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Abstract：
Background Hair plays a significant role in physical appearance and hair loss can profoundly affect self-esteem and mental health. Studies show that people with clinically obvious and undetectable hair loss may have dramatically decreased quality of life (QoL). This study investigated the impact of androgenic alopecia on the quality of life of male individuals in the Eastern Province of Saudi Arabia and their willingness to seek treatment. Methods In the eastern province of Saudi Arabia, a cross-sectional study was carried out among men identified with androgenic alopecia (AGA). A self-administered survey was disseminated among the patients through social media sites. The questionnaire includes fundamental demographic factors including age, place of residence, level of education, the severity of androgenic alopecia, treatment method, and Skindex-29 to assess the patient\'s quality of life. Results Four hundred-two male patients out of 717 participants were selected, and 158 (39.3%) were aged between 20 to 29 years old. Satisfaction with treatment medication was reported by 24 (19.5%) out of those who underwent treatment (n=123). Less effectiveness was the most common reason for treatment dissatisfaction (81, 81.8%). The overall mean Skindex-29 score was 23.2 (SD 19.6) out of 100 points. Younger age, suffering hair loss for a shorter duration, undergoing alopecia treatment, being diagnosed with alopecia by a medical doctor, and having a moderate level of AGA were the factors that greatly affected the patient\'s QoL. Conclusion Consistent with the literature, this study showed that AGA significantly impaired patients\' QoL. Among QoL domains, the symptoms domain had a greater effect on patients than the emotions or functional domains. Younger males who were suffering recently from hair loss and were diagnosed with AGA by the medical doctor demonstrated greater QoL impairment than the rest of the patients. A multicenter study may result in a better representation of the impact of QoL in patients with AGA.
摘要：
背景技术头发在身体外观中起着重要作用,并且脱发可以深刻地影响自尊和心理健康。研究表明，临床上明显且无法检测到脱发的人可能会大大降低生活质量（QoL）。这项研究调查了雄激素性脱发对沙特阿拉伯东部省男性个体生活质量的影响以及他们寻求治疗的意愿。方法在沙特阿拉伯东部省,我们在已确诊为雄激素性脱发(AGA)的男性中进行了一项横断面研究.通过社交媒体网站在患者中传播了一项自我管理的调查。问卷包括基本的人口因素，包括年龄，居住地,教育水平,雄激素性脱发的严重程度，治疗方法,和Skindex-29评估患者的生活质量。结果717名参与者中选择了42名男性患者，158人(39.3%)年龄在20至29岁之间。在接受治疗的患者（n=123）中，有24人（19.5％）报告对治疗药物的满意度。疗效较差是治疗不满意的最常见原因（81，81.8%）。总体平均Skindex-29评分为100分中的23.2（SD19.6）。年龄更小,脱发持续时间较短，接受脱发治疗,被医生诊断患有脱发症，具有中等水平的AGA是极大影响患者生活质量的因素。结论与文献一致，这项研究表明，AGA显著损害患者的QoL。在QoL域中，与情绪或功能域相比,症状域对患者的影响更大.最近患有脱发并被医生诊断为AGA的年轻男性比其他患者表现出更大的QoL障碍。多中心研究可能会更好地反映AGA患者QoL的影响。
