种族是新生儿皮肤颜色的不完整替代品,对脉冲氧计有潜在的相关性
Megha Sharma1, Andrew W Brown2, Simon Chung2
1Division of Neonatology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR; Arkansas Children's Research Institute, Little Rock, AR.
The Journal of pediatrics
|July 12, 2025
概括
客观皮肤色调测量显示非西班牙裔黑人 (NHB) 和非西班牙裔白人 (NHW) 新生儿之间存在显著的重叠. 这凸显了在医学研究中直接评估皮肤色素的必要性,而不是种族,以减少偏见.
科学领域:
- 新生儿皮肤病学 新生儿皮肤病学
- 医疗器械研究 医疗器械研究
- 生物医学工程 生物医学工程
背景情况:
- 在医学研究中,种族经常被用作皮肤色素的代理因素.
- 这可能导致算法开发和设备准确性研究中的偏见.
- 对皮肤色调的客观测量对于公平的研究至关重要.
研究的目的:
- 客观地比较不同种族背景的新生儿的皮肤颜色差异和重叠.
- 评估直接皮肤颜色测量的实用性与基于种族的分类.
主要方法:
- 使用SkinColorCatch对新生儿皮肤色调进行前性光谱测量研究.
- 颜色指数 (黑色素指数,轻度,ITA°) 测量在脚背部.
- 非西班牙裔黑人 (NHB) 和非西班牙裔白人 (NHW) 新生儿之间的比较,并进行重叠分析.
主要成果:
- 在NHB和NHW新生儿之间,皮肤变黑度 (黑色素指数,ITA°) 的显著差异.
- 观察到大量的重叠:重叠系数为0.66的黑色素指数和0.73的ITA°.
- 较低的妊娠年龄和出生体重与较深的皮肤色调相关,不论种族.
结论:
- 客观评估显示,NHB和NHW新生儿之间的皮肤颜色有显著的重叠.
- 支持在医疗器械研究中使用直接皮肤色素测量而不是种族.
- 旨在减少医疗算法和设备研究中的偏见.
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