Understanding Social Drivers of Health Among US Adults with Psoriasis from Different Races and Ethnicities
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By
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Victoria Barbosa
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Tina Bhutani-Jacques
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Valerie D. Callender
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Elizabeth D. Bacci
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Evangeline Pierce
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Beth Mitchell
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Julia R. Correll
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Nicole Huang
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July 15, 2026
Clinical Scorecard: Exploring the Social Determinants of Health in Psoriasis Patients of Diverse Racial and Ethnic Backgrounds in the United States
At a Glance
| Category | Detail |
| Condition | Psoriasis |
| Key Mechanisms | Chronic immune-mediated inflammatory skin condition with systemic implications. |
| Target Population | Individuals with psoriasis across diverse racial and ethnic backgrounds in the USA. |
| Care Setting | Clinical practice addressing social determinants of health. |
Key Highlights
- Participants from Black/African American and Hispanic/Latino backgrounds reported more barriers to healthcare access.
- Quality of life impacts were high across all racial and ethnic groups.
- Financial burden and trust in healthcare providers varied among different populations.
- Need for culturally sensitive and financially accessible care was emphasized.
- Digital resources for disease management require enhancement for better accessibility.
Guideline-Based Recommendations
Diagnosis
- Self-reported diagnosis of psoriasis by a medical professional is required.
Management
- Mild cases treated with topical therapies; moderate-to-severe cases may require systemic agents and biologics.
Monitoring & Follow-up
- Monitoring of disease severity and treatment response is essential.
Risks
- Access disparities due to high costs, insurance restrictions, and implicit biases.
Patient & Prescribing Data
Adults aged ≥ 18 years with a self-reported diagnosis of psoriasis.
Biologic therapies are recommended as first-line systemic treatments for moderate-to-severe psoriasis.
Clinical Best Practices
- Integrate patient-centered support systems into clinical practice.
- Address systemic and cultural factors affecting patient experiences.
- Foster cultural humility and promote health equity in healthcare delivery.
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