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Socioeconomic Disparities Affect the Prevalence of Specific Food Allergies by Anandu Dileep; Christopher Warren; Anna Beadleston; Lucy Bilaver; Ellen Daily; Aame Betty Andy-Nweye; Susan Fox; Jialing Jiang; Pamela Newmark; Annika Chura; Iman Abdikarim; Mary Tobin; Hemant Sharma; Amal Assa’ad; Ruchi Gupta; Mahboobeh Mahdavinia is a Medicine article available to read on EtoBox.

What is Socioeconomic Disparities Affect the Prevalence of Specific Food Allergies about?

RATIONALE: Early peanut introduction (PI) is recommended following the 2015 Learning Early about Peanut Allergy (LEAP) study. However, there remains a significant gap between the recommendations and implementation by primary care providers. METHODS: Pediatric residents completed a pre-intervention survey assessing awareness and comfort with early PI. We evaluated the frequency of the word ''peanut'' within 6-month well-child visit (WCV) notes from 6/ 1/2021 to 6/1/2022 as a proxy for discussion about PI. We created a clinical decision support (CDS) system with prompts in the provider notes to discuss readiness and plan of PI at 4-, 6-and 12-months WCV. Formative usability testing (FUT) was performed with 6 residents to optimize CDS prior to implementation. RESULTS: 52 residents completed the pre-intervention survey. 69% were not aware of the LEAP study and 88% were not aware of the 2021 Consensus Approach to the Primary Prevention of Food Allergy Through Nutrition publication. 55% were not comfortable discussing PI to an infant. Only 4 residents ''always'' ask about PI which occurs mostly during the 4and 6-months WCV. Out of 741 notes, only 3% mention the word ''peanut.'' During FU

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Author
Anandu Dileep; Christopher Warren; Anna Beadleston; Lucy Bilaver; Ellen Daily; Aame Betty Andy-Nweye; Susan Fox; Jialing Jiang; Pamela Newmark; Annika Chura; Iman Abdikarim; Mary Tobin; Hemant Sharma; Amal Assa’ad; Ruchi Gupta; Mahboobeh Mahdavinia
Publisher
Elsevier BV
Published
2023
Language
EN
Field
Medicine (Health Sciences)

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