Evidence map›Paper›PMID 39181503›Full record

ArticleAcademic pediatrics

The Association Between Child Food Allergy and Family Food Insecurity in a Nationally Representative US Sample.

Elsa R Treffeisen, Sara J Cromer, Marisela E Dy-Hollins, Sheng Y Lin, Hiten Naik, Dionne A Graham, Lauren Fiechtner, Karen A Kuhlthau, Lynda C Schneider, Kathleen E Walsh

Abstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. The prevalence and impact of gluten-free food insecurity in pediatric celiac disease.Journal of pediatric gastroenterology and nutrition · 2026
    Article
  3. The hidden price of food allergy: Understanding the social and financial burdens on families.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Review
  4. NOURISH-US: a mixed-methods, randomized crossover study of a program designed to reduce the financial burden of food allergy.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Elsa R TreffeisenDivision of Immunology (ER Treffeisen and LC Schneider), Boston Children's Hospital, Boston, Mass; Harvard Medical School (ER Treffeisen, SJ Cromer, ME Dy-Hollins, DA Graham, L Fiechtner, KA Kuhlthau, LC Schneider, and KE Walsh), Boston, Mass. Electronic address: elsa.treffeisen@childrens.harvard.edu.
Sara J CromerHarvard Medical School (ER Treffeisen, SJ Cromer, ME Dy-Hollins, DA Graham, L Fiechtner, KA Kuhlthau, LC Schneider, and KE Walsh), Boston, Mass; Division of Endocrinology (SJ Cromer), Massachusetts General Hospital, Boston, Mass.
Marisela E Dy-HollinsHarvard Medical School (ER Treffeisen, SJ Cromer, ME Dy-Hollins, DA Graham, L Fiechtner, KA Kuhlthau, LC Schneider, and KE Walsh), Boston, Mass; Department of Neurology (ME Dy-Hollins), Massachusetts General Hospital, Boston, Mass.
Sheng Y LinDepartment of Anesthesiology (SY Lin), Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City, Taiwan; College of Medicine (SY Lin), Chang Gung University, Taoyuan City, Taiwan.
Hiten NaikDepartment of Medicine, University of British Columbia Clinician Investigator Program (H Naik), Vancouver, British Columbia, Canada.
Dionne A GrahamHarvard Medical School (ER Treffeisen, SJ Cromer, ME Dy-Hollins, DA Graham, L Fiechtner, KA Kuhlthau, LC Schneider, and KE Walsh), Boston, Mass; Program for Patient Safety and Quality (DA Graham), Boston Children's Hospital, Boston, Mass.
Lauren FiechtnerHarvard Medical School (ER Treffeisen, SJ Cromer, ME Dy-Hollins, DA Graham, L Fiechtner, KA Kuhlthau, LC Schneider, and KE Walsh), Boston, Mass; The Greater Boston Food Bank (L Fiechtner), Boston, Mass; Division of General Academic Pediatrics (L Fiechtner and KA Kuhlthau), Department of Pediatrics, MassGeneral for Children, Boston, Mass; Division of Pediatric Gastroenterology and Nutrition (L Fiechtner), MassGeneral for Children, Boston, Mass.
Karen A KuhlthauHarvard Medical School (ER Treffeisen, SJ Cromer, ME Dy-Hollins, DA Graham, L Fiechtner, KA Kuhlthau, LC Schneider, and KE Walsh), Boston, Mass; Division of General Academic Pediatrics (L Fiechtner and KA Kuhlthau), Department of Pediatrics, MassGeneral for Children, Boston, Mass.
Lynda C SchneiderDivision of Immunology (ER Treffeisen and LC Schneider), Boston Children's Hospital, Boston, Mass; Harvard Medical School (ER Treffeisen, SJ Cromer, ME Dy-Hollins, DA Graham, L Fiechtner, KA Kuhlthau, LC Schneider, and KE Walsh), Boston, Mass.
Kathleen E WalshHarvard Medical School (ER Treffeisen, SJ Cromer, ME Dy-Hollins, DA Graham, L Fiechtner, KA Kuhlthau, LC Schneider, and KE Walsh), Boston, Mass; Division of General Pediatrics (KE Walsh), Boston Children's Hospital, Boston, Mass.

Funding

Child Neurologist Career Development Program (CNCDP)K12NS098482 · NINDS · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI SCHLAGGAR, BRADLEY L · 2016 to 2025
$26.2M
MOLECULAR BASIS OF ALLERGIC AND IMMUNOLOGIC DISEASET32AI007512 · NIAID · CHILDREN'S HOSPITAL BOSTON · PI Janet Chou, Peter A Nigrovic · 1996 to 2026
$13.1M
NIAID NIH HHS T32 AI007512NINDS NIH HHS K12 NS098482
6 · The paper itself

Abstract

objectiveTo assess whether child food allergy is associated with family food insecurity, overall, and across different income levels.

methodsWe used the 2011-2018 National Health Interview Survey, a nationally representative cross-sectional survey. The exposure was child food allergy, and our main outcome was odds of family food insecurity, which was calculated using multivariable logistic regression models adjusted for child demographics, family characteristics and survey year. We examined for effect modification by the ratio of family income to the poverty threshold using stratification and tests for statistical interaction.

resultsAmong 83,287 children, 6% had food allergy and 22% experienced family food insecurity. Child food allergy was associated with a 1.39-fold (95% confidence interval [CI]: 1.26, 1.53) increased odds of family food insecurity overall. Child food allergy was associated with a 1.46-fold (95% CI: 1.29, 1.66) increased odds of family food insecurity among children whose families lived below 200% of the federal poverty level, and a 1.26-fold (95% CI: 1.05, 1.51) increased odds of family food insecurity among children whose families lived at 200 to 399% of the federal poverty level, with no association among children whose families lived at or above 400% of the federal poverty level (P = .04 for interaction).

conclusionThere is an association between child food allergy and family food insecurity, and this association is modified by the ratio of family income to the poverty threshold. Improved availability and subsidy of allergen-free foods in nutrition assistance programs and food pantries are urgently needed.

Indexed as

Food HypersensitivityFood InsecurityFood SupplyIncomePovertyAdolescentChildChild, PreschoolCross-Sectional StudiesFamily CharacteristicsFemaleHealth SurveysHumansInfantLogistic ModelsMalefood allergyfood insecurityfood securityincomepoverty

Identifiers

PMID39181503
PMCPMC11805619

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Registered trials

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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.