Raymond J Mullins|Sunday Clark|Carlos A. Camargo
Socio?economic status, geographic remoteness and childhood food allergy and anaphylaxis in Australia
University of Canberra|Australian National University|University of Pittsburgh|Massachusetts General Hospital|Harvard University
summary background risk factors food allergy fa anaphylaxis remain uncertain objective examined association socioeconomic status ses geographic remoteness childhood fa anaphylaxis australia methods sales infant hypoallergenic formulae ihf 20082009 epipens 20062007 children aged 04 years hospital anaphylaxis admission rates 20022006 age groups 04 514 1524 2564 65 years used proxy markers fa anaphylaxis australia government commercially derived data analysed ses geographic remoteness remote remote outer regional inner regional major cities results annual ihf sales rates higher greatest compared least socioeconomic advantage 47 830 vs 21 384 tins100 000 population p lt0001 epipen sales trends also higher greatest socioeconomic advantage age groups marked aged 04 1713 vs 669100 000 p 0002 514 years 1628 vs 600100 000 p 0001 formula sales rates higher major cities remotevery remote regions 37 421 vs 6704100 000 p lt0001 similar epipen sales trends particularly ages 04 1166 vs 601100 000 p 0045 514 years 1099 vs 588100 000 p lt0001 socioeconomic advantage geographic remoteness remained statistically significant multivariable analysis prescription rates p lt001 unchanged adjustment health services access anaphylaxis admission rates higher greatest compared least socioeconomic advantage children aged 04 years 129 vs 92100 000 populationyear p 003 opposite observed older age groups eg aged 2564 years 43 vs 76 p 001 association geographic remoteness anaphylaxis admissions conclusion socioeconomic advantage residence major cities may risk factors developing childhood fa anaphylaxis study determine extent economic factors location residence also influence access health services cite r j mullins clark c camargo jr clinical amp experimental allergy 2010 40 15231532