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Comparison of patterns of allergen sensitization among inner-city Hispanic and African American children with asthma.
Ann Allergy Asthma Immunol. 2006 Nov; 97(5):636-42.AA

Abstract

BACKGROUND

Among Hispanics, the largest minority ethnic group in the United States, asthma prevalence is increasing, particularly in inner-city neighborhoods. Although allergen sensitization among asthmatic African Americans has been extensively studied, similar details are not available for Hispanic children.

OBJECTIVES

To examine patterns of allergen sensitization, including the association with illness severity, in asthmatic children overall and in Hispanic and African American children living in a socioeconomically disadvantaged area of New York City.

METHODS

A retrospective medical record review of asthmatic children attending a community hospital in the South Bronx area of New York City was performed. Information abstracted included demographics, asthma severity classification, reported exposures to indoor allergens, and results of allergy testing.

RESULTS

Among 384 children in the analysis, 270 (70.3%) were Hispanic and 114 (29.7%) were African American. Sensitization to indoor and outdoor allergens, respectively, did not differ between Hispanic (58.5% and 27.0%) and African American (58.8% and 32.6%) children. Allergen sensitization exhibited a direct, significant association with asthma severity for indoor allergens for the 2 ethnic groups combined and for Hispanics separately but not between asthma severity and outdoor allergens (P < .01). No correlation was found between self-reported allergen exposure and sensitization.

CONCLUSIONS

Patterns of allergen sensitization among inner-city Hispanic asthmatic children resemble those among African American children, a finding that is likely explained by the similarity in levels of environmental exposures. With the increasing prevalence of asthma among inner-city Hispanic children, skin testing should be used frequently for objective evaluation of asthma in this ethnic group.

Authors+Show Affiliations

Department of Pediatrics, Bronx Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, New York 10467, USA. drastogi@montefiore.orgNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17165272

Citation

Rastogi, Deepa, et al. "Comparison of Patterns of Allergen Sensitization Among Inner-city Hispanic and African American Children With Asthma." Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology, vol. 97, no. 5, 2006, pp. 636-42.
Rastogi D, Reddy M, Neugebauer R. Comparison of patterns of allergen sensitization among inner-city Hispanic and African American children with asthma. Ann Allergy Asthma Immunol. 2006;97(5):636-42.
Rastogi, D., Reddy, M., & Neugebauer, R. (2006). Comparison of patterns of allergen sensitization among inner-city Hispanic and African American children with asthma. Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology, 97(5), 636-42.
Rastogi D, Reddy M, Neugebauer R. Comparison of Patterns of Allergen Sensitization Among Inner-city Hispanic and African American Children With Asthma. Ann Allergy Asthma Immunol. 2006;97(5):636-42. PubMed PMID: 17165272.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of patterns of allergen sensitization among inner-city Hispanic and African American children with asthma. AU - Rastogi,Deepa, AU - Reddy,Mamta, AU - Neugebauer,Richard, PY - 2006/12/15/pubmed PY - 2007/1/18/medline PY - 2006/12/15/entrez SP - 636 EP - 42 JF - Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology JO - Ann Allergy Asthma Immunol VL - 97 IS - 5 N2 - BACKGROUND: Among Hispanics, the largest minority ethnic group in the United States, asthma prevalence is increasing, particularly in inner-city neighborhoods. Although allergen sensitization among asthmatic African Americans has been extensively studied, similar details are not available for Hispanic children. OBJECTIVES: To examine patterns of allergen sensitization, including the association with illness severity, in asthmatic children overall and in Hispanic and African American children living in a socioeconomically disadvantaged area of New York City. METHODS: A retrospective medical record review of asthmatic children attending a community hospital in the South Bronx area of New York City was performed. Information abstracted included demographics, asthma severity classification, reported exposures to indoor allergens, and results of allergy testing. RESULTS: Among 384 children in the analysis, 270 (70.3%) were Hispanic and 114 (29.7%) were African American. Sensitization to indoor and outdoor allergens, respectively, did not differ between Hispanic (58.5% and 27.0%) and African American (58.8% and 32.6%) children. Allergen sensitization exhibited a direct, significant association with asthma severity for indoor allergens for the 2 ethnic groups combined and for Hispanics separately but not between asthma severity and outdoor allergens (P < .01). No correlation was found between self-reported allergen exposure and sensitization. CONCLUSIONS: Patterns of allergen sensitization among inner-city Hispanic asthmatic children resemble those among African American children, a finding that is likely explained by the similarity in levels of environmental exposures. With the increasing prevalence of asthma among inner-city Hispanic children, skin testing should be used frequently for objective evaluation of asthma in this ethnic group. SN - 1081-1206 UR - https://www.unboundmedicine.com/medline/citation/17165272/Comparison_of_patterns_of_allergen_sensitization_among_inner_city_Hispanic_and_African_American_children_with_asthma_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1081-1206(10)61093-9 DB - PRIME DP - Unbound Medicine ER -