Cited by 191melanin and skin pigmentationSkin Protection and AgingCutaneous Melanoma Detection and Management

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Accuracy of Self-report in Assessing Fitzpatrick Skin Phototypes I Through VI

Eilers, Steven, Bach, Daniel Q., Gaber, Rikki, Blatt, Hanz, Guevara, Yanina, Nitsche, Katie, Kundu, Roopal V., Robinson, June K.·2013·JAMA Dermatology

DOI 10.1001/jamadermatol.2013.6101

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Abstract

Importance Determining Fitzpatrick skin phototypes (FST) allows physicians to assess a person's risk of developing sunburn and, by extension, the need for sun protection to prevent the development of skin cancer. Reflectance spectrophotometry objectively measures the melanin index and can assist in determining the accuracy of self-report of FST compared with dermatologist-determined FST. Objectives To assess whether self-reported or dermatologist-determined FST is more accurate in identifying a participant's FST for FST I through VI and to assess the relevance of the burning and tanning measures for a range of skin types among ethnically diverse participants. Design and setting A convenience sample of participants in an observational study from June 2, 2010, through December 15, 2010, at an ambulatory academic dermatologic practice and employee health center in an urban city. Participants Participants, staff, and students of Northwestern University, who self-identified as being non-Hispanic white, Hispanic or Latino, Asian or Pacific Islander, or black. Main outcomes and measures Melanin index as measured with reflectance spectrophotometry compared with dermatologist- and participant-determined FST. Results Forty-two percent (114 of 270) of the participants' responses to the burning and tanning questions could not be classified using standard FST definitions. The spectrophotometry measurements for dermatologist-determined FST were significantly different for FST III and IV (P…

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Authors: Eilers, S., Bach, D. Q., Gaber, R., Blatt, H., Guevara, Y., Nitsche, K., Kundu, R. V., & Robinson, J. K.
Affiliations: Northwestern University (US)
ORCID: Kundu, Roopal V.
Robinson, June K.
Venue: JAMA Dermatology
Publisher: American Medical Association (AMA)
Published: 2013-11-01
Volume: 149
Issue: 11
Pages: 1289
ISSN: 2168-6068 (ISSN-L)
DOI: 10.1001/jamadermatol.2013.6101
OpenAlex: W1982770101
Cited by: 191
References: 27
Citations by year: 2026: 15 · 2025: 19 · 2024: 29 · 2023: 26 · 2022: 22 · 2021: 14 · 2020: 12 · 2019: 16 · 2018: 9 · 2017: 7 · 2016: 7 · 2015: 13 · 2014: 1
FWCI: 4.06
Type: journal article
Language: en
Open access: closed
Locations: JAMA Dermatology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Arthritis and Musculoskeletal and Skin Diseases (P30AR057216)
Topics: Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
Health Sciences › Medicine › Dermatology › Skin Protection and Aging
Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
Keywords: Fitzpatrick skin type, self-report accuracy, reflectance spectrophotometry, melanin index, sunburn risk, sun protection, skin cancer prevention, skin of color, ethnic diversity, skin type classification, sun protection behavior
MeSH terms: Adult, Aged, Aged, 80 and over, Ethnicity, Humans, Melanins, Middle Aged, Predictive Value of Tests, Risk Factors, Severity of Illness Index, Skin Neoplasms, Skin Pigmentation, Spectrophotometry, Sunlight, Reproducibility of Results, Skin Irritancy Tests, Young Adult, Self Report

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Accuracy of Self-report in Assessing Fitzpatrick Skin Phototypes I Through VI

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