Differences in Self-Reported Food Allergy and Food-Associated Anaphylaxis by Race and Ethnicity Among SAPPHIRE Cohort Participants

Xiao, Shujie; Sahasrabudhe, Neha M.; Yang, Mao; Hu, Donglei; Sleiman, Patrick; Hochstadt, Samantha; Cabral, Whitney; Gilliland, Frank D.; Gauderman, W. James; Martínez, Fernando D.; Hákonarson, Hákon; Kumar, Rajesh; Burchard, Esteban G.; Williams, L. Keoki

doi:10.1016/j.jaip.2022.10.048

Cited by 2 publications

(2 citation statements)

References 61 publications

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“…in food allergies and anaphylaxis among Black participants compared to other races and ethnicities [29]. The SAPPHIRE study found genetic ancestry was not significantly associated with food allergy, suggesting that socioenvironmental factors play a greater role in food allergy disparities, compared to ancestry or ethnicity [28]. The FORWARD study also revealed that socioeconomic factors measured through the area deprivation index (ADI), a validated, multicomponent percentile score was independently associated with asthma and allergic rhinitis in children with food allergy [29].…”

Section: Prevalencementioning

confidence: 99%

“…A small longitudinal cohort study of individuals with and without asthma from Southeast Michigan and the Detroit metropolitan area [The Study of Asthma Phenotypes and Pharmacogenomic Interactions by Race-Ethnicity (SAPPHIRE)] [ 28 ] and a prospective, multicenter cohort study investigating the natural history of pediatric atopy: the Food Allergy Outcomes Related to White and African American Racial Differences (FORWARD) study observed that allergy to seafood, especially shrimp, accounted for the largest difference (13.1% vs. 4.6%; P = 1.38 × 10 −31 ) in food allergies and anaphylaxis among Black participants compared to other races and ethnicities [ 29 ]. The SAPPHIRE study found genetic ancestry was not significantly associated with food allergy, suggesting that socioenvironmental factors play a greater role in food allergy disparities, compared to ancestry or ethnicity [ 28 ]. The FORWARD study also revealed that socioeconomic factors measured through the area deprivation index (ADI), a validated, multicomponent percentile score was independently associated with asthma and allergic rhinitis in children with food allergy [ 29 ].…”

Section: Disparities In Food Allergymentioning

confidence: 99%

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Health disparities in allergic diseases

Jacobs,

Ramsey,

Bagnato

et al. 2024

Current Opinion in Allergy &Amp; Clinical Immunology

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Purpose of review Healthcare disparities impact prevalence, diagnosis, and management of allergic disease. The purpose of this review is to highlight the most recent evidence of healthcare disparities in allergic conditions to provide healthcare providers with better understanding of the factors contributing to disparities and to provide potential management approaches to address them. This review comes at a time in medicine where it is well documented that disparities exist, but we seek to answer the Why, How and What to do next? Recent findings The literature highlights the socioeconomic factors at play including race/ ethnicity, neighborhood, insurance status and income. Management strategies have been implemented with the hopes of mitigating the disparate health outcomes including utilization of school-based health, distribution of educational tools and more inclusive research recruitment. Summary The studies included describe the associations between upstream structural and social factors with downstream outcomes and provide ideas that can be recreated at other institutions of how to address them. Focus on research and strategies to mitigate healthcare disparities and improve diverse research participant pools are necessary to improve patient outcomes in the future.

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Section: Prevalencementioning

confidence: 99%