Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

HEALTH DISPARITIES RESEARCH

Rheumatology resources need reform to represent all patients

Underrepresentation of patients with non-white skin in rheumatology educational resources impairs practitioners’ competence in caring for patients with skin of colour and reduces patients’ confidence in the medical system. Medical publishers and educators should reconsider how to promote equal representation and care of patients with all skin types.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.

from$8.99

All prices are NET prices.

References

  1. 1.

    Strait, A. et al. Race, ethnicity and disparities in rheumatology educational materials. Arthritis Care Res. https://doi.org/10.1002/acr.24602 (2021).

    Article  Google Scholar 

  2. 2.

    Alvarado, S. M. & Feng, H. Representation of dark skin images of common dermatologic conditions in educational resources: a cross-sectional analysis. J. Am. Acad. Dermatol. 84, 1427–1431 (2021).

    Article  Google Scholar 

  3. 3.

    Louie, P. & Wilkes, R. Representations of race and skin tone in medical textbook imagery. Soc. Sci. Med. 202, 38–42 (2018).

    Article  Google Scholar 

  4. 4.

    Buster, K. J. et al. Dermatology health disparities. Dermatol. Clin. 30, 1–9 (2011).

    Google Scholar 

  5. 5.

    Fenton, A. et al. Medical students’ ability to diagnose common dermatologic conditions in skin of color. J. Am. Acad. Dermatol. 83, 957–958 (2020).

    Article  Google Scholar 

  6. 6.

    Hannon, L. & DeFina, R. Just skin deep? The impact of interviewer race on the assessment of African American respondent skin tone. Race Soc. Probl. 6, 356–364 (2014).

    Article  Google Scholar 

  7. 7.

    Dixon, A. R. & Telles, E. E. Skin color and colorism: global research, concepts, and measurement. Annu. Rev. Sociol. 43, 405–424 (2017).

    Article  Google Scholar 

  8. 8.

    Tull, R. Z. Ethnic skin centers in the United States: where are we in 2020? J. Am. Acad. Dermatol. 83, 1757–1759 (2020).

    Article  Google Scholar 

  9. 9.

    Lester, J. C. et al. Clinical photography in skin of colour: tips and best practices. Br. J. Dermatol. https://doi.org/10.1111/bjd.19811 (2021).

    Article  PubMed  Google Scholar 

  10. 10.

    American College of Rheumatology. Image competition. https://www.rheumatology.org/Annual-Meeting/Program/Image-Competition (2021).

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Lisa Zickuhr.

Ethics declarations

Competing interests

The authors declare no competing interests.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Zickuhr, L., Jones, H.A. Rheumatology resources need reform to represent all patients. Nat Rev Rheumatol 17, 447–448 (2021). https://doi.org/10.1038/s41584-021-00636-9

Download citation

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing