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In This Issue of JAMA Pediatrics
November 2013


JAMA Pediatr. 2013;167(11):985. doi:10.1001/jamapediatrics.2013.2170

Delineating various levels of binge drinking, including extreme levels, and understanding predictors of such extreme binge drinking among youth are critical to the development of effective interventions. In a nationally representative sample of 16 322 high school seniors in the annual Monitoring the Future study between 2005 and 2011, Patrick and colleagues found that 10.5% reported extreme binge drinking of 10 or more drinks in a row and 5.6% reported extreme binge drinking of 15 or more drinks in a row in the prior 2 weeks. Hingson and White from the National Institute on Alcohol Abuse and Alcoholism commented in a related editorial on the potential consequences of such extreme binge drinking.

Related Editorial

Food allergy is a growing public health concern in the United States that affects 8% of children. Gupta and colleagues recruited a representative sample of 1643 US caregivers of a child with a current food allergy to determine the economic impact of childhood food allergy and caregivers’ willingness to pay for allergy treatment. The overall economic cost of food allergy was estimated at $24.8 billion annually ($4184 per year per child). Caregivers’ reported willingness to pay for food allergy treatment was remarkably similar at $20.8 billion annually ($3504 per year per child). To reduce the economic effect on families owing to lost opportunity, additional policies to ensure safe environments and to provide health insurance coverage of special needs for food-allergic children are essential.

The National Infant Sleep Position Study was conducted to determine the trends and factors associated with infant bed sharing from 1993 through 2010 including the association of physician advice on bed sharing. Colson and colleagues found that of 18 986 participants, 11.2% reported an infant sharing a bed as a usual practice and doubled between 1993 and 2010. Physician advice not to bed share was associated with lower rates of bed sharing, while neutral advice was associated with an increased likelihood of bed sharing. In a related editorial, Bergman discussed these findings and the current recommendations from the American Academy of Pediatrics.

Related Editorial, JAMA Pediatrics Patient Page

Undervaccination is an increasing trend that potentially places children and their communities at an increased risk for serious infectious diseases. Glanz and colleagues conducted a matched case-control study in 8 managed care organizations of the Vaccine Safety Datalink between 2004 and 2010. Undervaccination for 3 or 4 doses of the diphtheria, tetanus toxoids, and acellular pertussis (DTaP) vaccine was strongly associated with pertussis, increasing the risk by 19- to 28-fold, respectively. More than one-third of cases of pertussis in children 3 to 36 months of age could have been prevented with on-time vaccination with DTaP vaccine.