食物过敏反应严重程度和管理在一个多样化的人口
Samantha Kay-Green1, Neil Thivalapill1, Lucy Bilaver1
1Institute for Public Health and Medicine, Center for Food Allergy and Asthma Research, Northwestern University Feinberg School of Medicine, Chicago, Ill.
The journal of allergy and clinical immunology. In practice
|January 8, 2024
概括
在食物过敏管理方面存在种族和民族差异. 非西班牙裔黑人儿童经历了更严重的反应和更高的急诊室使用率,而所有少数群体使用了较少的上腺素.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 食物过敏反应的最终治疗,包括过敏反应,因严重程度和社会经济地位而异.
- 关于食物过敏严重程度,管理,种族和种族之间的关系的数据有限.
研究的目的:
- 根据种族和种族,分析食物过敏反应严重程度,上腺素使用和急诊室 (ER) 使用的差异.
- 在一个多元化的队列中调查食物过敏护理的差异.
主要方法:
- 从与白人和非裔美国人种族差异队伍相关的食物过敏结果中分析摄入数据.
- 利用描述性统计和混合效应物流/波桑模型来评估差异.
主要成果:
- 非西班牙裔黑人儿童出现严重反应 (OR 1.7) 和急诊室 (OR 2.8) 的几率增加.
- 非西班牙裔黑人和西班牙裔/拉丁裔儿童一生使用上腺素的比例较低 (IRR分别为0.4和0.3).
结论:
- 显著的种族和民族差异影响了食物过敏反应的严重程度和治疗,导致ER的使用增加和降低了上腺素的使用.
- 为家长提供关于食物过敏管理的资源,可能会减少获得终身护理的差异.
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