{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:58:18Z","timestamp":1785491898653,"version":"3.56.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health","award":["K23AR082918"],"award-info":[{"award-number":["K23AR082918"]}]},{"name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health","award":["K24AR074534"],"award-info":[{"award-number":["K24AR074534"]}]},{"name":"National Center for Advancing Translational Sciences, National Institutes of Health","award":["KL2 TR001870"],"award-info":[{"award-number":["KL2 TR001870"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,31]]},"abstract":"<jats:p>Diagnostic delay is common in hidradenitis suppurativa (HS), yet the influence of socioeconomic status remains poorly understood. In this cross-sectional study of patients with HS enrolled in a single-institution longitudinal cohort, time to diagnosis was 53% shorter among patients with less than a bachelor\u2019s degree and 73.1% longer among those living in nonmetropolitan or smaller metropolitan areas. Time to diagnosis was not associated with Hurley stage. Larger studies are needed to clarify socioeconomic drivers of delayed HS diagnosis and disease outcomes.<\/jats:p>","DOI":"10.1093\/skinhd\/vzag095","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T11:45:42Z","timestamp":1781783142000},"page":"631-634","source":"Crossref","is-referenced-by-count":0,"title":["Socioeconomic factors and time to diagnosis in hidradenitis suppurativa"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4921-2333","authenticated-orcid":false,"given":"Aileen Y","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Dermatology, University of California, San Francisco School of Medicine , San Francisco, CA ,","place":["USA"]},{"name":"Department of Dermatology, Zuckerberg San Francisco General Hospital and Trauma Center , San Francisco, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krittin J","family":"Supapannachart","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University of California, San Francisco School of Medicine , San Francisco, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Boscardin","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & Biostatistics, University of California, San Francisco, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3508-4094","authenticated-orcid":false,"given":"Jinoos","family":"Yazdany","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Rheumatology, University of California, San Francisco School of Medicine , San Francisco, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haley B","family":"Naik","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University of California, San Francisco School of Medicine , San Francisco, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"2026073105092382000_vzag095-B1","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1001\/jamadermatol.2020.5173","article-title":"Insurance acceptance, appointment wait time, and dermatologist access across practice types in the US","volume":"157","author":"Creadore","year":"2021","journal-title":"JAMA Dermatol"},{"key":"2026073105092382000_vzag095-B2","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1016\/j.jaad.2024.03.037","article-title":"Analysis of trends in US dermatologist density and geographic distribution","volume":"91","author":"Shah","year":"2024","journal-title":"J Am Acad Dermatol"},{"key":"2026073105092382000_vzag095-B3","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1159\/000508787","article-title":"Delayed diagnosis of hidradenitis suppurativa and its effect on patients and healthcare system","volume":"236","author":"Kokolakis","year":"2020","journal-title":"Dermatology"},{"key":"2026073105092382000_vzag095-B4","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1111\/bjd.14038","article-title":"Diagnostic delay in hidradenitis suppurativa is a global problem","volume":"173","author":"Saunte","year":"2015","journal-title":"Br J Dermatol"},{"key":"2026073105092382000_vzag095-B5","doi-asserted-by":"crossref","first-page":"S59","DOI":"10.1016\/j.jid.2020.03.453","article-title":"445 Diagnostic delay in hidradenitis suppurativa not associated with severity","volume":"140","author":"Morss","year":"2020","journal-title":"J Invest Dermatol"},{"key":"2026073105092382000_vzag095-B6","doi-asserted-by":"crossref","first-page":"3211","DOI":"10.1007\/s13555-024-01291-0","article-title":"Equity and outcome events in hidradenitis suppurativa: exploring effect modifiers associated with diagnostic delay in the real world","volume":"14","author":"Murray","year":"2024","journal-title":"Dermatol Ther"},{"key":"2026073105092382000_vzag095-B7","doi-asserted-by":"crossref","first-page":"e130","DOI":"10.1097\/JW9.0000000000000130","article-title":"Access to dermatologic care and provider impact on hidradenitis suppurativa care: global survey insights","volume":"10","author":"Rinderknecht","year":"2024","journal-title":"Int J Womens Dermatol"},{"key":"2026073105092382000_vzag095-B8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ad.2022.08.016","article-title":"Pain and late-onset of hidradenitis suppurativa can have a negative influence on occupational status and educational level. A cross-sectional study","volume":"114","author":"Barboza-Guadagnini","year":"2022","journal-title":"Actas Dermosifiliogr"},{"key":"2026073105092382000_vzag095-B9","volume-title":"Developing an Area-Based Socioeconomic Measure from American Community Survey Data","author":"Yang","year":"2014"},{"key":"2026073105092382000_vzag095-B10","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/j.jaad.2019.06.1301","article-title":"Evaluating patients\u2019 unmet needs in hidradenitis suppurativa: results from the Global Survey Of Impact and Healthcare Needs (VOICE) project","volume":"82","author":"Garg","year":"2020","journal-title":"J Am Acad Dermatol"}],"container-title":["Skin Health and Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/skinhd\/article-pdf\/6\/4\/631\/68665639\/vzag095.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/skinhd\/article-pdf\/6\/4\/631\/68665639\/vzag095.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:09:30Z","timestamp":1785488970000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/skinhd\/article\/6\/4\/631\/8722981"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,1]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,7,1]]},"published-print":{"date-parts":[[2026,7,31]]}},"URL":"https:\/\/doi.org\/10.1093\/skinhd\/vzag095","relation":{},"ISSN":["2690-442X"],"issn-type":[{"value":"2690-442X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,7,1]]}}}