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

Carla M. Davis, Andrea J. Apter, Adrian Casillas, Michael B. Foggs, Margee Louisias, Elsie C. Morris, Anil Nanda, Michael R. Nelson, Princess U. Ogbogu, Cheryl Lynn Walker-McGill, Julie Wang, Tamara T. Perry

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

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.

Original languageEnglish
Pages (from-to)1579-1593
Number of pages15
JournalJournal of Allergy and Clinical Immunology
Volume147
Issue number5
DOIs
StatePublished - May 2021

Keywords

  • Health disparities
  • allergic rhinitis
  • asthma
  • atopic dermatitis
  • coronavirus disease 2019
  • drug allergy
  • food allergy
  • primary immunodeficiency

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