Representation of the Black Community in Skin Care and Longevity
3 min read
FEB 4, 2022
LONGEVITY, SKIN CARE
Representation of the Black Community in Skin Care and Longevity
3 min read
FEB 4, 2022
LONGEVITY, SKIN CARE
February is Black History Month, a formal appreciation for the vital contributions African Americans have made to our nation. According to the Association for the Study of African American Life and History, the theme for 2022’s Black History Month is “Black Health and Wellness.” In keeping with this theme, let’s discuss the importance of black representation in the skincare and longevity industries and their associated research. [1]
February is Black History Month, a formal appreciation for the vital contributions African Americans have made to our nation. According to the Association for the Study of African American Life and History, the theme for 2022’s Black History Month is “Black Health and Wellness.” In keeping with this theme, let’s discuss the importance of black representation in the skincare and longevity industries and their associated research. [1]
01
History of Black Representation in Skincare and Longevity Research
Disparities exist in all areas of life, especially in healthcare, and — unfortunately— dermatology is not exempt. Dermatology is the study, research, and diagnosis of the skin. And unlike the heart, pancreas, or kidneys, the skin comes in vastly different colors and patterns. [2]
01
History of Black Representation in Skincare and Longevity Research
Disparities exist in all areas of life, especially in healthcare, and — unfortunately— dermatology is not exempt. Dermatology is the study, research, and diagnosis of the skin. And unlike the heart, pancreas, or kidneys, the skin comes in vastly different colors and patterns. [2]
02
Training and Images in Medical School
In 2020, the New York Times published an article titled, “Dermatology Has a Problem with Skin Color”, outlining the lack of Black representation in dermatology research. The article focused on incorporating more non-white skin representation into medical training. For example, only 10 percent of current illustrations in dermatology textbooks are that of darker skin. This lack of visual representation greatly hinders a medical student’s ability to diagnose skin conditions on darker skin tones as full-fledged practicing physicians. [3]To adequately study and diagnose skin problems, dermatologists depend on something called pattern recognition — the ability to detect similar problems through the study of prior events. Dermatologists train themselves to visually recognize particular colors and shapes on skin, alerting them to specific diseases and conditions. However, dermatologists inadvertently receive training to find skin problems on white skin — not darker skin. Moreover, the evidence-based research used for determining skin treatments consists primarily of white participants, making most dermatology treatments most optimally suited for white skin. [4, 5]
02
Training and Images in Medical School
In 2020, the New York Times published an article titled, “Dermatology Has a Problem with Skin Color”, outlining the lack of Black representation in dermatology research. The article focused on incorporating more non-white skin representation into medical training. For example, only 10 percent of current illustrations in dermatology textbooks are that of darker skin. This lack of visual representation greatly hinders a medical student’s ability to diagnose skin conditions on darker skin tones as full-fledged practicing physicians. [3]To adequately study and diagnose skin problems, dermatologists depend on something called pattern recognition — the ability to detect similar problems through the study of prior events. Dermatologists train themselves to visually recognize particular colors and shapes on skin, alerting them to specific diseases and conditions. However, dermatologists inadvertently receive training to find skin problems on white skin — not darker skin. Moreover, the evidence-based research used for determining skin treatments consists primarily of white participants, making most dermatology treatments most optimally suited for white skin. [4, 5]
03
How Lack of Visual Representation Affects African American Health
A common misconception exists regarding Black skin — that it doesn’t “crack.” While it’s true that the melanin in dark skin helps prevent sun damage, African American skin is not impervious to the sun. Additionally, when the sun does cause skin cancer in Black people, the outcomes are much more dire. Although rates of skin cancer in white people are higher than those of Black people, the five-year survival rate for white people is at 92%. Conversely, when skin cancer appears in Black people, the survival rate drops drastically — to 67%. [6]Why is there a lower skin cancer survival rate for African Americans? This disparity occurs because of the mistaken belief that dark skin doesn’t experience sun damage and because doctors are less likely to spot skin cancers on darker skin. According to the Skin Cancer Foundation, about 50% of basal cell carcinomas are brown in SoC (skins of color) — while textbook illustrations of these same carcinomas are pink or pearly on white skin.What does this mean in practice? Doctors are missing early detection of skin carcinomas on darker skin due to a lack of visual representation during their education and training. And when cancer is detected on darker skin, the treatments might not be specific and effective enough due to insufficient levels of research behind treatments of cancer in darker skin. The bottom line? Scientific research into the best treatments for skin disorders on African Americans is inadequate.
03
How Lack of Visual Representation Affects African American Health
A common misconception exists regarding Black skin — that it doesn’t “crack.” While it’s true that the melanin in dark skin helps prevent sun damage, African American skin is not impervious to the sun. Additionally, when the sun does cause skin cancer in Black people, the outcomes are much more dire. Although rates of skin cancer in white people are higher than those of Black people, the five-year survival rate for white people is at 92%. Conversely, when skin cancer appears in Black people, the survival rate drops drastically — to 67%. [6]Why is there a lower skin cancer survival rate for African Americans? This disparity occurs because of the mistaken belief that dark skin doesn’t experience sun damage and because doctors are less likely to spot skin cancers on darker skin. According to the Skin Cancer Foundation, about 50% of basal cell carcinomas are brown in SoC (skins of color) — while textbook illustrations of these same carcinomas are pink or pearly on white skin.What does this mean in practice? Doctors are missing early detection of skin carcinomas on darker skin due to a lack of visual representation during their education and training. And when cancer is detected on darker skin, the treatments might not be specific and effective enough due to insufficient levels of research behind treatments of cancer in darker skin. The bottom line? Scientific research into the best treatments for skin disorders on African Americans is inadequate.
04
Representation in Science
When it comes to the representation of skin of color (SoC) in dermatological science, the data is discouraging. A 2021 literature review published in the International Journal of Women’s Dermatology evaluated 52 scientific journals to determine content applicable for SoC. Here’s what they found: (06)
- Out of 52 journals, only 2.04% to 16.8% contained content relevant to SoC.
- The journals with higher rates of helpful content for darker skin were, not surprisingly, from countries with large populations of people with darker skin.
- The more eminent medical journals, such as the Journal of the American Academy of Dermatology and the Journal of Investigative Dermatology, contained less than 5% of articles relevant for darker skin.
04
Representation in Science
When it comes to the representation of skin of color (SoC) in dermatological science, the data is discouraging. A 2021 literature review published in the International Journal of Women’s Dermatology evaluated 52 scientific journals to determine content applicable for SoC. Here’s what they found: (06)
- Out of 52 journals, only 2.04% to 16.8% contained content relevant to SoC.
- The journals with higher rates of helpful content for darker skin were, not surprisingly, from countries with large populations of people with darker skin.
- The more eminent medical journals, such as the Journal of the American Academy of Dermatology and the Journal of Investigative Dermatology, contained less than 5% of articles relevant for darker skin.
05
Longevity and Life Expectancy
The need for African American representation in medical textbooks and scientific research may also play a part in the disparity between the longevity between white people and Black people. From 2018 to 2021, overall life expectancy in the United States saw the most significant drop since World War II.Among whites people, the life expectancy fell by 1.9 years. For Black people, however, life expectancy dropped by 3.2 years. Health determines a portion of our longevity, but health is also vastly shaped by socio-economic factors. The disparities in socio-economic factors, combined with health disparities, all boil down to one truth—our society does not do enough to incorporate diversity into all aspects of life, scientific and otherwise. [7]
05
Longevity and Life Expectancy
The need for African American representation in medical textbooks and scientific research may also play a part in the disparity between the longevity between white people and Black people. From 2018 to 2021, overall life expectancy in the United States saw the most significant drop since World War II.Among whites people, the life expectancy fell by 1.9 years. For Black people, however, life expectancy dropped by 3.2 years. Health determines a portion of our longevity, but health is also vastly shaped by socio-economic factors. The disparities in socio-economic factors, combined with health disparities, all boil down to one truth—our society does not do enough to incorporate diversity into all aspects of life, scientific and otherwise. [7]
06
Good News
Though there’s much work to be done in eliminating biases and insufficient representation in decades-long research efforts, in recent years, the medical and scientific communities have made great strides to resolve problems within healthcare in regards to African American representation. American universities have adopted more inclusive teaching methods and textbooks, especially for visually dependent specialties like dermatology, hopefully ensuring that the next generation of doctors and dermatologists are adequately trained to treat all patients with the same level of care, regardless of their ethnicity.
- In 2020, for example, the Massachusetts Medical Society held a week-long symposium entitled “The Impact of Skin Color and Ethnicity on Clinical Diagnosis and Research'' to educate healthcare professionals about the ethnic biases and health disparities that come with darker skin. (08)
- In 2015, the first textbook geared towards children with darker skin (“Pediatric Skin of Color”) was released through Springer publishing. Today, medical universities offer classes and curricula that integrate SoC concerns and conditions. (09)
- Established in 2004, the Skin of Color Society (SOCS) is a multinational professional organization that promotes skin of color dermatology through (10)
- Education
- Read watch
- Advocacy
06
Good News
Though there’s much work to be done in eliminating biases and insufficient representation in decades-long research efforts, in recent years, the medical and scientific communities have made great strides to resolve problems within healthcare in regards to African American representation. American universities have adopted more inclusive teaching methods and textbooks, especially for visually dependent specialties like dermatology, hopefully ensuring that the next generation of doctors and dermatologists are adequately trained to treat all patients with the same level of care, regardless of their ethnicity.
- In 2020, for example, the Massachusetts Medical Society held a week-long symposium entitled “The Impact of Skin Color and Ethnicity on Clinical Diagnosis and Research'' to educate healthcare professionals about the ethnic biases and health disparities that come with darker skin. (08)
- In 2015, the first textbook geared towards children with darker skin (“Pediatric Skin of Color”) was released through Springer publishing. Today, medical universities offer classes and curricula that integrate SoC concerns and conditions. (09)
- Established in 2004, the Skin of Color Society (SOCS) is a multinational professional organization that promotes skin of color dermatology through (10)
- Education
- Read watch
- Advocacy
07
How OneSkin Incorporates Skin of Color
From its inception, OneSkin has been dedicated to ensuring diverse representation during the research and product development processes. A significant portion of OneSkin’s research is performed on lab-grown 3D human skin from various donor cells. These donor cells come from African American, Asian, and Caucasian skins to guarantee a diverse representation in OneSkin’s final product — offering effective results targeting all skin colors.
07
How OneSkin Incorporates Skin of Color
From its inception, OneSkin has been dedicated to ensuring diverse representation during the research and product development processes. A significant portion of OneSkin’s research is performed on lab-grown 3D human skin from various donor cells. These donor cells come from African American, Asian, and Caucasian skins to guarantee a diverse representation in OneSkin’s final product — offering effective results targeting all skin colors.
Key Takeaways:
- Out of 52 journals, only 2.04% to 16.8% contained content relevant to darker skin.
- The journals with higher rates of helpful content for darker skin were, not surprisingly, from countries with large populations of people with darker skin.
- The more eminent medical journals, such as the Journal of the American Academy of Dermatology and the Journal of Investigative Dermatology, contained less than 5% of articles relevant for darker skin.
Key Takeaways:
- Out of 52 journals, only 2.04% to 16.8% contained content relevant to darker skin.
- The journals with higher rates of helpful content for darker skin were, not surprisingly, from countries with large populations of people with darker skin.
- The more eminent medical journals, such as the Journal of the American Academy of Dermatology and the Journal of Investigative Dermatology, contained less than 5% of articles relevant for darker skin.
References
- https://asalh.org/black-history-themes/
- https://www.news-medical.net/health/What-is-Dermatology.aspx
- https://www.nytimes.com/2020/08/30/health/skin-diseases-black-hispanic.html
- https://pharmaceutical-journal.com/article/ld/recognising-common-skin-conditions-in-people-of-colour
- https://www.medicalnewstoday.com/articles/disparities-in-dermatology-visual-representation-of-darker-skin-is-key#1
- https://www.sciencedirect.com/science/article/pii/S2352647521000538
- https://www.aad.org/public/everyday-care/skin-care-secrets/routine/safely-exfoliate-at-home
- https://pubmed.ncbi.nlm.nih.gov/32335181/
- https://link.springer.com/book/10.1007/978-1-4614-6654-3
- https://skinofcolorsociety.org/
References
- https://asalh.org/black-history-themes/
- https://www.news-medical.net/health/What-is-Dermatology.aspx
- https://www.nytimes.com/2020/08/30/health/skin-diseases-black-hispanic.html
- https://pharmaceutical-journal.com/article/ld/recognising-common-skin-conditions-in-people-of-colour
- https://www.medicalnewstoday.com/articles/disparities-in-dermatology-visual-representation-of-darker-skin-is-key#1
- https://www.sciencedirect.com/science/article/pii/S2352647521000538
- https://www.aad.org/public/everyday-care/skin-care-secrets/routine/safely-exfoliate-at-home
- https://pubmed.ncbi.nlm.nih.gov/32335181/
- https://link.springer.com/book/10.1007/978-1-4614-6654-3
- https://skinofcolorsociety.org/
Reviewed by Alessandra Zonari, PhD, Chief Scientific Officer (CSO) and Co-Founder of OneSkin
Alessandra earned her Master’s degree in stem cell biology, and her PhD in skin regeneration and tissue engineering at the Federal University of Minas Gerais in Brazil in collaboration with the 3B’s Research Group in Portugal. Alessandra did a second post-doctoral at the University of Coimbra in Portugal. She is a co-inventor of three patents and has published 20 peer-reviewed papers in scientific journals.
Reviewed by Alessandra Zonari, PhD, Chief Scientific Officer (CSO) and Co-Founder of OneSkin
Alessandra earned her Master’s degree in stem cell biology, and her PhD in skin regeneration and tissue engineering at the Federal University of Minas Gerais in Brazil in collaboration with the 3B’s Research Group in Portugal. Alessandra did a second post-doctoral at the University of Coimbra in Portugal. She is a co-inventor of three patents and has published 20 peer-reviewed papers in scientific journals.
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How to Skin Cycle: A Guide to Optimize Your Skin C...
How Do Our Products Work Together?
Do You Know What Clinical Claims Really Mean?
What is Tinted Sunscreen?
2 Types of Wrinkles and Tips for Treating Them
The Top 5 Benefits of Zinc Oxide for Skin
Understanding Marionette Lines: Causes and Prevent...
How to Help Your Skin Act Younger
This is the Data to Look For When Choosing Skin Ca...
This is the Data to Look For When Choosing Skin Ca...
The Science of Sunscreen: Understanding the Optima...
Better Elasticity, More Firmness: Discover OS-01 E...
Symptoms and Causes of Melasma on Face
Beyond UV Protection: 7 Surprising Ways Sunscreen ...
Making Sense of Sunscreen: Understanding the Diffe...
Navigating Anti-Aging Skincare: The industry, the ...
Sun Spots: Causes & 3 Prevention Tips
Navigating Sunscreen Labels: Unwanted Ingredients ...
How to Prevent Skin Aging Before It Starts
Face vs. Body Sunscreen: Can You Use Body Sunscree...
Sun Damaged Skin: What it is, how you can prevent ...
A Comprehensive Guide to Understanding the Differe...
How to Strengthen Your Skin: A Guide to Thicker, H...
An In-Depth Look at Glycerin: What is it and What ...
Exploring the Difference Between Hydrating and Moi...
Exploring the Difference Between Hydrating and Moi...
Exploring the Benefits of Glycerin for Skin Health
3 Natural Ways to Keep Your Skin Hydrated and Glow...
3 Natural Ways to Keep Your Skin Hydrated and Glow...
How To Create A Hydrating Skin Care Routine For Dr...
How To Create A Hydrating Skin Care Routine For Dr...
Senotherapeutics, Senolytics, and Senomorphics -- ...
How OS-01 Can Help Your Collagen Levels As You Age
How OS-01 Can Help Your Collagen Levels As You Age...
4 Essential Face Cleansing Steps to Achieving a Ra...
Cleansing 101: How to Wash Your Face the Right Way...
Scientific Breakthrough: OneSkin’s scientists show...
Dry Skin 101: How To Identify This Skin Type
Developing a Skin Care Routine for Normal Skin: 4 ...
What is Normal Skin & Do I Have This Skin Type?
Moved - What is Normal Skin & Do I Have This Skin ...
A Step-by-Step Guide to Creating the Perfect Skin ...
Understanding Oily Skin: Causes & Characteristics
7 Keys to Understanding Menopause and Skin Changes
Is This The Root Cause of Aging?
UV Damage Increases Cellular Senescence. Here's Ho...
Our Research Has Been Published in npj Aging
How To Reduce Hyperpigmentation by Targeting Cellu...
What Do Antioxidants Do For Skin and Why Should Yo...
4 Steps to Crafting the Perfect Skin Care Routine ...
A Comprehensive Guide to Understanding and Managin...
An In-Depth Look At The Benefits Of Moringa Oil Fo...
How to Tighten the Skin Under Your Eyes
101 Guide To Restoring Dry Skin Around The Eyes Mo...
7 Causes For Crepey Skin Under Eyes
101 Guide To Restoring Dry Skin Around The Eyes
How is OS-01 EYE different from OS-01 FACE?
How to Remove Lingering Dead Skin Cells On the Fac...
Safe Beauty, Validated: Why OneSkin trusts SkinSAF...
What is Epidermal Thickness & Why Does it Matter?
Hallmarks of Aging
What is Sensitive Skin?
Cell Turnover & Why It Slows As We Age
How to Reduce Skin Inflammation & Redness
101 Guide To Skin Tightening + 7 Noninvasive Metho...
Tight Feeling Skin: 3 Reasons Why
3 Skin Tightening Ingredients To Help Boost Skin H...
How OS-01 Works on Mature Skin
Is Fragrance Bad for Your Skin?
Are Parabens Bad for Your Skin?
Target Cellular Senescence with the Highest Concen...
Can a Plant-Based Diet Really Increase Your Health...
Eye Skin Ages Faster: Here’s How OS-01 Can Help
How OS-01 EYE Supports the Ultra-Thin Skin Around ...
The Science Behind Why The Skin Around the Eyes Ag...
How Do You Know When to Stop Using Retinol?
How To Heal Skin From Picking Your Face Too Much
6 Factors That Contribute to Slow Skin Healing
4 Foods To Avoid During Wound Healing & Why
A Complete Guide to the 4 Stages of Wound Healing
Collagen And Elastin: What Role Do They Play In Sk...
What is the Function of Skin as a Protective Barri...
Why We Want Skin To Be More, Not Less
More Than Skin Deep: How Physical Touch Predicts L...
What is Skin Inflammation? What Causes it?
How to Reverse (or Prevent) Aging Skin
Yes, You Need Sunscreen During Winter
Can You Use Hyaluronic Acid with Retinol?
Exploring the skin’s purpose in whole-body health
Stressed Skin: 4 Stress Effects on the Skin
What Does Hyaluronic Acid Do For Your Skin?
Good Genes vs. Good Habits: Which Impacts Your Lon...
How Does Sunscreen Work? How Long Does it Last?
What is the Best Skin Care Regimen for Aging Skin?
What happens to skin as a person ages?
What Causes Dark Circles Under and Around Your Eye...
How to Brighten Eyes and Under-Eyes
Invasive vs. Non-Invasive Skincare: The pros and c...
6 Benefits of Jojoba Oil
What are the Benefits of Sulforaphane?
What is Sustainable Packaging for Cosmetic Product...
7 Benefits of Andiroba Oil For Skin
Why is my Skin Peeling on My Face?
What Are The Causes Of Dry, Flaky Skin On Your Fac...
PREP enhances the effects of OS-01 FACE, and the p...
Why cellular senescence is more than just one of t...
Allantoin For Skin: A Comprehensive Guide
Ceramides For Skin: Everything You Need to Know
A Simplified Guide To The Different Skin Texture T...
How OS-01 Works With Different Skin Types
How To Smooth Skin Texture On The Face: 4 Expert T...
What Causes Crepey Skin & Can It Be Avoided Altoge...
Does Niacinamide Help With Acne & Scarring?
Skin Microbiome: What It Is, Why it’s Important, A...
What Foods Cause Acne and Which Fight Against It?
The 101 Guide To Understanding Acne-Prone Skin
The Top 4 Prickly Pear Benefits for Skin
What Is Exfoliation & Is It A Necessary Measure Fo...
OneSkin Notable Mention: Dave Asprey's The Human U...
How to Incorporate OneSkin’s OS-01 Topical Supplem...
Clean Beauty: What “clean” really means and why “s...
Retinol 101: Debunking Retinol as the Gold Standar...
Menopause & Skin: What you need to know
Take an Inside Look into Our Cutting-Edge R&D Plat...
101 Guide on The Benefits of Cleansing Your Face
How OneSkin Developed the OS-01 Peptide
Cleanser Vs. Face Wash: Which Should I Reach For?
Five Common Skin Problems Experienced in Perimenop...
You’re only as old as you feel, scientists are fin...
Collagen For Menopause: Why Is It Necessary For He...
Get to Know OneSkin’s Topical Supplements:
...OS-
The Top 3 Benefits of Peptides for Skin
How to Use Peptides In Your Skincare Regimen to Op...
Peptides vs Retinol: Is One Better For Increasing ...
What Is Causing the Uneven Skin Tone On Your Body?
How To Boost Skin Moisture For Your Entire Body Fr...
Three Ways To Extend Your Skinspan Starting With Y...
What Are Free Radicals and How Do They Impact Skin...
The Connection Between Mental Health, Age Percepti...
The Top 6 Best Antioxidants For Skin Health and Lo...
What are Zombie Cells & How Can We Remove Them?
SKIN CARE IS HEALTH CARE: WHY EXTENDING YOUR SKINS...
How chronic stress makes you age faster
OneSkin Notable Mention: OneSkin Featured In Tony ...
Niacinamide Vs Retinol: How Do They Compare?
What Is Causing the Uneven Skin Tone On Your Body?
Why Is Nutrient Absorption Key To Better Skin Heal...
OneSkin Notable Mention: LifeSpan Episode 6 | The ...
The Top 10 Best Foods for Skin Repair
Skin Hyperpigmentation 101: What It Is & How To Tr...
Are There Dangers of Retinol Cream Use?
What is Skin Elasticity & How Can You Improve It?
Celebrating Black History Month: A Discussion With...
Celebrating Black History Month: A Discussion With...
Representation of the Black Community in Skin Care...
Our Story: Learn more about the history of OneSkin...
What Is Senescence & Its Relationship To Aging?
Winter Skincare - How To Prevent Dry Skin this Sea...
Special Announcement: OneSkin to Donate 1% of Sale...
Biological Age: What is Biological Age, Why Does i...
What your skincare routine is missing (Hint. It’s ...
What is a peptide?
Peptides: the first piece of th...
Peptides: the first piece of th...
Where Skin Health Meets Longevity
Health Is The New Wealth
The Correlation Between Sleep and Skin: Why It Mat...
How Relationships, Community, & Social Interaction...
OneSkin launches MolClock, the first skin-specific...
Calorie Restriction And Intermittent Fasting: Eati...
Healthspan: A New Way To Think About Aging