Background/Objective: Acne prevalence studies often use subject self-report as data source. Our aim was to evaluate the validity of acne self-report. Methods: Responses of university students to an acne questionnaire were compared to the trained observer’s concurrent examination of acne. The validity of self-report was measured by sensitivity, specificity, positive predictive value and negative predictive value. Agreement was measured by Cohen’s kappa and correct classification percentage. Results: The sensitivity of self-report was 0.55 (95% CI 0.47–0.63), the specificity was 0.72 (95% CI 0.63–0.80), the positive predictive value was 0.70 (95% CI 0.61–0.78), and the negative predictive value was 0.57 (95% CI 0.49–0.65). Cohen’s kappa was 0.26 (95% CI 0.15–0.38) and correct classification percentage was 63. Conclusions: Validity of self-report was moderate at best and agreement was fair, indicating that college students could not accurately report that they have acne. This is likely not sufficient for clinical or research activities or to assure that individuals who self-guide their acne therapy actually have acne.
The COVID-19 pandemic has shed light on the ongoing pandemic of racial injustice. In the context of these twin pandemics, emergency medicine organizations are declaring that “Racism is a Public Health Crisis.” Accordingly, we are challenging emergency clinicians to respond to this emergency and commit to being antiracist. This courageous journey begins with naming racism and continues with actions addressing the intersection of racism and social determinants of health that result in health inequities. Therefore, we present a social-ecological framework that structures the intentional actions that emergency medicine must implement at the individual, organizational, community, and policy levels to actively respond to this emergency and be antiracist.
Objectives:The objective was to conduct a scoping review of the literature and develop consensus-derived research priorities for future research inquiry in an effort to (1) identify and summarize existing research related to race, racism, and antiracism in emergency medicine (EM) and adjacent fields and (2) set the agenda for EM research in these topic areas.Methods: A scoping review of the literature using PubMed and EMBASE databases, as well as review of citations from included articles, formed the basis for discussions with community stakeholders, who in turn helped to inform and shape the discussion and recommendations of participants in the Society for Academic Emergency
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