Disparities in the Diagnosis and Management of Anaphylaxis

Brit Trogen; Samantha Jacobs; Julie Wang

doi:10.1007/s11882-022-01053-y

Disparities in the Diagnosis and Management of Anaphylaxis

Curr Allergy Asthma Rep. 2023 Jan;23(1):13-19. doi: 10.1007/s11882-022-01053-y. Epub 2022 Dec 1.

Authors

Brit Trogen¹, Samantha Jacobs², Julie Wang³

Affiliations

¹ Department of Medicine, Allergy & Immunology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1198, New York, NY, 10029, USA. brittany.trogen@mssm.edu.
² Department of Pediatrics, NYU Grossman School of Medicine, Hassenfeld Children's Hospital, New York, NY, USA.
³ Department of Medicine, Allergy & Immunology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1198, New York, NY, 10029, USA.

PMID: 36454450
DOI: 10.1007/s11882-022-01053-y

Abstract

Purpose of review: The goal of this review is to characterize health disparities impacting the recognition and treatment of anaphylaxis.

Recent findings: Previous research has identified major health disparities related to atopic conditions including asthma, atopic dermatitis, and food allergies (FA); however, disparities related to anaphylaxis have yet to be examined in depth. We found widespread health disparities in the incidence and severity of anaphylaxis, as well as in the management of allergies (particularly food allergies) that place individuals at risk of anaphylaxis. Sociodemographic factors are associated with numerous negative health outcomes related to anaphylaxis. We highlight several key steps that must be taken to address these disparities.

Keywords: Allergy; Anaphylaxis; Health disparities; Social determinants of health.

Publication types

Review

MeSH terms

Anaphylaxis* / diagnosis
Anaphylaxis* / epidemiology
Anaphylaxis* / therapy
Asthma* / etiology
Dermatitis, Atopic* / etiology
Food Hypersensitivity* / complications
Food Hypersensitivity* / diagnosis
Food Hypersensitivity* / epidemiology
Humans
Incidence