Mehta Monica, Kundu Roopal V
J Drugs Dermatol. 2020 Dec 1;19(12):802. doi: 10.36849/JDD.2020.5488.
Cultural and social constructs may influence a patient’s understanding of their acne vulgaris affecting treatment preferences and valuation. Understanding these differences can better equip healthcare professionals when providing treatment recommendations. The objective of this study was to determine how perception, treatment preferences, and treatment valuation of acne vulgaris vary across different races. This was a cross-sectional study run from June 2017–February 2018. Participants with self-identified acne completed a one-time 31 question online survey distributed through ResearchMatch (national research registry) and campus recruitment. 217 English-speaking participants with self-identified acne who were over 18 years-old attempted the survey, and 3 participants were excluded for failing to complete it. Response rate of this study was 10.5%. Compared to Whites (88%, n=126), East Asians (44%, n=12) (P<0.001) and South Asians (53%, n=16) (P=0.002) were less likely to see a healthcare professional for acne. Compared to Whites (87%, n=125), East Asians (63%, n=17) were less likely to get information from healthcare professionals (P=0.03). East Asians (93%, n=25) used the internet more frequently as a source of information about causes of acne and treatments compared to all other races (P=0.04). Race was not statistically significant as a predictor for willingness to pay (WTP). Whites (27%, n=39) preferred using prescription face washes/creams/gels, while East Asians (41%, n=11), South Asians (60%, n=18), and Blacks (37%, n=7) preferred OTC washes/creams/gels. Differences exist in perception and treatment preferences for acne between races and exploring them may enhance providers’ understanding of their patients’ preferences. Healthcare organizations and professionals may need to utilize the internet and social media to access non-White populations. J Drugs Dermatol. 2020;19(12): doi:10.36849/JDD.2020.5488.
文化和社会建构可能会影响患者对寻常痤疮的理解，进而影响治疗偏好和重视程度。了解这些差异可以让医疗保健专业人员在提供治疗建议时更好地做好准备。本研究的目的是确定寻常痤疮的认知、治疗偏好和治疗重视程度在不同种族之间是如何变化的。这是一项于2017年6月至2018年2月开展的横断面研究。自我认定患有痤疮的参与者完成了一项通过ResearchMatch（国家研究登记处）和校园招募分发的一次性31个问题的在线调查。217名18岁以上自我认定患有痤疮且说英语的参与者尝试了该调查，3名参与者因未完成调查而被排除。本研究的回复率为10.5%。与白人（88%，n = 126）相比，东亚人（44%，n = 12）（P<0.001）和南亚人（53%，n = 16）（P = 0.002）因痤疮去看医疗保健专业人员的可能性较小。与白人（87%，n = 125）相比，东亚人（63%，n = 17）从医疗保健专业人员那里获取信息的可能性较小（P = 0.03）。与所有其他种族相比，东亚人（93%，n = 25）更频繁地使用互联网作为痤疮病因和治疗信息的来源（P = 0.04）。种族作为支付意愿（WTP）的预测因素在统计学上不显著。白人（27%，n = 39）更喜欢使用处方洗面奶/面霜/凝胶，而东亚人（41%，n = 11）、南亚人（60%，n = 18）和黑人（37%，n = 7）更喜欢非处方洗面奶/面霜/凝胶。不同种族之间在痤疮的认知和治疗偏好方面存在差异，探索这些差异可能会增强医疗服务提供者对患者偏好的理解。医疗保健组织和专业人员可能需要利用互联网和社交媒体来接触非白人人群。《皮肤药物学杂志》。2020年；19（12）：doi:10.36849/JDD.2020.5488 。
