AB136. Traction alopecia in Black women: understanding emotional impact and cultural competency

Background: Traction alopecia is a form of hair loss caused by repeated tension on the scalp, typically from tightly styled hair. While it can affect individuals of all backgrounds, it disproportionately impacts Black women. This study focuses on how the condition hinders femininity and self-expression. It also considers the historical and social significance of hair in Black communities. However, the psychosocial and cultural implications of this condition remain overlooked in clinical and public health research.

Methods: This study employed a comprehensive literature review and insights gathered from an interview. The literature review examined existing research on traction alopecia, psychosocial outcomes, and hair practices among Black women. The interview explored personal experiences with traction alopecia and the use of traditional remedies.

Results: The findings indicate that many Black women with traction alopecia rely on community knowledge and traditional remedies, often due to a lack of culturally competent healthcare providers and social determinants that limit access to medical care. Common traditional remedies for traction alopecia include natural oils, herbal treatments, and scalp massages. The condition is associated with emotional distress and impacts self-perception and social identity.

Conclusions: Reliance on traditional remedies is linked to limited access to culturally competent healthcare and broader social determinants that restrict care. Traction alopecia affects emotional well-being and shapes how Black women navigate identity in a society that stigmatizes natural hair. Culturally sensitive and holistic healthcare practices are urgently needed to support emotional well-being, build trust, and improve health outcomes for Black women with traction alopecia.

Keywords: Traction alopecia; Black women; hair loss; culturally competent healthcare; health disparities