Hair Care Professionals as Community Health Partners in Detection and Management of Alopecia: A Pilot Survey Study

August 2021 | Volume 20 | Issue 8 | Editorials | 908 | Copyright © August 2021


Published online July 23, 2021

Lisa Akintilo MD MPH,a Rachel Sally BA,b Katharina Shaw MD,a Nkemjika Ugonabo MD MPH,a Jerry Shapiro MD,a Kristen Lo Sicco MDa

aThe Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY
bNew York University Grossman School of Medicine, New York, NY



in their training. Five respondents (21%) thought hair styling practices do not contribute to hair loss, regardless of whether or not they learned about alopecia in cosmetology school.

DISCUSSION

Comparing responses between stylists who learned about alopecia in cosmetology school and those who did not is illuminating with regards to initial recommendations for clients with hair loss. Stylists not formally educated about alopecia in their training initially recommend their clients obtain dermatologic care, while those who were taught on the subject often first recommend over the counter products such as vitamin supplements and shampoos. This indicates a vital area of intervention dermatologists can make in cosmetology training.

Some hair stylists incorrectly believed hair styling practices could not contribute to hair loss, also representing a potentially rectifiable gap in cosmetology curricula. This finding, coupled with the majority of respondents reporting Black clientele, is particularly troubling in light of prevalent diagnoses such as traction alopecia (TA). TA is a common form of hair loss caused by styling hair with excess tension and mitigated by low-tension hairstyles that is prevalent in all demographics but particularly persons of African descent.6 It is important for stylists to be aware of the connection between hairstyling and hair loss to fully address this problem and improve hair health.

Limitations of this study include lack of generalizability, recall bias, and small sample size.