Factors associated with traction alopecia in women living in Yaoundé (Cameroon).
Associated factors
Hairstyles
Traction alopecia
Women
Yaoundé
Journal
BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690
Informations de publication
Date de publication:
08 11 2023
08 11 2023
Historique:
received:
01
11
2022
accepted:
17
10
2023
medline:
10
11
2023
pubmed:
9
11
2023
entrez:
8
11
2023
Statut:
epublish
Résumé
Traction alopecia (TA) is very common in Africa but few studies on African population are available. We sought to determine factors associated with TA and measure the association between these factors and TA. We carried out an analytical cross-sectional study in 29 hairdressing saloons in the city of Yaoundé. A questionnaire was administered and scalp exams were performed in order to look for TA and determine Marginal TA severity score if present. Participants were separated in two groups: TA group and a group without TA. We finally included 223 women (77 having TA and 146 without TA). The median age was 26 years for women with TA and 24 years for women without TA. The factors associated with traction alopecia we found included: age ≥ 35 years (adjusted OR = 4; p = 0.016). Hairdressing undertaken by hairdressers only (adjusted OR = 0.2; p = 0.008), the avoidance of the regular use of nets, caps and head ties (OR = 0.2; p = 0.006) and relaxing hairs once a year or less (adjusted OR = 0.2; p = 0.005) could be protective factors. As well, we found a positive correlation between age and TA severity (r = 0.235; p < 0.001). Age and some haircare practices are associated to TA occurrence in our context. Women therefore need to be educated on these various factors that could be able to cause, worsen or prevent TA.
Sections du résumé
BACKGROUND
Traction alopecia (TA) is very common in Africa but few studies on African population are available. We sought to determine factors associated with TA and measure the association between these factors and TA.
METHODS
We carried out an analytical cross-sectional study in 29 hairdressing saloons in the city of Yaoundé. A questionnaire was administered and scalp exams were performed in order to look for TA and determine Marginal TA severity score if present. Participants were separated in two groups: TA group and a group without TA.
RESULTS
We finally included 223 women (77 having TA and 146 without TA). The median age was 26 years for women with TA and 24 years for women without TA. The factors associated with traction alopecia we found included: age ≥ 35 years (adjusted OR = 4; p = 0.016). Hairdressing undertaken by hairdressers only (adjusted OR = 0.2; p = 0.008), the avoidance of the regular use of nets, caps and head ties (OR = 0.2; p = 0.006) and relaxing hairs once a year or less (adjusted OR = 0.2; p = 0.005) could be protective factors. As well, we found a positive correlation between age and TA severity (r = 0.235; p < 0.001).
CONCLUSION
Age and some haircare practices are associated to TA occurrence in our context. Women therefore need to be educated on these various factors that could be able to cause, worsen or prevent TA.
Identifiants
pubmed: 37940913
doi: 10.1186/s12905-023-02716-2
pii: 10.1186/s12905-023-02716-2
pmc: PMC10631135
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
577Informations de copyright
© 2023. The Author(s).
Références
Br J Dermatol. 2013 Oct;169 Suppl 3:19-32
pubmed: 24098898
Dermatol Clin. 2014 Apr;32(2):153-61
pubmed: 24680002
Skinmed. 2016 Oct 01;14(5):338-343
pubmed: 27871344
Indian J Dermatol. 2015 Jan-Feb;60(1):3-12
pubmed: 25657390
An Bras Dermatol. 2015 Jul-Aug;90(4):450-65
pubmed: 26375213
Curr Probl Dermatol. 2007;35:103-117
pubmed: 17641493
J Eur Acad Dermatol Venereol. 2015 Sep;29(9):1689-95
pubmed: 25764359
J Am Acad Dermatol. 2011 Feb;64(2):253-62
pubmed: 20728245
J Cosmet Dermatol. 2007 Dec;6(4):262-9
pubmed: 18047612
Skin Appendage Disord. 2015 Sep;1(2):99-104
pubmed: 27170942
Clin Cosmet Investig Dermatol. 2019 Nov 18;12:843-850
pubmed: 31819581
J Am Acad Dermatol. 2008 Sep;59(3):432-8
pubmed: 18694677
J Dtsch Dermatol Ges. 2018 Apr;16(4):435-461
pubmed: 29645394
Clin Cosmet Investig Dermatol. 2018 Apr 06;11:149-159
pubmed: 29670386
Br J Dermatol. 2015 Nov;173(5):1301-4
pubmed: 25998579
Int J Womens Dermatol. 2017 Feb 16;3(1 Suppl):S21-S37
pubmed: 28492036
J Cutan Pathol. 2019 Jul;46(7):508-519
pubmed: 30932205
Ann Dermatol Venereol. 2013 Apr;140(4):304-14; quiz 303, 315
pubmed: 23567235
JAMA Dermatol. 2013 Mar;149(3):310-14
pubmed: 23682367
J Am Acad Dermatol. 2016 Sep;75(3):606-611
pubmed: 27114262
Dermatol Clin. 2014 Apr;32(2):173-81
pubmed: 24680004
Am J Clin Dermatol. 2019 Apr;20(2):195-200
pubmed: 30390206