Fliorent Rebecca, Podwojniak Alicia, Adolphe Lianne, Milani Katharine
Department of Molecular Biology, Rowan University School of Osteopathic Medicine, Stratford, USA.
Cureus. 2023 Jan 13;15(1):e33752. doi: 10.7759/cureus.33752. eCollection 2023 Jan.
Background Although White individuals have higher incidence of melanoma, clinical outcomes are worse among patients with skin of color. This disparity arises from delayed diagnoses and treatment that are largely due to clinical and sociodemographic factors. Investigating this discrepancy is crucial to decrease melanoma-related mortality rates in minority communities. A survey was used to investigate the presence of racial disparities in perceived sun exposure risks and behaviors. Methods A survey consisting of 16 questions was deployed via social media to assess skin health knowledge. Over 350 responses were recorded, and the extracted data were analyzed using statistical software. Results Of the respondents, White patients were significantly more likely to have higher perceived risk of developing skin cancer, highest levels of sunscreen usage, and higher reported frequency of skin checks performed by primary care providers (PCPs). There was no difference between racial groups in the amount of education provided by PCPs related to sun exposure risks. Conclusion The survey findings suggest inadequate dermatologic health literacy as a result of other factors such as public health and sunscreen product marketing rather than as a consequence of inadequate dermatologic education provided in healthcare settings. Factors such as racial stereotypes in communities, implicit biases in marketing companies, and public health campaigns should be considered. Further studies should be conducted to determine these biases and improve education in communities of color.
尽管白人患黑色素瘤的发病率较高,但有色人种患者的临床结局更差。这种差异源于诊断和治疗的延迟,这在很大程度上归因于临床和社会人口统计学因素。调查这种差异对于降低少数族裔社区中与黑色素瘤相关的死亡率至关重要。一项调查被用于研究在感知到的日晒风险和行为方面种族差异的存在情况。
通过社交媒体部署了一项由16个问题组成的调查,以评估皮肤健康知识。记录了超过350份回复,并使用统计软件对提取的数据进行了分析。
在受访者中,白人患者更有可能显著地感知到患皮肤癌的风险更高、防晒霜使用水平最高,并且报告由初级保健提供者(PCP)进行皮肤检查的频率更高。在PCP提供的与日晒风险相关的教育量方面,种族群体之间没有差异。
调查结果表明,由于公共卫生和防晒产品营销等其他因素,而非医疗环境中提供的皮肤科教育不足,导致了皮肤科健康素养不足。社区中的种族刻板印象、营销公司的隐性偏见以及公共卫生运动等因素都应予以考虑。应开展进一步研究以确定这些偏见,并改善有色人种社区的教育。