Evidence map›Paper›PMID 31945477›Full record

ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2020

Racial disparities in allergic outcomes persist to age 10 years in black and white children.

Alexandra Sitarik, Suzanne Havstad, Haejin Kim, Edward M Zoratti, Dennis Ownby, Christine Cole Johnson, Ganesa Wegienka

Open access · greenAbstract read
In one paragraph

Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Associations between genetic ancestry and allergic outcomes at 10 years among Black children.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
  3. Associations between body weight, asthma burden, and type 2 inflammation among under-resourced children.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
  4. Distinct skin microbiome signatures in Black and White children with food allergy and asthma.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Article
  5. Article
  6. Total Serum IgE in a Cohort of Children With Food Allergy.The journal of allergy and clinical immunology. In practice · 2025
    Observational
  7. Article
  8. Racial and ethnic disparities in dupilumab for pediatric atopic dermatitis in Florida.The journal of allergy and clinical immunology. Global · 2024
    Article
  9. Article
  10. Article
  11. Impact of Spirometry Race-Correction on Preadolescent Black and White Children.The journal of allergy and clinical immunology. In practice · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Increased risk of asthma at age 10 years for children sensitized to multiple allergens.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Article
  17. One march, many paths: Insights into allergic march trajectories.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Alexandra SitarikDepartment of Public Health Sciences, Henry Ford Health System, Detroit, Michigan; In Vivo: Planetary Health: an affiliate of the World Universities Network (WUN), West New York, New Jersey.
Suzanne HavstadDepartment of Public Health Sciences, Henry Ford Health System, Detroit, Michigan; In Vivo: Planetary Health: an affiliate of the World Universities Network (WUN), West New York, New Jersey.
Haejin KimDivision of Allergy and Clinical Immunology, Henry Ford Health System, Detroit, Michigan.
Edward M ZorattiDivision of Allergy and Clinical Immunology, Henry Ford Health System, Detroit, Michigan.
Dennis OwnbyDepartment of Pediatrics, Medical College of Georgia at Augusta University, Augusta, Georgia.
Christine Cole JohnsonDepartment of Public Health Sciences, Henry Ford Health System, Detroit, Michigan; In Vivo: Planetary Health: an affiliate of the World Universities Network (WUN), West New York, New Jersey; Center for Urban Responses to Environmental Stressors (CURES), Detroit, Michigan.
Ganesa WegienkaDepartment of Public Health Sciences, Henry Ford Health System, Detroit, Michigan; In Vivo: Planetary Health: an affiliate of the World Universities Network (WUN), West New York, New Jersey; Center for Urban Responses to Environmental Stressors (CURES), Detroit, Michigan. Electronic address: Gwegien1@hfhs.org.
Henry Ford Health System · USAugusta University · US

Funding

The Effect of Dog-Keeping and the Intestinal Microbiota on Immune DevelopmentP01AI089473 · NIAID · HENRY FORD HEALTH SYSTEM · PI OWNBY, DENNIS R · 2012 to 2024
$25.7M
Early Environmental Hygiene and Pediatric AtopyR01AI050681 · NIAID · HENRY FORD HEALTH SYSTEM · PI JOHNSON, CHRISTINE C · 2002 to 2006
$2.9M
EPIDEMIOLOGY OF ALLERGIC DISEASE ENDOTYPESR01AI110450 · NIAID · HENRY FORD HEALTH SYSTEM · PI WEGIENKA, GANESA REBECCA · 2015 to 2019
$1.7M
Early Environmental Hygiene and Pediatric AsthmaR56AI050681 · NIAID · HENRY FORD HEALTH SYSTEM · PI JOHNSON, CHRISTINE C · 2008 to 2009
$1.5M
EARLY LIFE VITAMIN D, RACIAL DISPARITIES, AND WHEEZINGR01HL113010 · NHLBI · HENRY FORD HEALTH SYSTEM · PI WEGIENKA, GANESA REBECCA · 2012 to 2014
$1.2M
NHLBI NIH HHS R01 HL113010NIAID NIH HHS P01 AI089473NIAID NIH HHS R01 AI050681NIAID NIH HHS R01 AI110450NIAID NIH HHS R56 AI050681
6 · The paper itself

Abstract

backgroundPrevious analyses in the WHEALS birth cohort demonstrated that black children are more likely to experience allergic outcomes than white children by age 2 years. The results could not be explained by a host of variables.

objectiveAssess whether racial disparities persisted to age 10 years and determine whether any differences could be explained by a panel of variables related to early life exposures in WHEALS.

methodsAt age 10 years, WHEALS children (n = 481) completed skin prick testing, spirometry and methacholine challenge, and a physician examination for eczema and asthma. Allergen-specific immunoglobulin Es (sIgE) and total IgE were measured. Inverse probability weighting with logistic and linear regression models was used to assess associations between race (black or white) and the outcomes.

resultsBlack children fared worse than white children with respect to each outcome. Black children were more likely to have eczema, asthma, sensitization (≥1 sIgE ≥ 0.35 IU/L) and at least 1 positive skin pick test; however, some variability was present in the magnitudes of association within subgroups defined by delivery mode, sex of the child, prenatal indoor dog exposure, and firstborn status. In some subgroups, black children were also more likely to have higher total IgE and worse pulmonary function test measures (PC 20 ≤ 25 mg/mL, % predicted forced vital capacity [FVC], forced expiratory volume in 1 second [FEV

conclusionRacial differences persisted in this cohort through age 10 years. Future studies should include potentially important, but rarely studied factors such as segregation and structural racism, because these factors could explain the observed racial differences.

Indexed as

Black or African AmericanChildChild, PreschoolFemaleHumansHypersensitivityMaleWhite People

Identifiers

PMID31945477
PMCPMC7113095
OpenAlexW3000608569

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.