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Paediatr Child Health. 2011 Jun;16(6):341-4.

Socioeconomic factors and epinephrine prescription in children with peanut allergy.

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1
Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto;

Abstract

BACKGROUND:

Epinephrine autoinjectors provide life-saving therapy for individuals with peanut allergies. OJECTIVE: To evaluate the association between socioeconomic status (SES) and epinephrine prescription among urban Canadian children with peanut allergy.

METHODS:

Population-based survey data from school children in grades 1 and 2 participating in the Toronto Child Health Evaluation Questionnaire were used. Children with peanut allergy, their epinephrine autoinjector prescription status and their SES were identified by parental report.

RESULTS:

Between January and April 2006, 5619 completed questionnaires from 231 Toronto, Ontario, schools were returned. A total of 153 (2.83%) children were identified as having a peanut allergy, 68.6% of whom reported being prescribed an epinephrine autoinjector. Children from upper-middle and high-income homes (OR 8.35 [95% CI 2.72 to 25.61]) and with asthma (OR 4.74 [95% CI 1.56 to 14.47]) were more likely to report having an epinephrine prescription.

CONCLUSION:

A significant health disparity exists in the prescribing pattern of epinephrine autoinjectors for peanut-allergic children from families of differing SES.

KEYWORDS:

Epidemiology; Health disparities; Peanut allergy; Socioeconomic status

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