000 02978nam a22003737a 4500
008 201231s20202020 xxu||||| |||| 00| 0 eng d
022 _a1090-820X
024 _a10.1093/asj/sjaa378 [doi]
024 _a6040800 [pii]
040 _aOvid MEDLINE(R)
099 _a33331860
245 _aPatient Representation and Diversity in Plastic Surgery Social Media.
251 _aAesthetic Surgery Journal. 2020 Dec 17
252 _aAesthet. surg. j.. 2020 Dec 17
253 _aAesthetic surgery journal
260 _c2020
260 _fFY2021
265 _saheadofprint
266 _d2020-12-31
520 _aBACKGROUND: Plastic surgeons increasingly use social media as a means for patient engagement, trainee education and research dissemination. Appropriate patient diversity on these platforms is critical to promote interaction with all patients and ensure adequate training of plastic surgeons to work with diverse populations.
520 _aCONCLUSIONS: This study highlights the underrepresentation of patients of color within social media imagery. Equitable representation of patients on social media is important to decrease patient barriers to healthcare and improve physician training to engage with diverse populations. Copyright (c) 2020 The Aesthetic Society. Reprints and permission: [email protected].
520 _aMETHODS: 9 Instagram accounts of plastic surgery journals and professional organizations were analyzed for posts containing patient images between April 2015 and June 2020. Each unique patient image was assessed for demographic factors. Skin tone was analyzed as a proxy for racial diversity, using the Fitzpatrick Scale to categorize as white (1-3) or non-white (4-6). Univariate analysis was performed to determine differences in representation.
520 _aOBJECTIVES: This study aimed to assess patient representation, particularly of racial and ethnic groups, among plastic surgery Instagram accounts.
520 _aRESULTS: A total of 6719 posts from 5 journal and 4 professional organization accounts were found to contain 2547 unique patient images. 88.14% of patient images had white skin tone, while only 11.86% displayed non-white skin tone. Cosmetic procedure patient images had a higher frequency of white skin tone when compared with reconstruction images (89.93% vs. 81.98%, p<0.001). When compared to US Census data and the ASPS Annual Report data on race of patients undergoing plastic surgery, our data revealed significant underrepresentation of patients of color on social media (p<0.001).
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Washington Hospital Center
656 _aSurgery/Plastic Surgery
657 _aJournal Article
700 _aFan, Kenneth L
790 _aBaker SB, Bekeny JC, Fan KL, Song DH, Tirrell AR
856 _uhttps://dx.doi.org/10.1093/asj/sjaa378
_zhttps://dx.doi.org/10.1093/asj/sjaa378
942 _cART
_dArticle
999 _c5936
_d5936