wheat. However, lower household income was significantly associated with higher odds of sensitization to soy, and lower maternal educational attainment was significantly associated with higher odds of sensitization to milk and wheat after adjustment for race, ethnicity, education, household income, environmental tobacco smoke exposure, census tract median household income, age, sex, and parental atopy.…”

Section: )mentioning

confidence: 50%

“…Lower SES, as defined in this study by maternal educational attainment of less than a college degree, was associated with sensitization risk to all five foods, and annual household income of <$40,000/year was also positively associated with risk of sensitization to all foods but wheat. However, lower household income was significantly associated with higher odds of sensitization to soy, and lower maternal educational attainment was significantly associated with higher odds of sensitization to milk and wheat after adjustment for race, ethnicity, education, household income, environmental tobacco smoke exposure, census tract median household income, age, sex, and parental atopy 15 . Moreover, non‐Hispanic Black adolescents were more than twice as likely to experience reported allergic symptoms to peanut compared with their non‐Hispanic White counterparts 15 .…”

Section: Major Us Birth Cohorts Examining Food Allergy‐related Outcomesmentioning

confidence: 91%

“…15 Moreover, non-Hispanic Black adolescents were more than twice as likely to experience reported allergic symptoms to peanut compared with their non-Hispanic White counterparts. 15 However, the investigators did not observe any significant associations between the aforementioned SES measures and FA symptoms.…”

Section: )mentioning

confidence: 98%

“…However, lower household income was significantly associated with higher odds of sensitization to soy, and lower maternal educational attainment was significantly associated with higher odds of sensitization to milk and wheat after adjustment for race, ethnicity, education, household income, environmental tobacco smoke exposure, census tract median household income, age, sex, and parental atopy. 15 Moreover, non-Hispanic Black adolescents were more than twice as likely to experience reported allergic symptoms to peanut compared with their non-Hispanic White counterparts. 15 However, the investigators did not observe any significant associations between the aforementioned SES measures and FA symptoms.…”

Section: )mentioning

confidence: 98%

“…Project Viva is a prospective pre‐birth cohort study that enrolled Boston‐area mothers at their first prenatal visit (occurring in 1999–2002) 14 . A recent study of 1148 adolescents from Project Viva found that adolescents who self‐identified as non‐Hispanic Black were more likely that those from other racial and ethnic groups to be sensitized (>0.35 k/UL) to the five tested foods—milk, egg, soy, peanut, and wheat—compared with their peers who self‐identified as non‐Hispanic White 15 . Lower SES, as defined in this study by maternal educational attainment of less than a college degree, was associated with sensitization risk to all five foods, and annual household income of <$40,000/year was also positively associated with risk of sensitization to all foods but wheat.…”

Section: Major Us Birth Cohorts Examining Food Allergy‐related Outcomesmentioning

confidence: 99%

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

Warren,

Bartell

2024

Pediatric Allergy Immunology

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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

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Section: )mentioning

confidence: 50%

Section: Major Us Birth Cohorts Examining Food Allergy‐related Outcomesmentioning

confidence: 91%