Health disparities in allergic and immunologic conditions in racial and ethnic underserved populations: A Work Group Report of the AAAAI Committee on the Underserved

被引:102
作者
Davis, Carla M. [1 ,2 ]
Apter, Andrea J. [3 ]
Casillas, Adrian [4 ]
Foggs, Michael B. [5 ]
Louisias, Margee [6 ]
Morris, Elsie C. [7 ]
Nanda, Anil [8 ,9 ,10 ]
Nelson, Michael R. [11 ]
Ogbogu, Princess U. [12 ]
Walker-McGill, Cheryl Lynn [13 ,14 ]
Wang, Julie [15 ]
Perry, Tamara T. [16 ,17 ]
机构
[1] Baylor Coll Med, Houston, TX USA
[2] Texas Childrens Hosp, Food Allergy Program, Houston, TX USA
[3] Univ Penn, Perelman Sch Med, Philadelphia, PA USA
[4] Texas Tech Hlth Sci Ctr, Sierra Providence Med Partners, El Paso, TX USA
[5] Advocate Aurora Hlth Clin, Advocate Med Grp, Chicago, IL USA
[6] Harvard Med Sch, Brig Ham & Womens Hosp, Boston Childrens Hosp, Boston, MA USA
[7] Allergy Asthma & Immunol, Pittsburgh, PA USA
[8] Asthma & Allergy Ctr, Lewisville, TX USA
[9] Asthma & Allergy Ctr, Flower Mound, TX USA
[10] Univ Texas Southwestern Med Ctr Dallas, Dallas, TX 75390 USA
[11] Walter Reed Natl Mil Med Ctr, Allergy Immunol Serv, Bethesda, MD USA
[12] Case Western Reserve Univ, Rainbow Babies & Children, UH Cleveland Med Ctr, Cleveland, OH USA
[13] Carolina Complete Hlth, Charlotte, NC USA
[14] Wingate Univ, Grad Sch Business, Charlotte, NC USA
[15] Icahn Sch Med Mt Sinai, Elliot & Roslyn Jaffe Food Allergy Inst, New York, NY USA
[16] Univ Arkansas Med Sci, Little Rock, AR 72205 USA
[17] Arkansas Childrens Res Inst, Little Rock, AR USA
基金
美国国家卫生研究院;
关键词
Health disparities; allergic rhinitis; asthma; atopic dermatitis; primary immunodeficiency; drug allergy; food allergy; coronavirus disease 2019; PRIMARY IMMUNODEFICIENCY DISEASES; ASTHMA CARE COORDINATION; UNITED-STATES; ATOPIC-DERMATITIS; FOOD ALLERGY; SOCIOECONOMIC-STATUS; SOCIAL DETERMINANTS; ECZEMA PREVALENCE; CLINICAL-TRIALS; AGED CHILDREN;
D O I
10.1016/j.jaci.2021.02.034
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Health disparities are health differences linked with economic, social, and environmental disadvantage. They adversely affect groups that have systematically experienced greater social or economic obstacles to health. Renewed efforts are needed to reduced health disparities in the United States, highlighted by the disparate impact on racial minorities during the coronavirus pandemic. Institutional or systemic patterns of racism are promoted and legitimated through accepted societal standards, and organizational processes within the field of medicine, and contribute to health disparities. Herein, we review current evidence regarding health disparities in allergic rhinitis, asthma, atopic dermatitis, food allergy, drug allergy, and primary immune deficiency disease in racial and ethnic underserved populations. Best practices to address these disparities involve addressing social determinants of health and adopting policies to improve access to specialty care and treatment for the underserved through telemedicine and community partnerships, cross-cultural provider training to reduce implicit bias, inclusion of underserved patients in research, implementation of culturally competent patient education, and recruitment and training of health care providers from underserved communities. Addressing health disparities requires a multilevel approach involving patients, health providers, local agencies, professional societies, and national governmental agencies. (J Allergy Clin Immunol 2021;147:1579-93.)
引用
收藏
页码:1579 / 1593
页数:15
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