Socio-economic status, geographic remoteness and childhood food allergy and anaphylaxis in Australia

Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology
Raymond J MullinsCarlos A Camargo

Abstract

The risk factors for food allergy (FA) and anaphylaxis remain uncertain. We examined the association between socio-economic status (SES), geographic remoteness and childhood FA and anaphylaxis in Australia. Sales of infant hypoallergenic formulae (IHF; 2008-2009) and EpiPens (2006-2007) in children aged 0-4 years and hospital anaphylaxis admission rates (2002-2006) in age groups 0-4, 5-14, 15-24, 25-64 and 65+ years were used as proxy markers of FA and anaphylaxis in Australia. Government and commercially derived data were analysed by SES and geographic remoteness (very remote, remote, outer regional, inner regional and major cities). Annual IHF sales rates were higher in those with the greatest compared with the least socio-economic advantage (47,830 vs. 21,384 tins/100,000 population; P<0.001). EpiPen sales trends were also higher in those with the greatest socio-economic advantage in all age groups, most marked in those aged 0-4 (1713 vs. 669/100,000; P=0.002) and 5-14 years (1628 vs. 600/100,000; P=0.001). Formula sales rates were higher in major cities than remote/very remote regions (37,421 vs. 6704/100,000; P<0.001) with similar EpiPen sales trends, particularly in ages 0-4 (1166 vs. 601/100,000; P=0.045) and 5-14 years ...Continue Reading

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