PDF(Pubmed)
Abstract：
Skin lightening (SL) is a practice involving the use of chemicals to lighten the skin that is more common among skin of color (SOC) individuals, particularly women, and can lead to adverse health consequences.
UNASSIGNED: In this study, we examine SL habits, including both general lightening and lightening for the treatment of a skin condition, among SOC individuals in the United States and the role of colorism in motivating these behaviors.
UNASSIGNED: A cross-sectional survey was administered to SOC individuals through ResearchMatch, an online national health registry. Demographics, rates of SL, SL habits, and perceived colorism among SL users and nonusers were collected and analyzed with χ2, Fisher\'s exact, Analysis of variance (ANOVA), Spearman correlation, and t tests.
UNASSIGNED: A total of 455 participants completed the survey. Ninety-seven participants (21.3%) reported using SL agents: 73.2% (71/97) used SL agents for the treatment of a skin condition and 26.8% (26/97) used the products for general SL. Only 22.6% (22/97) of SL users consulted a medical provider before using the products. Forty-four participants (45.4%) were unaware of their SL product ingredients, and 35.1% (34/97) reported using hydroquinone-based products. Composite colorism scores were significantly higher in SL users than nonusers (20.03 vs 18.20; P < .001).
UNASSIGNED: This study used self-reported racial/ethnic groups to characterize those with SOC rather than assessing actual skin tones of participants, which could have led to variability.
UNASSIGNED: SL among SOC individuals is prevalent in the U.S. and poses a health risk, as many SL users are unaware of product ingredients, do not consult a medical provider before use, and have access to potentially unsafe formulations. Dermatologists should address skin tone and pigmentary concerns with their SOC patients.
UNASSIGNED: In this study, we examine SL habits, including both general lightening and lightening for the treatment of a skin condition, among SOC individuals in the United States and the role of colorism in motivating these behaviors.
UNASSIGNED: A cross-sectional survey was administered to SOC individuals through ResearchMatch, an online national health registry. Demographics, rates of SL, SL habits, and perceived colorism among SL users and nonusers were collected and analyzed with χ2, Fisher\'s exact, Analysis of variance (ANOVA), Spearman correlation, and t tests.
UNASSIGNED: A total of 455 participants completed the survey. Ninety-seven participants (21.3%) reported using SL agents: 73.2% (71/97) used SL agents for the treatment of a skin condition and 26.8% (26/97) used the products for general SL. Only 22.6% (22/97) of SL users consulted a medical provider before using the products. Forty-four participants (45.4%) were unaware of their SL product ingredients, and 35.1% (34/97) reported using hydroquinone-based products. Composite colorism scores were significantly higher in SL users than nonusers (20.03 vs 18.20; P < .001).
UNASSIGNED: This study used self-reported racial/ethnic groups to characterize those with SOC rather than assessing actual skin tones of participants, which could have led to variability.
UNASSIGNED: SL among SOC individuals is prevalent in the U.S. and poses a health risk, as many SL users are unaware of product ingredients, do not consult a medical provider before use, and have access to potentially unsafe formulations. Dermatologists should address skin tone and pigmentary concerns with their SOC patients.
摘要：
皮肤美白（SL）是一种涉及使用化学物质来减轻皮肤的做法，这在肤色（SOC）个体中更为常见，尤其是女性,并可能导致不良健康后果。
■在这项研究中，我们检查SL习惯，包括用于治疗皮肤状况的一般美白和美白，在美国的SOC个体中，以及肤色在激发这些行为中的作用。
■通过ResearchMatch对SOC个人进行了横断面调查，一个在线的国家卫生登记。人口统计,SL的费率，SL习惯，并收集SL用户和非用户之间的感知色彩，并用χ2，费舍尔精确，方差分析(ANOVA)，斯皮尔曼相关性，和t测试。
■共有455名参与者完成了调查。97名参与者（21.3％）报告使用SL药物：73.2％（71/97）使用SL药物治疗皮肤状况，26.8％（26/97）使用该产品用于一般SL。只有22.6％（22/97）的SL用户在使用产品之前咨询了医疗提供商。44名参与者(45.4%)不知道他们的SL产品成分，和35.1%(34/97)报告使用氢醌基产品。SL使用者的综合色彩评分明显高于非使用者（20.03vs18.20；P<.001）。
■这项研究使用自我报告的种族/族裔群体来表征SOC患者，而不是评估参与者的实际肤色。这可能导致可变性。
■SOC个体中的SL在美国普遍存在，并构成健康风险，由于许多SL用户不知道产品成分，使用前不要咨询医疗服务提供者，并且可以使用潜在的不安全配方。皮肤科医生应解决SOC患者的肤色和色素性问题。
■在这项研究中，我们检查SL习惯，包括用于治疗皮肤状况的一般美白和美白，在美国的SOC个体中，以及肤色在激发这些行为中的作用。
■通过ResearchMatch对SOC个人进行了横断面调查，一个在线的国家卫生登记。人口统计,SL的费率，SL习惯，并收集SL用户和非用户之间的感知色彩，并用χ2，费舍尔精确，方差分析(ANOVA)，斯皮尔曼相关性，和t测试。
■共有455名参与者完成了调查。97名参与者（21.3％）报告使用SL药物：73.2％（71/97）使用SL药物治疗皮肤状况，26.8％（26/97）使用该产品用于一般SL。只有22.6％（22/97）的SL用户在使用产品之前咨询了医疗提供商。44名参与者(45.4%)不知道他们的SL产品成分，和35.1%(34/97)报告使用氢醌基产品。SL使用者的综合色彩评分明显高于非使用者（20.03vs18.20；P<.001）。
■这项研究使用自我报告的种族/族裔群体来表征SOC患者，而不是评估参与者的实际肤色。这可能导致可变性。
■SOC个体中的SL在美国普遍存在，并构成健康风险，由于许多SL用户不知道产品成分，使用前不要咨询医疗服务提供者，并且可以使用潜在的不安全配方。皮肤科医生应解决SOC患者的肤色和色素性问题。
