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Geographic Variability of Childhood Food Allergy in the United States

June 20, 2012

Clinical Pediatrics JournalClinical Pediatrics, published online 17 May 2012

Ruchi S. Gupta, Elizabeth E. Springston, Bridget Smith, Manoj R. Warrier, Jacqueline Pongracic and Jane L. Holl

“Objective: The aim of this study was to describe the distribution of childhood food allergy in the United States.

“Methods: A randomized survey was administered electronically from June 2009 to February 2010 to adults in US households with at least 1 child younger than 18 years. Data were analyzed as weighted proportions to estimate prevalence and severity of food allergy by geographic location. Multiple logistic regression models were constructed to estimate the association between geographic location and food allergy.

Distribution of childhood food allergy in the United States

Distribution of childhood food allergy in the United States

“Results: Data were analyzed for 38 465 children. Increasing population density corresponded with increasing prevalence, from 6.2% in rural areas (95% confidence interval [CI] = 5.6-6.8) to 9.8% in urban centers (95% CI = 8.6-11.0). Odds of food allergy were graded, with odds in urban versus rural areas highest (odds ratio [OR] = 1.7, 95% CI = 1.5-2.0), followed by metropolitan versus rural areas (OR = 1.4, 95% CI = 1.2-1.5), and so on. Significance remained after adjusting for race/ethnicity, gender, age, household income, and latitude.

“Conclusions. An association between urban/rural status and food allergy prevalence was observed.”

2 Comments
  1. June 22, 2012 1:39 pm

    Reblogged this on Constant Geography and commented:
    As a past, current, and future allergy sufferer, I found this review interesting. Allergies can be regional, based on local weather, regional climate, and distribution of vegetation. I had not thought to map the incidencen of childhood allergies, thinking those were coincident with population size. I might be wrong in thinking that, perhaps, based on maps and geographic analysis.

  2. December 11, 2013 8:10 am

    Bummer, I would have really liked to read the article. I’ll have to see if the school I teach for has access to the journal. Glad to find this post, regardless. Thanks for sharing this.

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