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Topical Review: Pediatric Food Allergies Among Diverse Children

Elizabeth L McQuaid1, Michael L Farrow2, Cynthia A Esteban3

  • 1Alpert Medical School, Brown University and Bradley/Hasbro Children's Research Center, elizabeth_mcquaid@brown.edu.

Journal of Pediatric Psychology
|June 19, 2015
PubMed

Insights

Racial and ethnic disparities exist in pediatric food allergy (FA) care, particularly concerning epinephrine access and use. More research is needed to understand these differences and their impact on diverse children.

Area of Science:

  • Pediatric Allergy and Immunology
  • Health Disparities Research
  • Public Health

Background:

  • Food allergy (FA) affects children globally, with emerging concerns about equitable care.
  • Existing literature suggests potential disparities in FA prevalence, management, and impact across racial and ethnic groups.

Purpose of the Study:

  • To review existing literature on racial/ethnic disparities in pediatric food allergy.
  • To highlight gaps in knowledge regarding FA prevalence, asthma comorbidity, epinephrine access, and psychosocial effects.

Main Methods:

  • Topical literature review.
  • Analysis of data on FA prevalence, asthma comorbidity, epinephrine access/use, and psychosocial impact.
  • Synthesis of findings considering methodological variations and sample diversity.

Main Results:

  • Prevalence disparities are unclear due to methodological variations, but some data indicate higher risk for Black children.
  • Comorbidity of FA and asthma in urban settings may worsen outcomes.
  • Significant racial/ethnic and socioeconomic disparities exist in epinephrine access and use.
  • Psychosocial impact studies often lack diverse participants, limiting generalizability.

Conclusions:

  • Further research is essential to define FA prevalence patterns across racial/ethnic groups.
  • Investigating the root causes of disparities in epinephrine use is critical.
  • Evaluating the differential impact of FA on diverse pediatric populations is needed.
Abstract

Keywords:
culturedisparitieshealth behavior

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