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Hugh A. Sampson - One of the best experts on this subject based on the ideXlab platform.
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anaphylaxis in america results from a national Telephone Survey
The Journal of Allergy and Clinical Immunology, 2012Co-Authors: John Boyle, Hugh A. Sampson, Carlos A Camargo, Phillip Lieberman, Lawrence B Schwartz, F E R Simons, M Zitt, Marilyn Wilkinson, Charlotte Collins, Michael TringaleAbstract:S U N D A Y 501 Anaphylaxis in America Results from a National Telephone Survey J. Boyle, C. A. Camargo, P. Lieberman, H. Sampson, L. B. Schwartz, F. E. R. Simons, M. Zitt, M. Wilkinson, C. Collins, M. Tringale, R. Wood; Abt SRBI, Silver Spring, MD, Massachusetts General Hospital, Boston, MA, University of Tennessee College of Medicine, Germantown, TN, Mount Sinai School of Medicine, New York, NY, Virginia Commonwealth University, Richmond, VA, University of Manitoba, Winnipeg, MB, CANADA, State University of NY Stony Brook, Stony Brook, NY, Asthma and Allergy Foundation of America, Landover, MD, Johns Hopkins University School of Medicine, Baltimore, MD. RATIONALE: To delineate triggers of anaphylaxis and compare awareness, knowledge and behaviors among patients at-risk for anaphylaxis. METHODS: A nationwide, cross-sectional random-digit-dial Telephone Survey was conducted using a standardized questionnaire. Household members were screened for allergic reactions to foods, insect stings, latex, medications, and other allergens, and for idiopathic reactions. When multiple householdmembers had allergies, the person with the most severe allergic reaction was chosen for the interview. Participants were asked over 100 questions about anaphylaxis awareness, triggers, symptoms, treatments, knowledge, perceptions, behaviors, and quality of life. RESULTS: Over 20,000 phone calls weremade to identify and interview a nationally representative sample of 1,000 persons who had experienced allergic reactions within the past ten years. The Survey found that 18% of persons with these types of allergies had experienced at least one likely anaphylactic reaction. Among those reporting anaphylactic reactions, 42% occurred within 15 minutes of exposure and the most common triggers were medications (33%), followed by foods (28%), insect stings (21%), other (15%), unknown (7%), and latex (3%). Also among those reporting anaphylaxis, 38% sought emergency room care, 28% self-treated with antihistamines, 13% went to a doctor’s office, and 13% self-administered epinephrine. Although 57% reported two or more lifetime episodes, only 18% of the individuals reporting anaphylaxis currently carry epinephrine. CONCLUSIONS: Severe allergic reactions consistent with anaphylaxis are common among persons reporting allergic reactions in the general population. This comprehensive national Survey on anaphylaxis, including its triggers and treatment, supports the need for public health initiatives to improve anaphylaxis practices and education.
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Prevalence of seafood allergy in the United States determined by a random Telephone Survey
The Journal of allergy and clinical immunology, 2004Co-Authors: Scott H. Sicherer, Anne Muñoz-furlong, Hugh A. SampsonAbstract:Abstract Background Seafood allergy is potentially severe, but the prevalence of this group of food allergies in the US population has not been determined. Objective To estimate the prevalence of seafood (fish, shellfish) allergy in the United States. Methods We performed a nationwide, cross-sectional, random Telephone Survey by using a standardized questionnaire. Criteria were established in advance to define seafood allergy by report of convincing symptoms and physician evaluation. Results A total of 5529 households completed the Survey (67.3% participation rate), representing a census of 14,948 individuals. Fish or shellfish allergy defined by established criteria was reported in 5.9% (95% CI, 5.3%-6.6%) of households and among individuals as follows: 2.3% (95% CI, 2%-2.5%) for any seafood allergy, 2% for shellfish, 0.4% for fish, and 0.2% for both types. Seafood allergy was more common in adults compared with children (2.8% vs 0.6%; P P Conclusions Physician-diagnosed and/or convincing seafood allergy is reported by 2.3% of the general population, or approximately 6.6 million Americans. Affected individuals typically report recurrent and sometimes severe reactions, indicating that seafood allergy represents a significant health concern.
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prevalence of peanut and tree nut allergy in the united states determined by means of a random digit dial Telephone Survey a 5 year follow up study
The Journal of Allergy and Clinical Immunology, 2003Co-Authors: Scott H. Sicherer, Anne Munozfurlong, Hugh A. SampsonAbstract:Abstract Background Allergy to peanuts and tree nuts (TNs) is the leading cause of fatal and near-fatal food allergic reactions. Peanut allergy appears to be increasing in prevalence. Objectives We sought to determine the prevalence of self-reported peanut and TN allergy among the general population of the United States in 2002 by sex and age and to compare the results with prevalence estimates obtained 5 years earlier. Methods We performed a nationwide, cross-sectional, random Telephone Survey by using a standardized questionnaire. Results A total of 4855 households participated (53% participation rate), representing a census of 13,493 individuals. Peanut allergy, TN allergy, or both was self-reported in 166 (1.2%; 95% CI, 1.0%-1.4%) individuals in 155 (3.2%; 95% CI, 2.7%-3.7%) households, overall prevalence rates similar to those reported in 1997. Also similar to the 1997 Survey, the severity level was high, with 79% reporting respiratory or multiple organ system reactions and 66% experiencing more than 5 lifetime reactions. Despite the severity and reaction frequency, only 74% of the children and 44% of the adults sought evaluation for the allergy, and fewer than half who did were prescribed self-injectable epinephrine. Applying conservative rules to adjust for persons with unconvincing reactions and a false-positive rate of the Survey instrument (7%), a final prevalence estimate of 1.04% (95% CI, 0.9%-1.24%) was obtained. A male predominance of peanut-TN allergy was reported in children younger than 18 years (1.7% vs 0.7%, P = .02), and a female predominance was reported among adults (1.7% vs 0.9%, P = .0008). Although the rate of peanut allergy, TN allergy, or both was not significantly different from 1997 to 2002 among adults, the rate increased from 0.6% to 1.2% among children, primarily as a result of an increase in reported allergy to peanut (0.4% in 1997 to 0.8% in 2002, P = .05). Conclusions Self-reported peanut allergy has doubled among children from 1997 to 2002, and peanut allergies, TN allergies, or both continue to be reported by more than 3 million Americans. Considering that reactions are severe and the allergy is persistent, these allergies represent an increasing health concern.
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Prevalence of peanut and tree nut allergy in the US determined by a random digit dial Telephone Survey
The Journal of Allergy and Clinical Immunology, 1999Co-Authors: Scott H. Sicherer, Anne Muñoz-furlong, A. Wesley Burks, Hugh A. SampsonAbstract:Abstract Background: Allergy to peanuts and tree nuts (TNs) is one of the leading causes of fatal and near-fatal food-induced allergic reactions. These allergies can be lifelong and appear to be increasing in prevalence. Despite the seriousness of these allergies, the prevalence of peanut and TN allergy in the general population is unknown. Objective: We sought to determine the prevalence of peanut and TN allergy among the general population of the United States. Methods: We used a nationwide, cross-sectional, random digit dial Telephone Survey with a standardized questionnaire. Results: A total of 4374 households contacted by Telephone participated (participation rate, 67%), representing 12,032 individuals. Peanut or TN allergy was self-reported in 164 individuals (1.4%; 95% confidence interval [CI], 1.2%-1.6%) in 151 households (3.5%; 95% CI, 2.9%-4.0%). The prevalence of reported allergy in adults (1.6%) was higher than that found in children under 18 years of age (0.6%). In 131 individuals, details of the reactions were obtained. When applying criteria requiring reactions to be typical of IgE-mediated reactions (hives, angioedema, wheezing, throat tightness, vomiting, and diarrhea) within an hour of ingestion, 10% of these subjects were excluded. Among the remaining 118 subjects, allergic reactions involved 1 organ system (skin, respiratory, or gastrointestinal systems) in 50 subjects, 2 in 45 subjects, and all 3 in 23 subjects. Forty-five percent of these 118 respondents reported more than 5 lifetime reactions. Only 53% of these 118 subjects ever saw a physician for the allergic reaction, and only 7% had self-injectable epinephrine available at the time of the interview. The prevalence of peanut and TN allergy was adjusted by assuming that 10% of the remaining 33 subjects without a description of their reactions would also be excluded and correcting for a 7% false-positive rate for the Survey instrument. A final "corrected" prevalence estimate of 1.1% (95% CI, 1.0%-1.4%) was obtained. Conclusions: Peanut and/or TN allergy affects approximately 1.1% of the general population, or about 3 million Americans, representing a significant health concern. Despite the severity of reactions, about half of the subjects never sought an evaluation by a physician, and only a few had epinephrine available for emergency use. (J Allergy Clin Immunol 1999;103:559-62.)
Scott H. Sicherer - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of seafood allergy in the United States determined by a random Telephone Survey
The Journal of allergy and clinical immunology, 2004Co-Authors: Scott H. Sicherer, Anne Muñoz-furlong, Hugh A. SampsonAbstract:Abstract Background Seafood allergy is potentially severe, but the prevalence of this group of food allergies in the US population has not been determined. Objective To estimate the prevalence of seafood (fish, shellfish) allergy in the United States. Methods We performed a nationwide, cross-sectional, random Telephone Survey by using a standardized questionnaire. Criteria were established in advance to define seafood allergy by report of convincing symptoms and physician evaluation. Results A total of 5529 households completed the Survey (67.3% participation rate), representing a census of 14,948 individuals. Fish or shellfish allergy defined by established criteria was reported in 5.9% (95% CI, 5.3%-6.6%) of households and among individuals as follows: 2.3% (95% CI, 2%-2.5%) for any seafood allergy, 2% for shellfish, 0.4% for fish, and 0.2% for both types. Seafood allergy was more common in adults compared with children (2.8% vs 0.6%; P P Conclusions Physician-diagnosed and/or convincing seafood allergy is reported by 2.3% of the general population, or approximately 6.6 million Americans. Affected individuals typically report recurrent and sometimes severe reactions, indicating that seafood allergy represents a significant health concern.
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prevalence of peanut and tree nut allergy in the united states determined by means of a random digit dial Telephone Survey a 5 year follow up study
The Journal of Allergy and Clinical Immunology, 2003Co-Authors: Scott H. Sicherer, Anne Munozfurlong, Hugh A. SampsonAbstract:Abstract Background Allergy to peanuts and tree nuts (TNs) is the leading cause of fatal and near-fatal food allergic reactions. Peanut allergy appears to be increasing in prevalence. Objectives We sought to determine the prevalence of self-reported peanut and TN allergy among the general population of the United States in 2002 by sex and age and to compare the results with prevalence estimates obtained 5 years earlier. Methods We performed a nationwide, cross-sectional, random Telephone Survey by using a standardized questionnaire. Results A total of 4855 households participated (53% participation rate), representing a census of 13,493 individuals. Peanut allergy, TN allergy, or both was self-reported in 166 (1.2%; 95% CI, 1.0%-1.4%) individuals in 155 (3.2%; 95% CI, 2.7%-3.7%) households, overall prevalence rates similar to those reported in 1997. Also similar to the 1997 Survey, the severity level was high, with 79% reporting respiratory or multiple organ system reactions and 66% experiencing more than 5 lifetime reactions. Despite the severity and reaction frequency, only 74% of the children and 44% of the adults sought evaluation for the allergy, and fewer than half who did were prescribed self-injectable epinephrine. Applying conservative rules to adjust for persons with unconvincing reactions and a false-positive rate of the Survey instrument (7%), a final prevalence estimate of 1.04% (95% CI, 0.9%-1.24%) was obtained. A male predominance of peanut-TN allergy was reported in children younger than 18 years (1.7% vs 0.7%, P = .02), and a female predominance was reported among adults (1.7% vs 0.9%, P = .0008). Although the rate of peanut allergy, TN allergy, or both was not significantly different from 1997 to 2002 among adults, the rate increased from 0.6% to 1.2% among children, primarily as a result of an increase in reported allergy to peanut (0.4% in 1997 to 0.8% in 2002, P = .05). Conclusions Self-reported peanut allergy has doubled among children from 1997 to 2002, and peanut allergies, TN allergies, or both continue to be reported by more than 3 million Americans. Considering that reactions are severe and the allergy is persistent, these allergies represent an increasing health concern.
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Prevalence of peanut and tree nut allergy in the US determined by a random digit dial Telephone Survey
The Journal of Allergy and Clinical Immunology, 1999Co-Authors: Scott H. Sicherer, Anne Muñoz-furlong, A. Wesley Burks, Hugh A. SampsonAbstract:Abstract Background: Allergy to peanuts and tree nuts (TNs) is one of the leading causes of fatal and near-fatal food-induced allergic reactions. These allergies can be lifelong and appear to be increasing in prevalence. Despite the seriousness of these allergies, the prevalence of peanut and TN allergy in the general population is unknown. Objective: We sought to determine the prevalence of peanut and TN allergy among the general population of the United States. Methods: We used a nationwide, cross-sectional, random digit dial Telephone Survey with a standardized questionnaire. Results: A total of 4374 households contacted by Telephone participated (participation rate, 67%), representing 12,032 individuals. Peanut or TN allergy was self-reported in 164 individuals (1.4%; 95% confidence interval [CI], 1.2%-1.6%) in 151 households (3.5%; 95% CI, 2.9%-4.0%). The prevalence of reported allergy in adults (1.6%) was higher than that found in children under 18 years of age (0.6%). In 131 individuals, details of the reactions were obtained. When applying criteria requiring reactions to be typical of IgE-mediated reactions (hives, angioedema, wheezing, throat tightness, vomiting, and diarrhea) within an hour of ingestion, 10% of these subjects were excluded. Among the remaining 118 subjects, allergic reactions involved 1 organ system (skin, respiratory, or gastrointestinal systems) in 50 subjects, 2 in 45 subjects, and all 3 in 23 subjects. Forty-five percent of these 118 respondents reported more than 5 lifetime reactions. Only 53% of these 118 subjects ever saw a physician for the allergic reaction, and only 7% had self-injectable epinephrine available at the time of the interview. The prevalence of peanut and TN allergy was adjusted by assuming that 10% of the remaining 33 subjects without a description of their reactions would also be excluded and correcting for a 7% false-positive rate for the Survey instrument. A final "corrected" prevalence estimate of 1.1% (95% CI, 1.0%-1.4%) was obtained. Conclusions: Peanut and/or TN allergy affects approximately 1.1% of the general population, or about 3 million Americans, representing a significant health concern. Despite the severity of reactions, about half of the subjects never sought an evaluation by a physician, and only a few had epinephrine available for emergency use. (J Allergy Clin Immunol 1999;103:559-62.)
Ali H Mokdad - One of the best experts on this subject based on the ideXlab platform.
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reaching the u s cell phone generation comparison of cell phone Survey results with an ongoing landline Telephone Survey
2009Co-Authors: Michael W Link, Michael P Battaglia, Martin R Frankel, Larry Osborn, Ali H MokdadAbstract:Noncoverage rates in U.S. landline-based Telephone samples due to cell phone only households (i.e., households with no landline but accessible by cell phone) and the corresponding potential for bias in estimates from Surveys that sample only from landline frames are growing issues. Building on some of the few published studies that focus on this problem, a study was conducted in three states (Georgia, New Mexico, and Pennsylvania) as part of the Behavioral Risk Factor Surveillance System (BRFSS), the world's largest ongoing public health Telephone Survey, to evaluate the effectiveness of conducting the BRFSS interview with a sample drawn from dedicated cell phone Telephone exchanges and mixed-use (landline and cell phone) exchanges. Approximately 600 interviews were conducted in each of two groups: cell phone only adults (n = 572) and adults with both a landline and a cell phone (n = 592). Making comparisons with data from the ongoing, landline-based BRFSS Survey, we report on response rates, demographic characteristics of respondents, key Survey estimates of health conditions and risk behaviors, and Survey costs. The methods used in this study have wide application for other U.S. Telephone Surveys.
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reaching the u s cell phone generation comparison of cell phone Survey results with an ongoing landline Telephone Survey
Public Opinion Quarterly, 2007Co-Authors: Michael W Link, Michael P Battaglia, Martin R Frankel, Larry Osborn, Ali H MokdadAbstract:Noncoverage rates in U.S. landline-based Telephone sam- ples due to cell phone only households (i.e., households with no landline but accessible by cell phone) and the corresponding potential for bias in estimates from Surveys that sample only from landline frames are grow- ing issues. Building on some of the few published studies that focus on this problem, a study was conducted in three states (Georgia, New Mex- ico, and Pennsylvania) as part of the Behavioral Risk Factor Surveillance System (BRFSS), the world's largest ongoing public health Telephone Survey, to evaluate the effectiveness of conducting the BRFSS interview with a sample drawn from dedicated cell phone Telephone exchanges and mixed-use (landline and cell phone) exchanges. Approximately 600 interviews were conducted in each of two groups: cell phone only adults (n = 572) and adults with both a landline and a cell phone (n = 592). Making comparisons with data from the ongoing, landline-based BRFSS Survey, we report on response rates, demographic characteristics of respondents, key Survey estimates of health conditions and risk behaviors,
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fruit and vegetable intake among adults in 16 states results of a brief Telephone Survey
American Journal of Public Health, 1995Co-Authors: Mary K Serdula, Tim Byers, R J Coates, Eduardo J Simoes, Ali H Mokdad, A F SubarAbstract:A brief food frequency questionnaire was used to assess daily fruit and vegetable consumption among 23,699 adults in 16 US states sampled in a random-digit dialing Telephone Survey. Men consumed fewer servings per day (3.3) than did women (3.7). Only 20% of the population consumed the recommended 5 or more daily servings. Intakes varied somewhat by state and were lower among the young and the less educated. Efforts are needed to improve fruit and vegetable consumption among all Americans, especially younger adults and those with lower levels of education.
Tim Byers - One of the best experts on this subject based on the ideXlab platform.
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trends in overweight among us adults from 1987 to 1993 a multistate Telephone Survey
American Journal of Public Health, 1996Co-Authors: Deborah A Galuska, Mary K Serdula, Elsie R Pamuk, Paul Z Siegel, Tim ByersAbstract:OBJECTIVES: Using data from the Behavioral Risk Factor Surveillance System, this study describes trends in the prevalence of overweight between 1987 and 1993. METHODS: Data were examined from 33 states participating in an ongoing Telephone Survey of health behaviors of adults (n = 387,704). Self-reported weights and heights were used to calculate sex-specific prevalence estimates of overweight for each year from 1987 to 1993. Time trends were evaluated with the use of linear regression. RESULTS: Between 1987 and 1993, the age-adjusted prevalence of overweight increased by 0.9% per year for both sexes (from 21.9% to 26.7% among men and from 20.6% to 25.4% among women). The increasing linear trend was observed in all subgroups of the population but was most notable for Black men (1.5% per year) and men living in the Northeast (1.4% per year). Secular changes in smoking and leisure-time physical activity did not entirely account for the increase in overweight. CONCLUSIONS: The prevalence of overweight among ...
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fruit and vegetable intake among adults in 16 states results of a brief Telephone Survey
American Journal of Public Health, 1995Co-Authors: Mary K Serdula, Tim Byers, R J Coates, Eduardo J Simoes, Ali H Mokdad, A F SubarAbstract:A brief food frequency questionnaire was used to assess daily fruit and vegetable consumption among 23,699 adults in 16 US states sampled in a random-digit dialing Telephone Survey. Men consumed fewer servings per day (3.3) than did women (3.7). Only 20% of the population consumed the recommended 5 or more daily servings. Intakes varied somewhat by state and were lower among the young and the less educated. Efforts are needed to improve fruit and vegetable consumption among all Americans, especially younger adults and those with lower levels of education.
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weight control practices in adults results of a multistate Telephone Survey
American Journal of Public Health, 1994Co-Authors: Mary K Serdula, David F Williamson, Robert F Anda, A Levy, A Heaton, Tim ByersAbstract:In this study, data collected in 1989 in a random-digit dialing Telephone Survey of 60,590 adults in 38 states and the District of Columbia were analyzed. Approximately 38% of women and 24% of men reported that they were currently trying to lose weight. Methods reported were counting calories (24% of women, 14% of men), participating in organized weight loss programs (10%, 3%), taking special supplements (10%, 7%), taking diet pills (4%, 2%), and fasting for 24 hours or longer (5%, 5%). Among both sexes, only half of those trying to lose weight reported using the recommended method of caloric restriction combined with physical activity.
Mary K Serdula - One of the best experts on this subject based on the ideXlab platform.
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trends in overweight among us adults from 1987 to 1993 a multistate Telephone Survey
American Journal of Public Health, 1996Co-Authors: Deborah A Galuska, Mary K Serdula, Elsie R Pamuk, Paul Z Siegel, Tim ByersAbstract:OBJECTIVES: Using data from the Behavioral Risk Factor Surveillance System, this study describes trends in the prevalence of overweight between 1987 and 1993. METHODS: Data were examined from 33 states participating in an ongoing Telephone Survey of health behaviors of adults (n = 387,704). Self-reported weights and heights were used to calculate sex-specific prevalence estimates of overweight for each year from 1987 to 1993. Time trends were evaluated with the use of linear regression. RESULTS: Between 1987 and 1993, the age-adjusted prevalence of overweight increased by 0.9% per year for both sexes (from 21.9% to 26.7% among men and from 20.6% to 25.4% among women). The increasing linear trend was observed in all subgroups of the population but was most notable for Black men (1.5% per year) and men living in the Northeast (1.4% per year). Secular changes in smoking and leisure-time physical activity did not entirely account for the increase in overweight. CONCLUSIONS: The prevalence of overweight among ...
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fruit and vegetable intake among adults in 16 states results of a brief Telephone Survey
American Journal of Public Health, 1995Co-Authors: Mary K Serdula, Tim Byers, R J Coates, Eduardo J Simoes, Ali H Mokdad, A F SubarAbstract:A brief food frequency questionnaire was used to assess daily fruit and vegetable consumption among 23,699 adults in 16 US states sampled in a random-digit dialing Telephone Survey. Men consumed fewer servings per day (3.3) than did women (3.7). Only 20% of the population consumed the recommended 5 or more daily servings. Intakes varied somewhat by state and were lower among the young and the less educated. Efforts are needed to improve fruit and vegetable consumption among all Americans, especially younger adults and those with lower levels of education.
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weight control practices in adults results of a multistate Telephone Survey
American Journal of Public Health, 1994Co-Authors: Mary K Serdula, David F Williamson, Robert F Anda, A Levy, A Heaton, Tim ByersAbstract:In this study, data collected in 1989 in a random-digit dialing Telephone Survey of 60,590 adults in 38 states and the District of Columbia were analyzed. Approximately 38% of women and 24% of men reported that they were currently trying to lose weight. Methods reported were counting calories (24% of women, 14% of men), participating in organized weight loss programs (10%, 3%), taking special supplements (10%, 7%), taking diet pills (4%, 2%), and fasting for 24 hours or longer (5%, 5%). Among both sexes, only half of those trying to lose weight reported using the recommended method of caloric restriction combined with physical activity.