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Food Insecurity in the Food Allergic Population: A Work Group Report of the AAAAI Adverse Reactions to Foods Committee

Published:November 30, 2021DOI:https://doi.org/10.1016/j.jaip.2021.10.058
      Food allergies affect 32 million Americans. Restricted diets due to food allergies can be difficult to maintain especially when the household is food insecure. Food insecurity is defined as the inability to acquire food for household members due to insufficient money or resources for food. The COVID-19 pandemic has caused many people to face food insecurity for the first time with Latinx, Native American, and Black communities disproportionately affected. Because of the increase in food insecurity, this work group developed a survey regarding food insecurity screening. This survey was sent out to a random sample of American Academy of Allergy Asthma & Immunology members to assess food insecurity knowledge and practices. The majority of survey participants did not routinely screen their patients for food insecurity. The biggest barrier identified to screening was lack of knowledge of how to perform a screen and resources available when a patient screened positive. This work group report provides guidance on how to implement and perform a food insecurity screen, including federal resources and assistance programs.

      Key Words

      Abbreviations used:

      AAAAI (American Academy of Allergy Asthma & Immunology), AAP (American Academy of Pediatrics), CI (Confidence interval), EHR (Electronic health record), ER (Emergency room), FA (Food allergy), FARE (Food Allergy Research Education), FI (Food insecurity), HFSS (Household Food Security Survey), NCA (National Confectioners Association), NIH (National Institute of Health), SNAP (Supplemental Nutrition Assistance Program), USDA (United States Department of Agriculture), WIC (Women, Infants, and Children)
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