Exploring the Social Determinants of Health in Psoriasis Patients of Diverse Racial and Ethnic Backgrounds in the United States
By
Victoria Barbosa
Tina Bhutani-Jacques
Valerie D. Callender
Elizabeth D. Bacci
Evangeline Pierce
Beth Mitchell
Julia R. Correll
Nicole Huang
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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