Background: Given the increasing demographic diversity in America, clarifying the relationship between race, color, ethnicity, and disease processes in epidemiological settings is critical.Objectives: To examine the correlation between objective measures of skin pigmentation with the subject’s racial identification, physician-rated, and subject-rated phototype.Setting: Dermatology Branch of the National Cancer Institute, NIH.Participants: 558 employees (76 non-white) were evaluated using standard AAD cancer screening materials. Skin pigmentation of a subset was determined by taking spectrometric readings and digital photography of the upper inner arm.Design: Melanin and erythema indices (M, E) of spectrometry were compared to the red, green, and blue components (R, G, B) of color determined by computer analysis of digital photographs. All five measurements were compared to both physician-assessed Fitzpatrick Skin Phototype (PSPT) and self-reported Skin Phototype (SSPT). Self-identified race (white, black, Hispanic, and other) was compared to all seven measures of skin pigmentation using statistical methods.Results: Among the methods of assessing skin pigmentation, PSPT diagnosis exhibits the highest level of association with race, albeit of moderate strength (R-square = 0.548, P < 0.01, 2-tailed). Self-assessed phototype (SSPT) and objective measures using colorimetry and spectrometry all correlate poorly with race (R-square = 0.283; −0.314 < R-square < −0.235; 0.385 < R-square < 0.404; P < 0.01). The association between race and PSPT strengthens toward the darker spectrum of pigmentation as determined by PSPT (R-square = 0.139 for PSPT I-III and R-square = 0.616 for PSPT III-VI, P < 0.01) and SSPT (R-square = 0.244 for SSPT I-II; R-square = 0.403 for SSPT I-III and R-square = 0.598 for SSPT ≥ III, P < 0.01).Conclusions: (1) Objective measures for the determination of skin pigmentation are necessary for correct assessment of photosensitivity and the risk for skin cancer. (2) Among lighter individuals (PSPT I-III), race correlates poorly with PSPT and does not correlate with SSPT. Background: Given the increasing demographic diversity in America, clarifying the relationship between race, color, ethnicity, and disease processes in epidemiological settings is critical. Objectives: To examine the correlation between objective measures of skin pigmentation with the subject’s racial identification, physician-rated, and subject-rated phototype. Setting: Dermatology Branch of the National Cancer Institute, NIH. Participants: 558 employees (76 non-white) were evaluated using standard AAD cancer screening materials. Skin pigmentation of a subset was determined by taking spectrometric readings and digital photography of the upper inner arm. Design: Melanin and erythema indices (M, E) of spectrometry were compared to the red, green, and blue components (R, G, B) of color determined by computer analysis of digital photographs. All five measurements were compared to both physician-assessed Fitzpatrick Skin Phototype (PSPT) and self-reported Skin Phototype (SSPT). Self-identified race (white, black, Hispanic, and other) was compared to all seven measures of skin pigmentation using statistical methods. Results: Among the methods of assessing skin pigmentation, PSPT diagnosis exhibits the highest level of association with race, albeit of moderate strength (R-square = 0.548, P < 0.01, 2-tailed). Self-assessed phototype (SSPT) and objective measures using colorimetry and spectrometry all correlate poorly with race (R-square = 0.283; −0.314 < R-square < −0.235; 0.385 < R-square < 0.404; P < 0.01). The association between race and PSPT strengthens toward the darker spectrum of pigmentation as determined by PSPT (R-square = 0.139 for PSPT I-III and R-square = 0.616 for PSPT III-VI, P < 0.01) and SSPT (R-square = 0.244 for SSPT I-II; R-square = 0.403 for SSPT I-III and R-square = 0.598 for SSPT ≥ III, P < 0.01). Conclusions: (1) Objective measures for the determination of skin pigmentation are necessary for correct assessment of photosensitivity and the risk for skin cancer. (2) Among lighter individuals (PSPT I-III), race correlates poorly with PSPT and does not correlate with SSPT.
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