Low rate of dermatology outpatient visits in Asian-Americans: An initial survey study for associated patient-related factors

Bharathi Lingala, Shufeng Li, Ashley Wysong, Allison K. Truong, David Kim, Anne Lynn S. Chang

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Background: Asian-Americans represent the fastest growing minority group in the United States, but are under-represented patients in outpatient dermatology clinics. At the same time, skin cancer rates in individuals of Asian descent are increasing, but skin cancer detection appears to be delayed in Asian-Americans compared to white individuals. Some health-care provider related factors for this phenomenon have been reported in the literature, but the patient-related factors are unclear.Methods: This exploratory study to identify patient-related factors associated with dermatology visits in Asian-Americans was performed after Institutional Review Board (IRB) approval. An anonymous, online survey utilizing validated items was conducted on adults who self-identified as Asian-American in Northern California. Univariate and multivariate logistic regression for dermatology visits as indicated by responses to the question of " ever having had skin checked by a dermatologist" were performed on survey responses pertaining to demographic information, socioeconomic factors, acculturation, knowledge of melanoma warning signs and SSE belief and practice.Results: 89.7% of individuals who opened the online survey completed the items, with 469 surveys included in the analysis. Only 60% reported ever performing a SSE, and only 48% reported ever having a skin examination by a dermatologist. Multivariate models showed that " ever performing SSE" (p < 0.0001), marital status (p = 0.02), family history of skin cancer (p = 0.03) and generation in the United States (p = 0.02) were significant predictors of the primary outcome of " ever had skin checked by a dermatologist" .Conclusions: Identification of patient-related factors that associate with dermatology clinic visits in Asian-Americans is important so that this potential gap in dermatologic care can be better addressed through future studies.

Original languageEnglish (US)
Article number13
JournalBMC Dermatology
Issue number1
StatePublished - Aug 2 2014
Externally publishedYes


  • Acculturation
  • Asian-Americans
  • Dermatology
  • Dermatology visits
  • Early detection
  • Ethnic skin
  • Prevention
  • Skin cancer
  • Skin self-examination

ASJC Scopus subject areas

  • Dermatology


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