The DOI matches its Crossref record; 26 of the 27 references it cites were found in a registry or an index.
Accuracy of Self-report in Assessing Fitzpatrick Skin Phototypes I Through VI
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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“Further, the inter-rater reliability of dermatologists is known to be suboptimal, particularly for darker tones between III and IV and IV and V [27].”
From Investigating the accuracy of blood oxygen saturation measurements in common consumer smartwatches (2023) · cites this paper as [27]
Citations
Cites
The validity and practicality of sun-reactive skin types I through VI
Fitzpatrick, T. B. (1988) · Archives of Dermatology · doi:10.1001/archderm.1988.01670060015008 · Cited by 4,339
Gandini, S., Sera, F., Cattaruzza, M. S., Pasquini, P., Zanetti, R., Masini, C., Boyle, P., & Melchi, C. F. (2005) · European Journal of Cancer · doi:10.1016/j.ejca.2005.03.034 · Cited by 829
Fitzpatrick, T. (1975) · Medical Entomology and Zoology · Cited by 365
Skin Type Classification Systems Old and New
Roberts, W. E. (2009) · Dermatologic Clinics · doi:10.1016/j.det.2009.08.006 · Cited by 189
What controls variation in human skin color?
Barsh, G. S. (2003) · PLoS Biology · doi:10.1371/journal.pbio.0000027 · Cited by 163
Photochemical and Photobiological Reviews
Smith, K. C. (1979) · Springer eBooks · doi:10.1007/978-1-4684-3551-1 · Cited by 151
Sunburn, suntan and the risk of cutaneous malignant melanoma – The Western Canada Melanoma Study
Elwood, M., Gallagher, R. P., Davison, J., & Hill, G. B. (1985) · British Journal of Cancer · doi:10.1038/bjc.1985.77 · Cited by 141
Sunlight and Melanin Pigmentation
Pathak, M. A., Jimbow, K., Szabo, G., & Fitzpatrick, T. B. (1976) · Springer eBooks · doi:10.1007/978-1-4684-2574-1_5 · Cited by 103
Studies on the inheritance of human skin colour
HARRISON, G. A., & OWEN, J. J. T. (1964) · Annals of Human Genetics · doi:10.1111/j.1469-1809.1964.tb00457.x · Cited by 100
The distribution of melanin in skin determined in vivo
Matts, P. J., Dykes, P. J., & Marks, R. (2007) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2006.07706.x · Cited by 96
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Ly, B. C. K., Dyer, E. B., Feig, J. L., Chien, A. L., & Del Bino, S. (2020) · Journal of Investigative Dermatology · doi:10.1016/j.jid.2019.11.003 · Cited by 453
Skin typing: Fitzpatrick grading and others
Gupta, V., & Sharma, V. (2019) · Clinics in Dermatology · doi:10.1016/j.clindermatol.2019.07.010 · Cited by 289
Fitzpatrick Skin Type, Individual Typology Angle, and Melanin Index in an African Population
Wilkes, M. M., Wright, C. Y., du Plessis, J., & Reeder, A. I. (2015) · JAMA Dermatology · doi:10.1001/jamadermatol.2015.0351 · Cited by 95
Fairness of Classifiers Across Skin Tones in Dermatology
Kinyanjui, N. M., Odonga, T., Cintas, C., Codella, N., Panda, R., Sattigeri, P., & Varshney, K. R. (2020) · Lecture notes in computer science · doi:10.1007/978-3-030-59725-2_31 · Cited by 94
Buchanan Lunsford, N., Berktold, J., Holman, D. M., Stein, K., Prempeh, A., & Yerkes, A. (2018) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2018.09.017 · Cited by 90
Metadata
- Authors
- Eilers, S., Bach, D. Q., Gaber, R., Blatt, H., Guevara, Y., Nitsche, K., Kundu, R. V., & Robinson, J. K.
- Affiliations
- Northwestern University (US)
- Venue
- JAMA Dermatology
- Publisher
- American Medical Association (AMA)
- Published
- 2013-11-01
- Volume
- 149
- Issue
- 11
- Pages
- 1289
- ISSN
- 2168-6068 (ISSN-L)
- 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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