Guideline-Informed Care Among Medicaid-Enrolled Children With Food Allergy

Kanaley, Madeleine; Dyer, Ashley; Negris, Olivia; Fierstein, Jamie; Ciaccio, Christina E.; Gupta, Ruchi S.; Bilaver, Lucy

doi:10.37765/ajmc.2020.88538

Cited by 13 publications

(4 citation statements)

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“… 32 Only 1 in 2 children with an FA enrolled in Medicaid have a filled EAI prescription. 33 Although further research is necessary to better understand the potential association of household income with FA outcomes, these findings emphasize the importance of socioeconomic factors as likely associated with FA outcomes by race and ethnicity. These socioeconomic factors should be factored into future analyses of the association of race and ethnicity with FA because these social constructs may influence each other.…”

Section: Discussionmentioning

confidence: 98%

“…Individuals using government-sponsored nutritional support programs have difficulty accessing allergen-free options . Only 1 in 2 children with an FA enrolled in Medicaid have a filled EAI prescription . Although further research is necessary to better understand the potential association of household income with FA outcomes, these findings emphasize the importance of socioeconomic factors as likely associated with FA outcomes by race and ethnicity.…”

Section: Discussionmentioning

confidence: 99%

“…32 Only 1 in 2 children with an FA enrolled in Medicaid have a filled EAI prescription. 33 Although further research is necessary to better understand the potential association of household income with FA outcomes, these findings emphasize the importance of socioeconomic were categorized as individuals of other races for the purposes of these analyses. In addition, our findings were limited by their reliance on self-reported or parent-reported data.…”

Section: Jama Network Open | Equity Diversity and Inclusionmentioning

confidence: 99%

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Racial, Ethnic, and Socioeconomic Differences in Food Allergies in the US

et al. 2023

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ImportanceFood allergies affect approximately 8% of children and 11% of adults in the US. Racial differences in food allergy outcomes have previously been explored among Black and White children, but little is known about the distribution of food allergies across other racial, ethnic, and socioeconomic subpopulations.ObjectiveTo estimate the national distribution of food allergies across racial, ethnic, and socioeconomic groups in the US.Design, Setting, and ParticipantsIn this cross-sectional survey study, conducted from October 9, 2015, to September 18, 2016, a population-based survey was administered online and via telephone. A US nationally representative sample was surveyed. Participants were recruited using both probability- and nonprobability-based survey panels. Statistical analysis was performed from September 1, 2022, through April 10, 2023.ExposuresDemographic and food allergy–related participant characteristics.Main Outcomes and MeasuresStringent symptom criteria were developed to distinguish respondents with a “convincing” food allergy from those with similar symptom presentations (ie, food intolerance or oral allergy syndrome), with or without physician diagnosis. The prevalence of food allergies and their clinical outcomes, such as emergency department visits, epinephrine autoinjector use, and severe reactions, were measured across race (Asian, Black, White, and &gt;1 race or other race), ethnicity (Hispanic and non-Hispanic), and household income. Complex survey-weighted proportions were used to estimate prevalence rates.ResultsThe survey was administered to 51 819 households comprising 78 851 individuals (40 443 adults and parents of 38 408 children; 51.1% women [95% CI, 50.5%-51.6%]; mean [SD] age of adults, 46.8 [24.0] years; mean [SD] age of children, 8.7 [5.2] years): 3.7% Asian individuals, 12.0% Black individuals, 17.4% Hispanic individuals, 62.2% White individuals, and 4.7% individuals of more than 1 race or other race. Non-Hispanic White individuals across all ages had the lowest rate of self-reported or parent-reported food allergies (9.5% [95% CI, 9.2%-9.9%]) compared with Asian (10.5% [95% CI, 9.1%-12.0%]), Hispanic (10.6% [95% CI, 9.7%-11.5%]), and non-Hispanic Black (10.6% [95% CI, 9.8%-11.5%]) individuals. The prevalence of common food allergens varied by race and ethnicity. Non-Hispanic Black individuals were most likely to report allergies to multiple foods (50.6% [95% CI, 46.1%-55.1%]). Asian and non-Hispanic White individuals had the lowest rates of severe food allergy reactions (Asian individuals, 46.9% [95% CI, 39.8%-54.1%] and non-Hispanic White individuals, 47.8% [95% CI, 45.9%-49.7%]) compared with individuals of other races and ethnicities. The prevalence of self-reported or parent-reported food allergies was lowest within households earning more than $150 000 per year (8.3% [95% CI, 7.4%-9.2%]).Conclusions and RelevanceThis survey study of a US nationally representative sample suggests that the prevalence of food allergies was highest among Asian, Hispanic, and non-Hispanic Black individuals compared with non-Hispanic White individuals in the US. Further assessment of socioeconomic factors and corresponding environmental exposures may better explain the causes of food allergy and inform targeted management and interventions to reduce the burden of food allergies and disparities in outcomes.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

“…32 Only 1 in 2 children with an FA enrolled in Medicaid have a filled EAI prescription. 33 Although further research is necessary to better understand the potential association of household income with FA outcomes, these findings emphasize the importance of socioeconomic were categorized as individuals of other races for the purposes of these analyses. In addition, our findings were limited by their reliance on self-reported or parent-reported data.…”

Section: Jama Network Open | Equity Diversity and Inclusionmentioning

confidence: 99%

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Racial, Ethnic, and Socioeconomic Differences in Food Allergies in the US

et al. 2023

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“…In addition, socioeconomic disparities that can increase the financial burden and negatively impact one’s QoL must be considered. Research has found that historically underrepresented population groups using Medicaid often utilize the ED more frequently and are less likely to be diagnosed with a FA due to difficulty accessing specialized care through an allergist ( 22 ). Ensuring all FA patients have access to affordable specialty care, such as an allergist or primary care physician must be prioritized.…”

Section: Daily Quality Of Life With Food Allergymentioning

confidence: 99%

Food allergy issues among consumers: a comprehensive review

Sansweet,

Jindal,

Gupta

2024

Front. Nutr.

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Food Allergy (FA) is a growing global public health concern. In the United States alone, 8% of children and 11% of adults have a convincing FA (symptoms consistent with an IgE-mediated reaction to a specific allergen). Given the significant prevalence of this condition, the objective of this mini-review is to illustrate the many dimensions of life that are impacted among those with FA. Summarizing findings from a breadth of current literature, we present how FA affects social, psychological, and economic-related quality of life. With this informative review, we endeavor to bring increased awareness to these issues and help cultivate a better future for individuals with FA.

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