Photographic representation of skin tones in three dermatology journals

Hereford, Brittainy; Kim, Yesul; Zaenglein, Andrea L.; Hollins, Lauren Claire

doi:10.1111/pde.14766

Cited by 12 publications

(9 citation statements)

References 2 publications

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“…Our results are aligned with international analyses where SoC representation varies from 4%–18% 4,5 . Online resources may have greater SoC representation, varying from 17%–22% across examined websites 6,7 .…”

Section: Discussionsupporting

confidence: 86%

“…Our results are aligned with international analyses where SoC representation varies from 4%-18%. 4,5 Online resources may have greater SoC representation, varying from 17%-22% across examined websites 6,7 . Interestingly, DermNet NZ was noted as having low SoC representation (2.8% in 2021) 7 and editors have since focused on obtaining images representing dark skin types.…”

Section: Discussionmentioning

confidence: 99%

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The representation of skin of colour in the Australasian Journal of Dermatology

Kennedy,

Fa'alogo‐Lilo

2024

Aust J Dermatology

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BACKGROUNDSkin of colour (SoC) is underrepresented in dermatological literature with an associated reduction in clinician confidence diagnosing and managing skin conditions in patients with SoC. [1][2][3] It is reported that half of Irish dermatology clinicians are not confident in diagnosing patients with SoC. 1 Furthermore, confidence varies with the clinical context and a 2018 study found 85% of Australian dermatologists did not feel confident managing cosmetic skin issues in SoC. 2 SoC representation in Australasian dermatology educational resources is largely undocumented. This study aimed to assess representation of SoC and associated demographic factors in published images in the Australasian Journal of Dermatology (AJD).

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

The representation of skin of colour in the Australasian Journal of Dermatology

Kennedy,

Fa'alogo‐Lilo

2024

Aust J Dermatology

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“…Inadequate representation in patient education materials concerning ALM and skin of color education persists throughout medical education. Physicians are a trusted source of information for patients; however, the material from which they are taught does not sufficiently represent a large, diverse and growing part of the US population (Alvarado & Feng, 2021; Colby & Ortman, n.d.; Hereford et al, 2021; Kundu et al, 2010; Okoro, 2021; Slaught et al, 2022). Louie and Wilkes (2018) conducted an analysis of the imagery depicted in commonly assigned medical school textbooks including US editions of Atlas of Human Anatomy (2014), Bates' Guide to Physical Examination and History Taking (2013), Clinically Oriented Anatomy (2014), and Gray's Anatomy for Students (2015).…”

Section: Medical Education Insufficienciesmentioning

confidence: 99%

“…Inadequate representation in patient education materials concerning ALM and skin of color education persists throughout medical education. Physicians are a trusted source of information for patients; however, the material from which they are taught does not sufficiently represent a large, diverse and growing part of the US population (Alvarado & Feng, 2021;Colby & Ortman, n.d.;Hereford et al, 2021;Kundu et al, 2010;Okoro, 2021;Slaught et al, 2022). White patients, and when looking at skin tone specifically, 93% of cancer-related images were shown on "light" skin, 6.7% were shown on "medium skin"; none of the images depicted "dark" skin (Louie & Wilkes, 2018).…”

Section: Medic Al Educ Ation Insufficien Cie Smentioning

confidence: 99%

Undereducation is afoot: Assessing the lack of acral lentiginous melanoma educational materials for skin of color

Elad

Anton

Ganios

et al. 2023

Pigment Cell Melanoma Res

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Acral lentiginous melanoma (ALM) is a subtype of cutaneous melanoma notorious for poor outcomes that disproportionately affect individuals with skin of color (e.g., African‐, Hispanic‐, Asian‐descent) when compared to mortality rates among non‐Hispanic White populations. There are several societal factors that contribute to racial disparities in ALM, including a lack of representative educational material in the context of patient education and medical instruction. This gap in representative information for the US population includes risk of disease, patterns of incidence, and differences in disease presentation in skin of color. The atypical presentation of ALM on acral volar skin sites makes early detection challenging and necessitates an increased index of suspicion on the part of physicians and patients alike. Studies underscoring the importance of early detection in reducing mortality risk make the availability of adequate representative educational materials indispensable.

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“…Prior studies have found that there is a paucity of skin of color (SoC) images in general dermatology education 1 and resources. 2 Currently, there are no studies examining the representation of SoC in the dermatologic surgery literature. Dermatology is a highly visual field and depends on high-quality images for education on disease and treatment, especially in the setting of surgical and cosmetic procedures.…”

mentioning

confidence: 99%