Assessing the role of race in quantitative measures of skin pigmentation and clinical assessments of photosensitivity.

Abstract:

BACKGROUND:Given the increasing demographic diversity in the United States, clarifying relationships between race, color, ethnicity, and disease processes is critical. OBJECTIVES:We sought to examine the correlation between objective measures of skin pigmentation, racial identification, and physician-diagnosed and self-reported skin phototypes. METHODS:A total of 558 participants (76 nonwhite) were evaluated. A subset underwent spectrometric readings and digital photography of the upper aspect of the inner arm. Self-identified race was compared with 7 measures of pigmentation. RESULTS:Race correlates best with physician-diagnosed skin phototype (r = 0.55, P < .01), whereas self-reported skin phototype, spectrometry, and colorimetry correlate poorly with race (r = 0.28, < 0.40, and r > -0.31, respectively, P < .01). Associations between race and subjective measures strengthen among patients with darker skin. CONCLUSION:Objective measures of pigmentation fail to correlate well with race, whereas race correlates moderately with physician-diagnosed skin phototype. Including objective methods of analyzing skin color may reduce subjective influences of race in assessing photosensitivity and potential risk for skin cancer.

journal_name

J Am Acad Dermatol

authors

Chan JL,Ehrlich A,Lawrence RC,Moshell AN,Turner ML,Kimball AB

doi

10.1016/j.jaad.2004.03.051

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

609-15

issue

4

eissn

0190-9622

issn

1097-6787

pii

S0190962204025241

journal_volume

52

pub_type

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