Differences in healthcare barriers based on racial and/or ethnic background for patients with psoriasis.

Autor: Bray JK; Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Winston-Salem, NC, USA., Cline A; Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Winston-Salem, NC, USA., McMichael AJ; Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Winston-Salem, NC, USA., Feldman SR; Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Winston-Salem, NC, USA.; Department of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA.; Department of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Jazyk: angličtina
Zdroj: The Journal of dermatological treatment [J Dermatolog Treat] 2021 Sep; Vol. 32 (6), pp. 590-594. Date of Electronic Publication: 2019 Nov 25.
DOI: 10.1080/09546634.2019.1687824
Abstrakt: Background: Nonwhite patients have more severe psoriasis and poorer quality of life. A racial, ethnic, and/or cultural gap exists for patients suffering from psoriasis.
Objectives: To assess whether the disparity in psoriasis care stems from differences in perception of psoriasis and/or healthcare barriers based on racial or ethnic background.
Methods: An online survey was given to subjects with a self-reported diagnosis of psoriasis to assess healthcare barriers ( n  = 302). Subjects were randomized to receive one of two online surveys: mild psoriasis vs. severe psoriasis. Outcome measures were evaluated on a 10-point Likert scale between subjects with a self-reported race or ethnic background as white and nonwhite. Comparisons were analyzed using single-factor ANOVA, two-group t -tests, and chi-squared analysis.
Results: Compared to the white population, the nonwhite population more frequently reported lack of culturally competent care as one of the largest barriers to seek psoriasis treatment ( p =.01). The nonwhite population also reported high cost of care to be a more significant barrier to seek medical care ( p =.02).
Conclusions: If providers better understand the differences in perception of psoriasis and barriers to seek medical care based on racial and/or ethnic background, they can potentially improve the way they interact with patients and present treatment.
Databáze: MEDLINE
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