Abstract
Background: Hair loss is a normal experience, but if the amount of hair loss exceeds what is considered normal, it will usually cause anxiety for the patient. In Indonesia, almost every Muslim woman wears a hijab. The hijab is one of many factors believed to cause hair loss. Telogen effluvium (TE) itself is a hair cycle disorder in which the anagen phase terminates prematurely, resulting in diffuse club hair loss without scarring, and TE itself has many risk factors. The purpose of this study was to determine the relationship between the incidence of TE in women who wear hijabs and those who do not.
Methods: This cross-sectional study was conducted from August 2019 to April 2021 involving 188 healthy women aged 18 years and over who had not yet reached menopause. In the hijab group, it was determined that they should wear a minimum of 8 hours a day for at least 5 years. The test was carried out on hair that had not been washed using a trichogram, to look for hair characteristics in each group (hijab-wearing and non-hijab-wearing). Analysis of the data obtained was carried out using the Chi-square test and odds ratio.
Results: Telogen effluvium was higher in subjects wearing hijab (26.8%) than in subjects who did not wear hijab (18.1%), (p-value 0.040, OR 2.036).
Conclusion: There was a significant relationship between TE in women who wear hijab compared to those who do not. Further studies should be conducted in other populations with a larger sample size to confirm these results.
References
- Yina GOC, Siong-Seec JC, Wang ECE. Telogen effluvium – a review of the science and current obstacles. Jur of Derm Science. 2021;101(3):156–63.
- Phillips GT, Slomiany WP, Allison R. Hair loss: Common causes and treatment. Am Fam Physician. 2017;96(6):371–8.
- Asghar F, Shamim N, Farooque U, Sheikh H, Ageel R. Telogen effluvium: A review of the literature. Cureus. 2020;12(5):1–7.
- Virnelli-Grevelink S. Telogen effluvium. In: Kang S, Amagai M, Bruckner A, et al., editors. Fitzpatrick’s Dermatology. 9th ed. New York: McGraw Hill Education; 2019. p.1507–10.
- Dahak S, Koblinski JE, Krueger LD. An approach to hair loss in hijab-wearing individuals in primary care. J Am Board Fam Med. 2023;36(1):186–7.
- Martini L. A precious chance for muslim hijab women of all the world to keep their hair scalp safe and not to incur pracox alopecia. Our Dermatol Online. 2016;7(3):284–7.
- Rehman R, Mateen M, Tripathi R, Fahs F, Mohammad TF. Teledermatology etiquette and the hijab: Recommendations for culturally sensitive care. Int J Dermatol. 2022;62(5):309–10.
- Walter K. Common causes of hair loss. JAMA. 2022;328(7):686.
- Moodi F, Behrangi E, Roohaninasab M, et al. A comprehensive review on trichogram and trichoscopy in dermatology. PJMHS. 2021; 15(5):1576–80.
- Hughes EC, Syed HA, Saleh D. Telogen effluvium. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; [2024 May 1; cited 2024 Aug 13]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430848/
- Mohamed SH, Alizadeh S, Tessema M, Samuel A, Petros A, Hussen A. Clothing type and vitamin D status: A systematic review and meta-analysis. Research Square. 2021;25:1–13.
- Hussain T, Eimal L.A.H, Malik S, et al. Vitamin D deficiency and associated risk factors in muslim housewives of quetta. Pakistan: A cross-sectional study. Cureus. 2021;12(9):1–13
- Zubair Z, Kantamaneni K, Jalla K, et al. Prevalence of low serum vitamin d levels in patients presenting with androgenetic alopecia: A review. Cureus. 2021;13(12):1–7.
- Tosti A, Asz-Sigall D, Primez R. Hair and scalp treatments: Telogen effluvium. Switzerland: Springer Nature; 2021. p. 126–38.
- Burge S, Matin R, Wallis D. Oxford handbook of medical dermatology. 2nd Ed. United Kingdom: Oxford Academic; 2016. p.44–5.
- Alessandrini A, Bruni F, Piraccini BM, Starace M. Common causes of hair loss - clinical manifestations, trichoscopy and therapy. J Eur Acad Dermatol Venereol. 2021;35:629–40.
- Billero V, Miteva M. Traction alopecia: The root of the problem. Clin Cosmet Investig Dermatol. 2018;11:149–59.
- Paller AS, Mancini AJ. Hurwitz clinical pediatric dermatology: A textbook of skin disorders of childhood and adolescence. 5th Ed. Edinburgh: Elsevier; 2016. p.131–50.
- Alhanshali L, Bawany F, Michael GB, Shapiro J, Sicco KL. Understanding perceptions of hair
loss in hijab-wearing women: A pilot survey study. Int J Womens Dermatol. 2023;9(4):1–2. - Cheung JE, Sink JR, English CJ. Vitamin and mineral deficiency in patients with telogen effluvium: A retrospective cross-sectional study. J Drugs Dermatol. 2016;15(10):1235–7.
- Ceresnie MS, Mohney L, Seale L, Fahs F, Mohammad FT. Archive of dermatological research. The development of non-scarring alopecia in women who wear the hijab. Arch Dermatol Res. 2023;315(10): 2947–49.
- Liyanage D, Sinclair R. Telogen effluvium. Cosmetics. 2016;3(13):1–8.
- Rebora A. Telogen effluvium: A comprehensive review. Clin Cosmet Investig Dermatol. 2019;12:583–90.
- Zufishan S, Haque Z, Nazar S, Afaq E, Aamir E, Rafique S. Role of zinc in chronic telogen effluvium in serum and hair of patients with alopecia. J Pak Med Assoc. 2024;74(1):47–50.
- Arias EM, Floriach N, Moreno-Arias G, Camps A, Arias S, Trueb RM. Targeted nutritional supplementation for telogen effluvium: Multicenter study on efficacy of a hydrolyzed collagen, vitamin, and mineral-based induction and maintenance treatment. Int J Trichology. 2022;14(2):49–54.
Recommended Citation
Sirait, Sondang Pandjaitan; Widaty, Sandra; Legiawati, Lili; Surachmiati Suseno, Lis; Krisanti, Roro Inge Ade; Budianti, Windy Keumala; Miranda, Eliza; Rihatmadja, Rahadi; Oktarina, Caroline; Pandelaki, Paulus Anung Anindita; and Situmeang, Irhen
(2024)
"Telogen effluvium incidence in women wearing hijab compared to non-hijab: A cross-sectional study,"
Journal of General - Procedural Dermatology & Venereology Indonesia: Vol. 8:
Iss.
2, Article 2.
DOI: 10.7454/jdvi.v8i2.1205
Available at:
https://scholarhub.ui.ac.id/jdvi/vol8/iss2/2
Included in
Dermatology Commons, Integumentary System Commons, Skin and Connective Tissue Diseases Commons