Proposed solutions by the American College of Allergy, Asthma, and Immunology and advocacy experts to address racial disparities in atopic dermatitis and food allergy

Authors

Mark Corbett, Family Allergy & Asthma, Louisville, KY.
Abby Allen, Peninsula Allergy & Asthma, Georgetown, DE.
Nichole Bobo, National Association of School Nurses, Silver Spring, MD.
Michael B. Foggs, Advocate Aurora HealthFollow
Luz S. Fonacier, Department of Medicine, NYU Langone Hospital-Long Island, Mineola, NY.
Ruchi Gupta, Northwestern University Feinberg School of Medicine and Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Rachel Kowalsky, Division of Pediatric Emergency Medicine, Departments of Emergency Medicine and Pediatrics, New York Presbyterian Hospital-Weill Cornell Medicine, New York and Section on Minority Health Equity and Inclusion, American Academy of Pediatrics, Itasca, IL.
Erin Martinez, Food Equality Initiative, Kansas City, MO.
Wendy Smith Begolka, National Eczema Association, Novato, CA.
Cherie Zachary, Midwest Allergy and Asthma, St. Paul, MN.Follow
Michael S. Blaiss, Department of Pediatrics, Medical College of Georgia, Augusta, GA, USA. Electronic address: michael.blaiss@gmail.com.

Recommended Citation

Corbett M, Allen A, Bobo N, et al. Proposed solutions by the American College of Allergy, Asthma, and Immunology and advocacy experts to address racial disparities in atopic dermatitis and food allergy. Ann Allergy Asthma Immunol. 2023;130(3):392-396.e2. doi:10.1016/j.anai.2022.12.017

Affiliations

Advocate Medical Group

Abstract

Atopic dermatitis (AD) and food allergies are more prevalent and more severe in people with skin of color than White individuals. The American College of Allergy, Asthma & Immunology (ACAAI) sought to understand the effects of racial disparities among patients with skin of color with AD and food allergies. ACAAI surveyed its members (N=200 completed), conducted interviews with healthcare providers and advocacy leaders, and hosted a roundtable to explore the challenges of diagnosis and management of AD and food allergies in people with skin of color and discuss potential solutions. The majority (68%) of survey respondents agreed that racial disparities make it difficult for people with skin of color to receive adequate treatment for AD and food allergies. The interviews and roundtable identified access to care, burden of costs, policies and infrastructure that limit access to safe foods and patient education, and inadequate research involving people with skin of color as obstacles to care. Proposed solutions included identifying ways to recruit more people with skin of color into clinical trials and medical school, educating healthcare providers about diagnosis and treating AD and food allergy in people with skin of color, improving access to safe foods, creating and disseminating culturally appropriate materials for patients, and working toward longer appointment times for patients who need them. Challenges inAD and food allergy in persons with skin of color were identified by ACAAI members. Solutions to these challenges were proposed to inspire actions to mitigate racial disparities in AD and food allergy.

Document Type

Article

PubMed ID

36538973