Manifestações dermatológicas em peles negras: percepção de médicos e estudantes de medicina

Main Article Content

Kátia Sheylla Malta Purim
https://orcid.org/0000-0001-9982-6408
Maria Fernanda Rabelo Thomaz
https://orcid.org/0009-0005-3425-8434
Giulia Ferreira Tonon
https://orcid.org/0009-0003-6472-2328
Pedro Henrique Pereira Corradini
https://orcid.org/0009-0008-4131-8644

Abstract

Introduction: Brazil exhibits significant ethnic diversity. Understanding the specific ethnic-racial characteristics enables more personalized medical care.


Objective: To analyze the knowledge of physicians and medical students about common skin conditions in Black individuals.


Method: A cross-sectional study was conducted with 2 groups: physicians (G1) and medical students (G2). The study addressed common nail, hair, and skin conditions in the Black population through a self-administered online questionnaire.


Result: The sample included 405 participants: G1 (136 physicians) was predominantly female (80.1%), aged ≤ 40 years (61.7%), and graduated from public institutions (51.4%); G2 (269 students) was predominantly female (71.7%), aged 21–25 years (62.8%), and from private institutions (98.5%). G1 demonstrated greater knowledge, particularly regarding keloids (G1 86.0% vs. G2 58.7%, p < 0.001), hair disorders (G1 22.8% vs. G2 0.0%), nail conditions (G1 19.9% vs. G2 13.8%, p = 0.02), and pigmentary disorders (G1 46.3% vs. G2 32.0%, p = 0.006). Both groups recognized the importance of photoprotection for this population (G1 97.8% vs. G2 92.2%), with differences in recommending the most suitable sun protection factor (G1 69.9% vs. G2 58.4%, p = 0.030).


Conclusion: Physicians and students are familiar with the topic but require further improvement. Reinforcing this knowledge in undergraduate and continuing education programs are essential strategies to encourage greater attention to the health of the Black population.

Article Details

Section

Original Article

Author Biographies

Kátia Sheylla Malta Purim, Universidade Positivo, Curso de Medicina, Escola de Saúde, Curitiba, PR, Brasil

Médica Dermatologista, Mestre e Doutora em Medicina (UFPR), Professora do Curso de Medicina da Escola de Saúde da Universidade Positivo (UP).

Maria Fernanda Rabelo Thomaz, Universidade Positivo, Curso de Medicina, Escola de Saúde, Curitiba, PR, Brasil

Acadêmica do 5◦ ano do Curso de Medicina da Universidade Positivo (UP)

Giulia Ferreira Tonon, Universidade Positivo, Curso de Medicina, Escola de Saúde, Curitiba, PR, Brasil

Acadêmica do 6◦ ano do Curso de Medicina da Universidade Positivo (UP)

Pedro Henrique Pereira Corradini, Universidade Positivo, Curso de Medicina, Escola de Saúde, Curitiba, PR, Brasil

Acadêmico do 6◦ ano do Curso de Medicina da Universidade Positivo (UP)

References

Instituto Brasileiro de Geografia e Estatística (IBGE). Censo demográfico 2010. Disponível em: https://censo2010.ibge.gov.br/.

Instituto Brasileiro de Geografia e Estatística (IBGE). População no Censo 2022. Disponível em: https://agenciadenoticias.ibge.gov.br/agencia-noticias/2012-agencia-de-noticias/noticias/38719-censo-2022-pela-primeira-vez-desde-1991-a-maior-parte-da-populacao-do-brasil-se-declara-parda.

Alchorne MMA, Conceição KDC, Barraza LL, Milanez Morgado de Abreu MA. Dermatology in black skin. An Bras Dermatol. 2024;99(2):123-456. https://doi.org/10.1016/j.abd.2023.10.001

Marcos-Pinto A, Ortins-Pina A, Borges-Costa J. Dermatoses in Africans. Acta Med Port. 2018;31(9):501-8. https://doi.org/10.20344/amp.10287

Buchanan Lunsford N, Berktold J, Holman DM, Stein K, Prempeh A, Yerkes A. Skin cancer knowledge, awareness, beliefs, and preventive behaviors among Black and Hispanic men and women. Prev Med Rep. 2018;12:203-9. https://doi.org/10.1016/j.pmedr.2018.09.017.

Hutchinson E, Yoseph R, Wainman H. Skin of colour: essentials for the non-dermatologist. Clin Med (Lond). 2023;23(1):2-8. https://doi.org/10.7861/clinmed.2022-0335

Cartwright MM, Alexis AF, Burgess CM, Desai SR, Draelos ZD, Grimes PE, et al. Understanding the gaps: knowledge, perceptions, and behaviors of skin of color consumers. J Drugs Dermatol. 2023;22(10):1027-33. https://doi.org/10.36849/JDD.7713

Gan C, Rodrigues M. An update on new and existing treatments for the management of melasma. Am J Clin Dermatol. 2024;25(5):717-33. https://doi.org/10.1007/s40257-024-00863-2

Alexis AF, Woolery-Lloyd H, Williams K, Andriessen A, Desai S, Han G, et al. Recommendations in skin of color. J Drugs Dermatol. 2021;20(9):932-8. https://doi.org/10.36849/JDD.6312

Brasil. Secretaria Especial de Políticas de Promoção da Igualdade Racial da Presidência da República (SEPPIR). Estatuto da Igualdade Racial: Lei nº 12.288 de 20 de julho de 2010. Disponível em: https://legislacao.presidencia.gov.br/atos/?tipo=LEI&numero=12288&ano=2010&ato=e4eoXSq1keVpWT31d.

Brasil. Ministério da Saúde. Secretaria de Gestão Estratégica e Participativa. Departamento de Apoio à Gestão Participativa e ao Controle Social. Política Nacional de Saúde Integral da População Negra: uma política para o SUS. 3ª ed. Brasília: Editora do Ministério da Saúde; 2017. 44 p.

Scheffer M, Cassenote A, Guerra A, Guilloux AGA, Brandão APD, Miotto BA, et al. Demografia Médica no Brasil 2023. São Paulo: FMUSP, AMB; 2023. 344 p. ISBN: 978-65-00-60986-8.

Brasil. Ministério da Saúde. Secretaria de Políticas de Saúde. Departamento de Atenção Básica. Dermatologia na Atenção Básica. 1ª ed. Brasília: Ministério da Saúde; 2002. 142 p.

Ferreira IG, Godoi DF, Perugini ER. Nosological profile of dermatology diseases in primary care and dermatology secondary care in Florianopolis (2016-2017). An Bras Dermatol. 2020;95(4):428-38.

Ikino JK, Nunes DH, Silva VP, Fröde TS, Bonamigo RR. Melasma and assessment of the quality of life in Brazilian women. An Bras Dermatol. 2015;90(2):196-200. https://doi.org/10.1590/abd1806-4841.20152771

Gorbatenko-Roth K, Prose N, Kundu RV, Patterson S. Assessment of Black patients' perception of their dermatology care. JAMA Dermatol. 2019;155(10):1129-34. https://doi.org/10.1001/jamadermatol.2019.2063

Louie P, Wilkes R. Representations of race and skin tone in medical textbook imagery. Soc Sci Med. 2018;202:38-42.

Lester JC, Taylor SC, Chren MM. Under-representation of skin of colour in dermatology images: not just an educational issue. Br J Dermatol. 2019;180(6):1521-2.

Song H, Chien AL, Xu S. Sunscreen recommendations for patients with skin of color in the popular press and in the dermatology clinic. Int J Womens Dermatol. 2020;7(2):165-70.

American Academy of Dermatology. How to select sunscreen. Disponível em: https://www.aad.org/public/diseases/a-z/melasma-causes