Racial, ethnic, and socioeconomic disparities in COVID-19 and influenza vaccination in pediatric food allergy.

Autor:	Fithian EM; From the Center for Food Allergy and Asthma Research; Ann and Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University., Warren C; From the Center for Food Allergy and Asthma Research; Ann and Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University.; Department of Preventive Medicine and Center for Food Allergy and Asthma Research, Feinberg School of Medicine, Northwestern University., Pappalardo AA; From the Center for Food Allergy and Asthma Research; Ann and Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University.; Department of Medicine and Pediatrics, University of Illinois at Chicago., Thivalapill N; From the Center for Food Allergy and Asthma Research; Ann and Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University.; Center for Food Allergy and Asthma Research, Ann & Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University., Long JR; From the Center for Food Allergy and Asthma Research; Ann and Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University.; Center for Food Allergy and Asthma Research; Ann & Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University., Bilaver LA; From the Center for Food Allergy and Asthma Research; Ann and Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University.; Department of Pediatrics and Center for Food Allergy and Asthma Research, Feinberg School of Medicine, Northwestern University., Assa'ad A; Division of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, University of Cincinnati Department of Pediatrics., Mahdavinia M; Division of Allergy and Immunology, Department of Internal Medicine, Rush University., Sharma H; Division of Allergy and Immunology, George Washington University School of Medicine, Children's National Hospital, and., Gupta R; From the Center for Food Allergy and Asthma Research; Ann and Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University.; Center for Food Allergy and Asthma Research; Institute for Public Health and Medicine, Northwestern Feinberg School of Medicine; Ann & Robert H. Lurie Children's Hospital of Chicago.
Jazyk:	angličtina
Zdroj:	Journal of food allergy [J Food Allergy] 2022 Dec 01; Vol. 4 (3), pp. 172-180. Date of Electronic Publication: 2022 Dec 01 (Print Publication: 2022).
DOI:	10.2500/jfa.2022.4.220034
Abstrakt:	Background: Current coronavirus disease 2019 (COVID-19) and influenza vaccination-related knowledge, attitudes, and behaviors remain poorly understood among U.S. children with food allergy, and, particularly, those from non-Hispanic Black, Latinx, and lower-income backgrounds who bear a disproportionate burden by allergic disease. These data are especially relevant due to historical vaccine hesitancy in children with food allergy and an initial contraindication for those with severe allergic reactions to be vaccinated against COVID-19. Objective: We sought to characterize COVID-19 and influenza vaccination-related knowledge, attitudes, and behaviors in a racially, ethnically, and socioeconomically diverse longitudinal cohort of caregiver-child dyads with immunoglobulin E-mediated food allergy. Methods: We leveraged the National Institutes of Health supported FORWARD cohort, which consists of non-Hispanic White, non-Hispanic Black, and Hispanic/Latinx children diagnosed with food allergy to assess COVID-19 testing, vaccination, and influenza vaccine concern and utilization through administering a one-time institutional review board approved survey. Results: Non-Hispanic Black participants were less likely than non-Hispanic White participants to be vaccinated (odds ratio [OR] 0.25 [95% confidence interval {CI}, 0.08-0.75]) or tested (OR 0.33 [95% CI, 0.13-0.85]) for COVID-19 and have the intention to vaccinate their children for influenza (OR 0.42 [95% CI, 0.18-0.98]). More than one-third of the participants reported that they believed that their child was at greater risk of complications from COVID-19 vaccination due to a food allergy. There were racial and/or ethnic disparities in the belief that COVID vaccines contain allergenic ingredients; more Hispanic/Latinx (37%) and Black (37%) than White (22%) participants reported this belief (p = 0.02). Conclusion: The present findings of disparities in vaccination-related knowledge, attitudes, and behaviors across racial and/or ethnic, and household income strata suggested that initial reports of COVID-19 vaccination hesitancy within the population with food allergy may be further exacerbated by well-documented racial, ethnic, and socioeconomic differences in vaccine hesitancy, potentially leading to a greater infectious disease burden in these vulnerable populations. This highlights a need for targeted education and outreach among members of these communities who are living with food allergy. Competing Interests: C. Warren reports research support from the National Institutes of Health (NIH), Food Allergy Research and Education (FARE), and the Sunshine Charitable Foundation. A.A. Pappalardo serves as a consultant for the Optum Rx/United Health Group and receives funding from the NIH and the American Lung Association; has served as a consultant for Takeda. L.A. Bilaver receives research support from the NIH (R21 ID 1AI159562 AI135705, R01 ID AI130348, U01 ID AI138907), FARE, Thermo Fisher Scientific, and Genentech. A. Assa’ad receives NIH funding. H. Sharma receives research grant support from Aimmune Therapeutics, DBV Technologies, Regeneron, FARE, and the NIH. R. Gupta receives research support from the NIH (R21 ID AI135705, R01 ID AI130348, U01 ID AI138907), FARE, Sunshine Charitable Foundation, The Walder Foundation, UnitedHealth Group, Thermo Fisher Scientific, and Genentech; serves as a medical consultant/advisor for Genentech, Novartis, Aimmune LLC, Allergenis LLC, and FARE; has ownership interest in Yobee Care, Inc. The remaining authors have no conflicts of interest to declare pertaining to this article (Copyright © 2022, The Author(s). Published by OceanSide Publications, Inc., U.S.A.)
Databáze:	MEDLINE
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