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Prevalence of allergic sensitization in the United States: Results from the National Health and Nutrition Examination Survey (NHANES) 2005-2006
Open accessAbstract
Background Allergic sensitization is an important risk factor for the development of atopic disease. The National Health and Nutrition Examination Survey (NHANES) 2005–2006 provides the most comprehensive information on IgE-mediated sensitization in the general US population. Objective We investigated clustering, sociodemographic and regional patterns of allergic sensitization and examined risk factors associated with IgE-mediated sensitization. Methods Data for this cross-sectional analysis were obtained from NHANES 2005–2006. Participants aged ≥1 year (N=9440) were tested for sIgEs to inhalant and food allergens; participants ≥6 years were tested for 19 sIgEs, and children aged 1–5 years for 9 sIgEs. Serum samples were analyzed using the ImmunoCAP System. Information on demographics and participant characteristics was collected by questionnaire. Results Of the study population aged 6 and older, 44.6% had detectable sIgEs, while 36.2% of children aged 1–5 years were sensitized to ≥1 allergen. Allergen-specific IgEs clustered into 7 groups that might have largely reflected biological cross-reactivity. Although sensitization to individual allergens and allergen types showed regional variation, the overall prevalence of sensitization did not differ across census regions, except in early childhood. In multivariate modeling, young age, male gender, non-Hispanic black race/ethnicity, geographic location (census region), and reported pet avoidance measures were most consistently associated with IgE-mediated sensitization. Conclusions The overall prevalence of allergic sensitization does not vary across US census regions, except in early life, although allergen-specific sensitization differs by sociodemographic and regional factors. Biological cross-reactivity may be an important, but not a sole, contributor to the clustering of allergen-specific IgEs. Clinical implications IgE-mediated sensitization shows clustering patterns and differs by sociodemographic and regional factors, but the overall prevalence of sensitization may not vary across US census regions.
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“Study procedures and methods for the NHANES III data have been previously described.(7)”
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Metadata
- Authors
- Salo, P. M., Arbes, S. J., Jaramillo, R., Calatroni, A., Weir, C. H., Sever, M. L., Hoppin, J. A., Rose, K. M., Liu, A. H., Gergen, P. J., Mitchell, H. E., & Zeldin, D. C.
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2014-08
- Volume
- 134
- Issue
- 2
- Pages
- 350-359
- ISSN
- 0091-6749 (ISSN-L)
- OpenAlex
- W2146749486
- Cited by
- 351
- References
- 55
- FWCI
- 20.51
- Type
- journal article
- Language
- en
- Open access
- green
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- Salo, P. M., Arbes, S. J., Jaramillo, R., Calatroni, A., Weir, C. H., Sever, M. L., Hoppin, J. A., Rose, K. M., Liu, A. H., Gergen, P. J., Mitchell, H. E., & Zeldin, D. C. (2014). Prevalence of allergic sensitization in the United States: Results from the National Health and Nutrition Examination Survey (NHANES) 2005-2006. Journal of Allergy and Clinical Immunology. https://doi.org/10.1016/j.jaci.2013.12.1071
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