Black children with atopic dermatitis are more likely to have asthma than non-Hispanic White children, but they are less likely
to be evaluated by an allergist, according to a study presented at the 2023 annual meeting of the American Academy of Allergy,
Asthma & Immunology. Ellen Daily, MD, and colleagues explored real-world diagnosis patterns and factors associated with asthma risk in a large urban population of children aged 0-18 diagnosed with AD. The risk for asthma diagnosis was examined in association with race, sex, age, BMI, insurance, and area deprivation index (ADI). The study population included 728 Black children and 246 non-Hispanic White children. Black children were significantly more likely than non-Hispanic White children to have an asthma diagnosis (31.2% vs 10.0%). This difference was impacted by three main variables: higher ADI, higher BMI, and older age at time of evaluation. Compared with non-Hispanic White children, Black children with asthma were less likely to see an allergist (46.7% vs 69%) and were more likely not to have prior inhalant allergy testing (OR, 57.5).