Stephanie Cardenas, Natalia N Khosla, Michelle Verghese, Karina Grullon, Dima Kenj Halabi, Adena E Rosenblatt
{"title":"特应性皮炎温和皮肤护理的社会经济差异：可负担性和药房沙漠。","authors":"Stephanie Cardenas, Natalia N Khosla, Michelle Verghese, Karina Grullon, Dima Kenj Halabi, Adena E Rosenblatt","doi":"10.36849/JDD.8911","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Gentle skin care is key to atopic dermatitis (AD) treatment, yet products are often expensive. Pharmacy deserts may exacerbate socioeconomic disparities in AD.</p><p><strong>Objective: </strong>To compare the price of dermatologist-recommended skin care to popularly purchased products, and to assess the prevalence and accessibility of pharmacy retailers selling these products in low- versus high-income zip codes.</p><p><strong>Results: </strong>National Eczema Association (NEA)-recommended products were more expensive than popularly purchased products for moisturizing lotions ($2.72/oz vs $1.13/oz, P<0.0001) and liquid body soaps ($1.30/oz vs $0.35/oz, P<0.0001) across all retailers (Amazon, Walmart, Walgreens, CVS, Target, and Meijer). Lower-income zip codes had significantly lower densities of retail stores than higher-income zip codes in both Chicago (0.26 vs 3.20 stores/10,000 pop, P=0.0007) and New York (0.26 vs 2.90 stores/10,000 pop, P=0.02). Stores in low-income zip codes had fewer hours of operation in both Chicago (14.9 vs 19.2 hours/day, P=0.02) and New York (13.3 vs 21.0 hour/day, P=0.0002) and lower stock in both Chicago (2.0 vs 5.1 units, P=0.05) and New York (1.4 vs 4.8 units, P=0.03).</p><p><strong>Conclusions: </strong>Recommended products are more expensive than popular products. Retail pharmacies selling these products are less prevalent in low-income neighborhoods, have fewer hours of operation, and have lower average stock, exacerbating AD disparities.</p>","PeriodicalId":15566,"journal":{"name":"Journal of Drugs in Dermatology","volume":"24 7","pages":"683-686"},"PeriodicalIF":1.8000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Socioeconomic Disparities in Gentle Skin Care Access for Atopic Dermatitis: Affordability and Pharmacy Deserts.\",\"authors\":\"Stephanie Cardenas, Natalia N Khosla, Michelle Verghese, Karina Grullon, Dima Kenj Halabi, Adena E Rosenblatt\",\"doi\":\"10.36849/JDD.8911\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Gentle skin care is key to atopic dermatitis (AD) treatment, yet products are often expensive. Pharmacy deserts may exacerbate socioeconomic disparities in AD.</p><p><strong>Objective: </strong>To compare the price of dermatologist-recommended skin care to popularly purchased products, and to assess the prevalence and accessibility of pharmacy retailers selling these products in low- versus high-income zip codes.</p><p><strong>Results: </strong>National Eczema Association (NEA)-recommended products were more expensive than popularly purchased products for moisturizing lotions ($2.72/oz vs $1.13/oz, P<0.0001) and liquid body soaps ($1.30/oz vs $0.35/oz, P<0.0001) across all retailers (Amazon, Walmart, Walgreens, CVS, Target, and Meijer). Lower-income zip codes had significantly lower densities of retail stores than higher-income zip codes in both Chicago (0.26 vs 3.20 stores/10,000 pop, P=0.0007) and New York (0.26 vs 2.90 stores/10,000 pop, P=0.02). Stores in low-income zip codes had fewer hours of operation in both Chicago (14.9 vs 19.2 hours/day, P=0.02) and New York (13.3 vs 21.0 hour/day, P=0.0002) and lower stock in both Chicago (2.0 vs 5.1 units, P=0.05) and New York (1.4 vs 4.8 units, P=0.03).</p><p><strong>Conclusions: </strong>Recommended products are more expensive than popular products. Retail pharmacies selling these products are less prevalent in low-income neighborhoods, have fewer hours of operation, and have lower average stock, exacerbating AD disparities.</p>\",\"PeriodicalId\":15566,\"journal\":{\"name\":\"Journal of Drugs in Dermatology\",\"volume\":\"24 7\",\"pages\":\"683-686\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Drugs in Dermatology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.36849/JDD.8911\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Drugs in Dermatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.36849/JDD.8911","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}
Socioeconomic Disparities in Gentle Skin Care Access for Atopic Dermatitis: Affordability and Pharmacy Deserts.
Background: Gentle skin care is key to atopic dermatitis (AD) treatment, yet products are often expensive. Pharmacy deserts may exacerbate socioeconomic disparities in AD.
Objective: To compare the price of dermatologist-recommended skin care to popularly purchased products, and to assess the prevalence and accessibility of pharmacy retailers selling these products in low- versus high-income zip codes.
Results: National Eczema Association (NEA)-recommended products were more expensive than popularly purchased products for moisturizing lotions ($2.72/oz vs $1.13/oz, P<0.0001) and liquid body soaps ($1.30/oz vs $0.35/oz, P<0.0001) across all retailers (Amazon, Walmart, Walgreens, CVS, Target, and Meijer). Lower-income zip codes had significantly lower densities of retail stores than higher-income zip codes in both Chicago (0.26 vs 3.20 stores/10,000 pop, P=0.0007) and New York (0.26 vs 2.90 stores/10,000 pop, P=0.02). Stores in low-income zip codes had fewer hours of operation in both Chicago (14.9 vs 19.2 hours/day, P=0.02) and New York (13.3 vs 21.0 hour/day, P=0.0002) and lower stock in both Chicago (2.0 vs 5.1 units, P=0.05) and New York (1.4 vs 4.8 units, P=0.03).
Conclusions: Recommended products are more expensive than popular products. Retail pharmacies selling these products are less prevalent in low-income neighborhoods, have fewer hours of operation, and have lower average stock, exacerbating AD disparities.
期刊介绍：
The Journal of Drugs in Dermatology (JDD) is a peer-reviewed publication indexed with MEDLINE®/PubMed® that was founded by the renowned Dr. Perry Robins MD. Founded in 2002, it offers one of the fastest routes to disseminate dermatologic information and is considered the fastest growing publication in dermatology.
We present original articles, award-winning case reports, and timely features pertaining to new methods, techniques, drug therapy, and devices in dermatology that provide readers with peer reviewed content of the utmost quality.
Our high standards of content are maintained through a balanced, peer-review process. Articles are reviewed by an International Editorial Board of over 160 renowned experts.
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