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Review
. 2024 Feb;153(2):368-377.
doi: 10.1016/j.jaci.2023.10.025. Epub 2023 Nov 14.

Impact of socioeconomic factors on allergic diseases

Tamara T Perry  1 , Torie L Grant  2 , Jennifer A Dantzer  2 , Chioma Udemgba  3 , Akilah A Jefferson  4
Affiliations
Review

Impact of socioeconomic factors on allergic diseases

Tamara T Perry et al. J Allergy Clin Immunol. 2024 Feb.

Abstract

Allergic and immunologic conditions, including asthma, food allergy, atopic dermatitis, and allergic rhinitis, are among the most common chronic conditions in children and adolescents that often last into adulthood. Although rare, inborn errors of immunity are life-altering and potentially fatal if unrecognized or untreated. Thus, allergic and immunologic conditions are both medical and public health issues that are profoundly affected by socioeconomic factors. Recently, studies have highlighted societal issues to evaluate factors at multiple levels that contribute to health inequities and the potential steps toward closing those gaps. Socioeconomic disparities can influence all aspects of care, including health care access and quality, diagnosis, management, education, and disease prevalence and outcomes. Ongoing research, engagement, and deliberate investment of resources by relevant stakeholders and advocacy approaches are needed to identify and address the impact of socioeconomics on health care disparities and outcomes among patients with allergic and immunologic diseases.

Keywords: Asthma disparities; environmental injustice; health care access; health literacy.

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Conflict of interest statement

T.T. Perry reports grants to her institution from the National Institute of Nursing Research, the National Heart, Lung and Blood Institute, the National Institute of Allergy and Infectious Diseases and National Institutes of Health Office of the Director. She is an At-Large Member of the American Academy of Asthma Allergy and Immunology Board of Directors. T.L. Grant reports grant funding from the National Institute of Allergy and Infectious Diseases, the National Institute of Environmental Health Sciences, and the American Academy of Allergy, Asthma, and Immunology (AAAAI) Foundation. J.A. Dantzer reports grant funding from the National Institutes of Health/National Institute of Allergy and Infectious Diseases. C.Udemgba has no financial disclosures to report. A.A. Jefferson reports funding from the National Center for Advancing Translational Sciences of the National Institutes of Health.

Figures

Figure 1.
Figure 1.
The interplay between patient-, provider-, community- and policy-level determinants and the 5 dimensions of healthcare access and quality(7) (availability, affordability, accessibility, acceptability and accommodation).
Figure 2.
Figure 2.
Multi-level interventions for addressing health disparities.
See this image and copyright information in PMC

References

    1. Social determinants of health [Internet]. [cited 2023 Aug 18]. Available from: https://www.who.int/health-topics/social-determinants-of-health
    1. CDC. Centers for Disease Control and Prevention. 2022. [cited 2023 Aug 18]. Social Determinants of Health. Available from: https://www.cdc.gov/about/sdoh/index.html
    1. Paskett E, Thompson B, Ammerman AS, Ortega AN, Marsteller J, Richardson D. Multilevel Interventions To Address Health Disparities Show Promise In Improving Population Health. Health Aff (Millwood). 2016. Aug 1;35(8):1429–34. - PMC - PubMed
    1. Wright RJ, Subramanian SV. Advancing a multilevel framework for epidemiologic research on asthma disparities. Chest. 2007. Nov;132(5 Suppl):757S–769S. - PubMed
    1. Canino G, McQuaid EL, Rand CS. Addressing asthma health disparities: a multilevel challenge. J Allergy Clin Immunol. 2009. Jun;123(6):1209–17; quiz 1218–9. - PMC - PubMed

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