Racial Differences in Food Allergy Phenotype and Health Care Utilization among US Children
Racial Differences in Food Allergy Phenotype and Health Care Utilization among US Children
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DOI：
10.1016/j.jaip.2016.10.006
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发表时间：
2017-03-01
影响因子：
9.4
通讯作者：
Gupta, Ruchi S.
中科院分区：
文献类型：
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作者：
Mahdavinia, Mahboobeh;Fox, Susan R.;Gupta, Ruchi S.
背景：食物过敏（FA）在美国是一种普遍的疾病，但对其在少数种族群体中的表型知之甚少。目的：本研究的目的是表征非裔美国人（AA）、西班牙裔和白人FA患儿的疾病表型和医疗保健利用差异。方法：我们进行了一项大型、双中心、回顾性队列研究，研究对象是在美国2个城市三级保健中心的过敏/免疫学诊所就诊的0-17岁FA患儿。我们采用了调整了年龄、性别和保险的多重逻辑回归分析。结果：817名儿童的队列由35%的AA， 12%的西班牙裔和53%的非西班牙裔白人组成。与非西班牙裔白人儿童相比，AA儿童患哮喘和湿疹的几率明显更高(P
BACKGROUND: Food allergy (FA) is a prevalent condition in the United States, but little is known about its phenotypes in racial minority groups.OBJECTIVE: The objective of this study was to characterize disease phenotypes and disparities in health care utilization among African American (AA), Hispanic, and white children with FA.METHODS: We conducted a large, 2-center, retrospective cohort study of children aged 0-17 years with FA seen in allergy/immunology clinics at 2 urban tertiary care centers in the United States. We used multiple logistic regression analyses adjusted for age, gender, and insurance.RESULTS: The cohort of 817 children was composed of 35% AA, 12% Hispanic, and 53% non-Hispanic white. Compared with non-Hispanic white children, AA children had significantly higher odds of having asthma and eczema (P