Are the Fitzpatrick Skin Phototypes Valid for Cancer Risk Assessment in a Racially and Ethnically Diverse Sample of Women
Bibliographic Data
| ID | 15314934 |
|---|---|
| Authors | Marilyn S Sommers (0000-0001-5007-2262, University of Pennsylvania, corresponding author), Jamison D Fargo (Utah State University), Yadira Regueira (University of Puerto Rico System), Kathleen Brown (0000-0003-1244-2386, University of Pennsylvania), Kathleen M Brown (0000-0003-4807-0633), Barbara Beacham (University of Minnesota), Barbara L Beacham, Angela Ross Perfetti (0000-0002-9387-1168, University of Pennsylvania), Janine S Everett (Franklin & Marshall College), David J Margolis (0000-0002-0506-8085, University of Pennsylvania) |
| Year | 2019 |
| Volume | 29 |
| Issue | 3 |
| Pages | 505-512 |
| Publication date | 2019-07-18 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Ethnicity & Disease (JOURNAL) |
| Journal identifiers | ISSN: 1049-510X • E-ISSN: 1945-0826 |
| Publisher | Ethnicity & Disease, Inc (PUBLISHER) |
| DOI | 10.18865/ed.29.3.505 |
| PMID | 31367171 |
| OpenAlex | W2958180907 |
| Language | EN |
| Citations received | 1 |
| References cited | 1 |
The Fitzpatrick Skin Phototypes (FSP) were developed to classify skin color and response to ultraviolet radiation. FSP are used clinically to assess risk for sunburn and skin cancer. Our aim was to determine the criterion-related validity of self-reported FSP when compared with skin color and sunburn history, controlling for age, race/ethnicity, and seasonality/geography. We performed a secondary analysis of data (N=466) from an observational study. The racial/ethnic composition of the sample was 45% White/White Hispanic (WWH), 40% Black/Black Hispanic (BBH), and 15% Other Identities. Outcome measures were self-reported FSP and sunburn history, as well as physiological measures of skin color (L* lightness/darkness, a* redness/greenness, b* yellowness/blueness). Correlation between FSP and L* was -.77 (95% CI -.81, -.73; P r =-.23), and up to 30% for WWH/Other Identity participants ( r =-.48 and -.52). Multiple regression analysis indicated L* and b* values, sunburn history, and race/ethnicity, but not geography/seasonality or a* values significantly and collectively accounted for 72% of the variance in FSP. While the criterion validity of FSP was established by the strong relationship between L* values and FSP for the entire sample, when examined at the level of individual racial/ethnic subgroups, criterion validity of FSP was not demonstrated. When self-reported FSP are used for clinical skin assessment and sun cancer screening, they provide a restricted range of options for people with darker skin that does not capture variations in their skin color. Inaccuracy of clinical data may lead to unequal treatment or inadequate cancer risk assessment
Dark skin · Environmental health · Ethnic group · Ethnically diverse · Observational study · Population · Sunburn · Acne and Rosacea Treatments and Effects · Cutaneous Melanoma Detection and Management · Demography · Medicine · Skin Protection and Aging · Dermatology · Internal Medicine
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,2 |
| Citation span | 2021 - 2021 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |