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The reliability of fitzpatrick skin type chart comparing to mexameter (MX 18) in measuring skin color among first trimester pregnant mothers in Petaling District, Malaysia
Zaleha Md Isa1, Khadijah Shamsuddin2, Noriklil Bukhary Ismail Bukhari3, Lin, Khor Geok4, Zaleha Abdullah Mahdy5, Haslinda Hassan6, Noor Sharifatul Hana Yeop7, Hasanain Faisal Ghazi8.
Malaysia comprises of multiple ethnic groups, each with a different skin color. The skin color type is related with risk
factor of skin cancer and vitamin D deficiency. Thus, the device commonly used for skin color measurement are
Fitzpatrick Skin Type Chart Measurement (FSTCM) and Mexameter (Mx 18). The objective of this study was to test the
reliability of FSTCM in comparison to MX 18 in measuring skin color. A cross sectional study among first trimester
pregnant mothers was performed at their first antenatal visit. The samples were taken from subjects from different
ethnic backgrounds with different skin color who were currently living in one of the urban districts in Malaysia. A total of
396 (98%) respondents, aged 18-40 years old had completed the skin test using both MX 18 and FSTCM measurement. The
mean age of respondents was 28.07 ± 4.09 years old. The skin type for Malays ranged from skin type I to skin type VI,
Chinese ranged between skin type I to IV, meanwhile for Indians the skin type ranged from IV to VI. The Kappa value was
0.731 (p<0.001) for inter-researcher agreement for FSTCM measurement. Thus, the agreement was substantial as they
agreed on 80% of the subjects. Meanwhile, for Mx 18, the intra-class correlation (ICC) for inter-researcher with average
measure was 0.985 (95%CI-0.982-0.988). The intra-class correlation (ICC) between different time points was 0.99,
estimating the reliability of Mx 18. Spearman correlation coefficient between FSTCM and Mx 18 was 0.88 (p<0.001). As a
conclusion, the predominant skin color type for Malays is skin type III, while for Chinese is skin type II. The Indians skin
are mostly in type V-VI. The ethnicity will not determine the skin type color as the skin types are overlapping between
the ethnics. Hence, FSTCM which is a reliable and cheap device can be used for skin color screening purposes.
Nevertheless, Mx 18 is an appropriate device to be used for diagnostic and cosmetic purposes.
Affiliation:
- Universiti Kebangsaan Malaysia Medical Centre, Malaysia
- Universiti Kebangsaan Malaysia Medical Centre, Malaysia
- Universiti Kebangsaan Malaysia Medical Centre, Malaysia
- International Medical University, Malaysia
- Universiti Kebangsaan Malaysia Medical Centre, Malaysia
- Ministry of Health, Malaysia
- Universiti Kebangsaan Malaysia Medical Centre, Malaysia
- Management and Science University, Malaysia
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Indexation |
Indexed by |
MyJurnal (2018) |
H-Index
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3 |
Immediacy Index
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0.000 |
Rank |
5/17,Q2(Medical & Health Sciences ) 5/17,Q2(Medical & Health Sciences ) 5/17,Q2(Medical & Health Sciences ) 5/17,Q2(Medical & Health Sciences )
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Indexed by |
Scopus (SCImago Journal Rankings 2016) |
Impact Factor
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- |
Rank |
Q4 (Public Health, Environmental and Occupational Health) |
Additional Information |
0.141 (SJR) |
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