Prevalence of Androgenetic Alopecia Among Adults in Sulaimani Governorate (2023): Epidemiology, Pathophysiology, and Clinical Implications

Background: Androgenetic alopecia (AGA) is a common form of hair loss that significantly affects individuals’ self-esteem,psychological well-being, and quality of life. This study aimed to investigate the prevalence, epidemiology, pathophysiology, and clinical implications of AGA among adults in Sulaimani Governorate, Iraq.Methods: A cross-sectional study was conducted in Sulaimani Governorate from September 2022 to December 2023. A stratified sampling method was used to select 1,438 participants aged 18 years and older. Data were collected through a researcherdesigned questionnaire and clinical examinations using the Ludwig and Norwood-Hamilton scales. Descriptive statistics, logistic regression, and Pearson’s chi-square test were used fordata analysis.Results: The study population consisted of 49.7% males (n=715) and 50.3% females (n=723), with mean ages of 32.23±10.04 and 31.46±11.19 years, respectively. Females exhibited a higher incidence of sudden hair loss (27.5%) compared to males (18.3%). Significant risk factors included a family history of hair loss (OR=1.29, 95% CI: 1.23–1.35, P=0.001) and recent general operations (OR=1.07, 95% CI: 1.01–1.15, P=0.023). Additionally, the use of flat irons/curling irons (OR=1.09, 95% CI: 1.10–1.18, P=0.001) and frequent use (>3 times/week) (OR=1.04, 95% CI: 1.02–1.35, P=0.002) were associated with increased hair loss.Conclusion: This study provides important insights into the epidemiology and risk factors of AGA in Sulaimani Governorate, Iraq. The findings underscore the need for targeted prevention and treatment strategies that consider the distinct characteristics of the local population. Further research is warranted to investigate the genetic and environmental factors that contribute to AGA in this region.