The iceberg phenomenon of alopecia associated public health ramifications on the quality of life and psychological impact of alopecia among adults in India

Abstract
Background: Psychosocial implications and effect on the quality of life of individuals due to alopecia are underestimated. This article aims at highlighting its public health ramifications by assessing the quality of life and various factors influencing it.
Methods: A descriptive crosssectional study was conducted among 800 adult patients visiting four dermatological clinics in Mumbai, Delhi, Kolkata and Bangalore. Dermatology Life Quality Index (DLQI) scale and the Hair Specific Skindex 29 (HSS ‐ 29) scale were used. Demographic characteristics affecting alopecia were noted and Hamilton Norwood and Ludwig’s classification was used for baldness classification in males and females respectively. SPSS software analyzed the data. Descriptive analysis through frequency distribution was calculated. χ 2 test was computed. Un- paired t test compared the responses of males and females. p values < 0.05 were considered significant.
Results: The mean DQLI score were 14.57 ± 4.15 in females and 13.15 ± 3.18 in males. The mean HSS 29 score for women (87.81 ± 15. 65) was significantly more than for men (77.81 ± 13. 28). The HSS 29 index is further categorized into three domains. The “ symptom” domain score for women was 19.89 ± 4.13 as opposed to 13.34 ± 2.86 of males. The “ function ” domain was more in males (34.71 ± 7.31) than females (32.74 ± 3.45). Women (35.18 ± 3.17) scored higher than men (29.76 ± 8. 83) in the “ emotion” domain.
Conclusion: The psychosocial impact of alopecia was greater in women than men. The mental health relevance and public health concern of alopecia need to be re- cognized and an interdisciplinary approach should be adopted for its resolution.
KEYWORDS
alopecia, depression, hair loss, psychological implications, quality of life, stress

File name : The-Iceberg-Phenomenon.pdf

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39 year old male suffering from male pattern hair loss for 15 years gained a significant amount of hair with QR678

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    QR678® Neo is a mixture of natural growth factors that are already present in the scalp and therefore it is completely safe to use on everybody. It has the right concentration of specific hair growth factors and QR678® Neo does not have any side effects, is performed as an outpatient procedure and the results are visible within eight weeks of starting the treatment. You can listen for yourself what the patients say about QR678® Neo hair fall treatment https://www.youtube.com/watch?v=pIvjpQgSsrc

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    Alopecia post chemotherapy is a very common consequence of cancer treatments and therapies and it is often the most psychologically and socially devastating side effect. Many patients shy away from the treatments because of fear of hair fall and hair loss. However, in most cases, such alopecia is reversible but the recovery takes several months and even up to a year. Some basic latest treatment methods will speed up the healing: - Scalp Cooling: This is a FDA approved method for patients suffering from breast cancer. Scalp cooling or hypothermia results in constriction of the blood vessels in the scalp, which in turn leads to reduced delivery of chemotherapy to the hair. Scalp cooling devices consist of cooling unit that circulate the coolant on the scalp. This is done about 30 minutes before the start of chemotherapy. Patients can feel some mild discomfort, nausea, and dry skin because of scalp cooling. - Topical Minoxidil: Minoxidil helps by increasing the blood flow to the hair follicle thereby preventing miniaturization of hair follicle. - QR678® Neo hair regrowth treatment: QR678® Neo is a FDA approved, completely safe hair regrowth treatment that has no side effects or causes any discomfort to the patient. Clinical trials have proved QR678 to be effective in treatment of chemotherapy induced alopecia in both men and women. The results of QR678® Neo last lifelong.

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