甲状腺教科书中的皮肤颜色表示:缺乏成像多样性
Eddy P Lincango1, Cristina Arias Cortez2, Mateo Montalvo3
1Department of Surgery, University of Central Florida/HCA Healthcare, Orlando, Florida; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota; CaTaLiNA Research: Cancer de Tiroides en Latinoamerica, Quito, Ecuador.
The Journal of surgical research
|July 22, 2025
概括
医学教科书在甲状腺疾病图像中低估了较深的皮肤色调,可能会加剧提供者偏见. 在教育材料中增加皮肤色调的多样性,可以帮助减少诊断差异.
科学领域:
- 医学教育 医学教育
- 皮肤病学 皮肤病学
- 内分泌学 在内分泌学.
背景情况:
- 甲状腺疾病诊断和治疗的种族和民族差异与延迟护理和提供者偏见有关.
- 医学教育中不同肤色的代表性不足有助于培训人员的隐性偏见.
- 当前的教育资源可能无法充分解决甲状腺疾病在不同肤色的视觉表现.
研究的目的:
- 评估主要医学教科书中的甲状腺疾病图像中各种皮肤色调的表现.
- 识别可能导致提供者偏见的教育材料中的潜在缺口.
主要方法:
- 进行了来自主要医学教科书最近版本的甲状腺图像的审查.
- 用菲茨帕特里克构成尺度分析皮肤颜色的图像,不包括插图和黑白图像.
- 该研究的重点是描绘成年人常见甲状腺疾病的图像.
主要成果:
- 对来自22本教科书的139张图片进行分析,发现皮肤色调较浅 (88%) 与皮肤色调较深 (12%).
- 描绘更深色肤色的图像在内科教科书中明显缺席.
- 大多数图像都显示了患有常见的良性甲状腺疾病的成年人,如喉和甲状腺功能低下症.
结论:
- 在甲状腺疾病教科书图像中,较深色肤色的显著代表性仍然存在.
- 教育资源缺乏多样性可能会促进提供者偏见,影响诊断和治疗.
- 建议包括将更广泛的患者皮肤色调纳入医学插图中,以减轻隐性偏见和改善健康公平.
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