RACIAL DISPARITIES IN FOOD ALLERGY ANAPHYLAXIS EDUCATION AND MANAGEMENT AMONG A NATIONALLY REPRESENTATIVE SAMPLE

Abstract

<h3>Introduction</h3> Evidence suggests that food allergy (FA) is disproportionately burdensome among racial/ethnic minority populations. More data are needed to evaluate disparities in access to high-quality medical care and effective daily management. <h3>Methods</h3> This online, IRB-exempt survey was developed by a multidisciplinary team of patient advocacy groups, physicians, caregivers, and survey methodologists. A nationally representative sample of adults with FA was recruited by Evaluative Criteria Inc. in May 2022. Only adults who reported a multi-system reaction suggestive of anaphylaxis to a top-nine allergen completed the survey. <h3>Results</h3> 1,006 Adults completed the survey. Sixty-one percent identified as Caucasian, 16% as Black, 15% as Hispanic, and 7% as Asian, Native American, or Other. Compared to Caucasian respondents, Black respondents were significantly (p<.05) less likely to recognize symptoms of anaphylaxis and the need to administer epinephrine immediately during anaphylaxis. Despite similar rates of access to epinephrine autoinjectors, Black respondents were less likely (p<.05) to immediately give epinephrine when they experienced anaphylaxis. Though both segments report seeing an allergist and primary care physician (PCP) for FA at similar rates, Black respondents were significantly (p<.05) less likely to report their doctor discussed anaphylaxis risk and significantly (p<.05) less likely to say the PCP provided a referral to an allergist. <h3>Conclusion</h3> Efforts are needed to close the gap in anaphylaxis education between Black and Caucasian FA adults.