ABSTRACT
Psoriasis is associated with cardiometabolic comorbidities, including obesity, diabetes, hyperlipidaemia and hypertension. Many studies that established these associations originated from primarily White and/or relatively affluent populations. To evaluate whether there is a differential risk for cardiometabolic comorbidities in racial/ethnic minorities, we performed a cross-sectional analysis comparing cardiometabolic comorbidities between those with and without psoriasis in a racially and ethnically diverse population of 56 987 low-income patients, stratified by race/ethnicity, and assessed whether race/ethnicity acts as an effect modifier for cardiometabolic comorbidities. We found that psoriasis was statistically significantly associated with obesity, diabetes, hyperlipidaemia and hypertension. The association of psoriasis with comorbidities did not differ significantly by race/ethnicity; thus, we did not find evidence of effect modification. However, our diverse, low-income population had an extremely high baseline prevalence of cardiometabolic comorbidities compared with previous populations studied. Our results suggest education and intervention regarding modifiable risk factors are particularly important among vulnerable populations.
Subject(s)
Diabetes Mellitus , Hyperlipidemias , Hypertension , Obesity , Psoriasis , Humans , Cross-Sectional Studies , Diabetes Mellitus/epidemiology , Hyperlipidemias/epidemiology , Hypertension/epidemiology , Obesity/epidemiology , Poverty , Primary Health Care , Psoriasis/complications , Psoriasis/epidemiology , Racial Groups , Ethnicity , ComorbidityABSTRACT
This cross-sectional study examines racial and ethnic diversity trends among dermatology resident trainees and applicants compared with other specialties.
Subject(s)
Dermatology , Humans , Ethnicity , Hispanic or LatinoSubject(s)
Chancre , Syphilis , Chancre/diagnosis , Chancre/drug therapy , Humans , Male , Middle Aged , Perineum , Syphilis/diagnosis , Syphilis/drug therapyABSTRACT
Unmet dermatologic needs of the uninsured patient population are important to identify and address, especially as the COVID-19 pandemic has introduced additional barriers of access to care. We describe the successful collaboration between a student-run free clinic and dermatology practice since 2012, highlighting excellent time to appointment intervals and resolution rates as well as the associated modest financial cost. We believe that the information provided in our report may serve as a proof of concept and facilitate the implementation of such collaborations throughout the United States.
