Joseline M Cruz Vazquez, Agartha Kankam, Kara Jordon
{"title":"Health disparities in food allergy.","authors":"Joseline M Cruz Vazquez, Agartha Kankam, Kara Jordon","doi":"10.1016/j.cppeds.2025.101731","DOIUrl":null,"url":null,"abstract":"<p><p>Rates of food allergy are rising worldwide, with a disproportionate amount of disease burden found in patients of Black, Asian, and Latinx descent. Recent guidelines have recommended early introduction of allergens as early as 4-months-old to mitigate the development of food allergy. However, non-White children continue to have significantly poorer outcomes with higher rates of food allergy-related emergency department visits for anaphylaxis without having equivalent access to epinephrine auto-injectors. With only half of allergists accepting Medicaid in the United States, and only one-third of Medicaid-enrolled children with food allergies having seen an allergist, underserved populations are less likely to have access to subspecialty care - a major determining factor in allergy health outcomes. In this review, we examine the health disparities that contribute to food allergy as well as possible solutions for physicians to combat inequity in allergy care.</p>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101731"},"PeriodicalIF":3.0000,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Problems in Pediatric and Adolescent Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.cppeds.2025.101731","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Rates of food allergy are rising worldwide, with a disproportionate amount of disease burden found in patients of Black, Asian, and Latinx descent. Recent guidelines have recommended early introduction of allergens as early as 4-months-old to mitigate the development of food allergy. However, non-White children continue to have significantly poorer outcomes with higher rates of food allergy-related emergency department visits for anaphylaxis without having equivalent access to epinephrine auto-injectors. With only half of allergists accepting Medicaid in the United States, and only one-third of Medicaid-enrolled children with food allergies having seen an allergist, underserved populations are less likely to have access to subspecialty care - a major determining factor in allergy health outcomes. In this review, we examine the health disparities that contribute to food allergy as well as possible solutions for physicians to combat inequity in allergy care.
期刊介绍:
Recognized for its probing, comprehensive, and evidence-based reviews, Current Problems in Pediatric and Adolescent Health Care devotes each issue to a timely and practical topic in pediatric medicine, presented by leading authorities in the field. The journal offers readers easily accessible information that enhances professional experience and is pertinent to daily pediatric practice. Each issue''s review article is accompanied by an additional special feature designed to highlight a particular aspect of the topic presented.