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Health disparities in allergic and immunologic conditions in racial and ethnic underserved populations: A Work Group Report of the AAAAI Committee on the Underserved.
Davis, Carla M; Apter, Andrea J; Casillas, Adrian; Foggs, Michael B; Louisias, Margee; Morris, Elsie C; Nanda, Anil; Nelson, Michael R; Ogbogu, Princess U; Walker-McGill, Cheryl Lynn; Wang, Julie; Perry, Tamara T.
  • Davis CM; Baylor College of Medicine, Houston, Tex; Texas Children's Hospital Food Allergy Program, Texas Children's Hospital, Houston, Tex. Electronic address: carlad@bcm.edu.
  • Apter AJ; Perelman School of Medicine of the University of Pennsylvania, Philadelphia, Pa.
  • Casillas A; Texas Tech Health Sciences Center, Sierra Providence Medical Partners, El Paso, Tex.
  • Foggs MB; Advocate Medical Group, Advocate Aurora Health Clinic, Chicago, Ill.
  • Louisias M; Boston Children's Hospital, Harvard Medical School, Brigham and Women's Hospital, Boston, Mass.
  • Morris EC; Allergy, Asthma and Immunology, Tucker, Ga.
  • Nanda A; Asthma and Allergy Center, Lewisville, Tex; Asthma and Allergy Center, Flower Mound, Tex; University of Texas Southwestern Medical Center, Dallas, Tex.
  • Nelson MR; Allergy-Immunology Service, Walter Reed National Military Medical Center, Bethesda, Md.
  • Ogbogu PU; Case Western Reserve University-Rainbow Babies and Children/UH Cleveland Medical Center, Cleveland, Ohio.
  • Walker-McGill CL; Carolina Complete Health, Charlotte, NC; Wingate University Graduate School of Business, Charlotte, NC.
  • Wang J; Elliot and Roslyn Jaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
  • Perry TT; University of Arkansas for Medical Sciences, Little Rock, Ark; Arkansas Children's Research Institute, Little Rock, Ark.
J Allergy Clin Immunol ; 147(5): 1579-1593, 2021 05.
Article in English | MEDLINE | ID: covidwho-1126895
ABSTRACT
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ethnicity / Health Status Disparities / Healthcare Disparities / Health Services Accessibility / Hypersensitivity Type of study: Experimental Studies / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: J Allergy Clin Immunol Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ethnicity / Health Status Disparities / Healthcare Disparities / Health Services Accessibility / Hypersensitivity Type of study: Experimental Studies / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: J Allergy Clin Immunol Year: 2021 Document Type: Article