{
  "abstract": "# Background Dermatologic educational materials and media have historically underrepresented darker skin tones. Limited representation may be associated with perceptions of inclusivity and experiences of dermatologic care.\n\n# Objective To assess associations between perceived skin tone representation in dermatologic media and self-reported healthcare experiences and information-seeking behaviors.\n\n# Methods We conducted a secondary analysis of an anonymous, cross-sectional U.S. web-based survey (n = 205), using descriptive statistics, chi-square tests, and age- and gender-adjusted logistic regression. Open-ended responses were examined thematically.\n\n# Results Of 205 respondents, 118 (57.6%) perceived predominantly White/fair skin imagery online. After adjustment for age and gender, this perception was associated with higher odds of treatment dissatisfaction (adjusted odds ratio {aOR}, 2.82; 95% CI, 1.27–6.56; p = 0.011) and reliance on social media for skincare information (aOR, 4.87; 95% CI, 2.19–11.15; p < 0.0001), but not significantly with delayed care (aOR, 1.92; 95% CI, 0.81–4.48; p = 0.139). Open-ended responses addressed access, representation, and healthcare experiences.\n\n# Conclusions Perceived predominance of White/fair imagery in dermatologic media was associated with treatment dissatisfaction and online skincare information-seeking in this cross-sectional sample. More representative educational materials warrant study, but causality and effects on healthcare trust cannot be established from these data.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "name": "Enyao Zhang"
    },
    {
      "name": "Vedha Dande"
    },
    {
      "name": "Latha Ganti"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dsxt6ts4zp62e.bib",
  "cited_by": 0,
  "doi": "10.62186/001c.172506",
  "fulltext_url": "https://doi.org/10.62186/001c.172506",
  "id": "dsxt6ts4zp62e",
  "issns": [
    "2996-2617"
  ],
  "landing_url": "https://doi.org/10.62186/001c.172506",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RD1-811"
    ],
    [
      "openalex",
      "3312|Cultural Competency in Health Care"
    ]
  ],
  "openalex": "W7223576602",
  "pdf_url": "https://academic-med-surg.scholasticahq.com/article/172506.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-26",
  "publisher": "University Medical Press",
  "ris": "https://research.draconitic.com/paper/dsxt6ts4zp62e.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:47:15Z",
      "native_id": "e98a10b3376c436aa455a5c80ee36f77",
      "source": "doaj",
      "url": "https://doi.org/10.62186/001c.172506"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:RD1-811",
      "subfield": "surgery"
    }
  ],
  "title": "Representation of Skin of Color in Dermatologic Media and Healthcare Trust",
  "title_text": "Representation of Skin of Color in Dermatologic Media and Healthcare Trust",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:47:15Z",
  "url": "https://research.draconitic.com/paper/dsxt6ts4zp62e",
  "venue": "Academic Medicine & Surgery",
  "versions": []
}