Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
Identifying gaps: A survey of food allergy knowledge and management in US adults.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Halperin-Goldstein Sofia, Tan Joey, Malawer Erin, McCollum Sarah, Roach Anita, Leeds Stephanie
Аннотация
BACKGROUND: Food allergy (FA) disproportionately affects communities of color in the United States. However, few studies have evaluated adult-specific disparities in FA.
OBJECTIVE: To explore differences in FA prevalence, knowledge, and care among US adults.
METHODS: A survey of adults with FA which collected data on self-reported allergens, anaphylaxis knowledge, epinephrine autoinjector (EAI) prescriptions, and health care utilization. Outcomes were compared by race/ethnicity, insurance type, and geographic region.
RESULTS: Among the 1006 survey respondents, FA rates to common allergens differed by race/ethnicity. Higher rates of peanut (50.61%) and tree nut (45.73%) allergies were reported by Black vs White participants (35.50% and 34.81%, respectively) and Other (38.89% and 33.33%, respectively) (P < .001 and P = .03). Race and insurance status emerged as predictors of anaphylaxis knowledge, with Black and Hispanic/Latino participants recognizing 8% fewer anaphylaxis symptoms than White respondents (P < .0001 and P = .006, respectively) and uninsured participants identifying 8% fewer symptoms than privately insured subjects (P = .02). Uninsured and publicly insured subjects had lower odds of EAI prescriptions compared with the privately insured (odds ratio [OR] 0.24, P < .0001 and .63, P = .0009, respectively). Black (OR 0.69, P = .06) and uninsured and publicly insured respondents (OR 0.41, P = .0003 and OR 0.69, P = .01, respectively) had lower odds of allergist-diagnosed FA than their White and privately insured counterparts.
CONCLUSION: This study demonstrates differences in self-reported food allergens by race/ethnicity and anaphylaxis symptom recognition, EAI access, and FA-related health care utilization by race/ethnicity and insurance status. These findings provide insight into potential drivers of disparities in adult FA and may inform efforts to improve care for vulnerable populations.
OBJECTIVE: To explore differences in FA prevalence, knowledge, and care among US adults.
METHODS: A survey of adults with FA which collected data on self-reported allergens, anaphylaxis knowledge, epinephrine autoinjector (EAI) prescriptions, and health care utilization. Outcomes were compared by race/ethnicity, insurance type, and geographic region.
RESULTS: Among the 1006 survey respondents, FA rates to common allergens differed by race/ethnicity. Higher rates of peanut (50.61%) and tree nut (45.73%) allergies were reported by Black vs White participants (35.50% and 34.81%, respectively) and Other (38.89% and 33.33%, respectively) (P < .001 and P = .03). Race and insurance status emerged as predictors of anaphylaxis knowledge, with Black and Hispanic/Latino participants recognizing 8% fewer anaphylaxis symptoms than White respondents (P < .0001 and P = .006, respectively) and uninsured participants identifying 8% fewer symptoms than privately insured subjects (P = .02). Uninsured and publicly insured subjects had lower odds of EAI prescriptions compared with the privately insured (odds ratio [OR] 0.24, P < .0001 and .63, P = .0009, respectively). Black (OR 0.69, P = .06) and uninsured and publicly insured respondents (OR 0.41, P = .0003 and OR 0.69, P = .01, respectively) had lower odds of allergist-diagnosed FA than their White and privately insured counterparts.
CONCLUSION: This study demonstrates differences in self-reported food allergens by race/ethnicity and anaphylaxis symptom recognition, EAI access, and FA-related health care utilization by race/ethnicity and insurance status. These findings provide insight into potential drivers of disparities in adult FA and may inform efforts to improve care for vulnerable populations.