Knowledge, Perception and Beliefs Regarding Androgenic alopecia among Young Adults in Karachi, Pakistan

  • Naseem Ahmed Department of Pathology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Bilal Ahmed Khan Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Syed Wasif Bukhari Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Khawaja Uzair Wasif Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Kiran Shafiq Khan Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Osama Shabbir Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Maaz Bin Nazir Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Ashar Shahid Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
Keywords: Alopecia, Depression, Dihydrotestosterone, Finasteride, Hair follicle, Minoxidil, Transplantation


Background: Our study aims to assess the knowledge, attitudes and practices regarding Male Pattern Baldness among young adults in Karachi, Pakistan.

Methods: A cross sectional study was conducted, using a self-administered questionnaire, finalized after a pilot study and after reviewing several articles on the topic. A random population of 673 young adult men, more than our target of 664, calculated through with 99% confidence, from Karachi were involved. Convenient sampling technique was used. The participants were enquired regarding their general knowledge regarding MPB, the impact of male pattern baldness on psychosocial health and self-esteem of an individual, and their practices.

Results: Out of the 673 participants, there were 299 (44.45%) participants between the ages of 17-21 and 374 (55.5%) between the ages of 22-26. There was a slight gap of knowledge between the age groups. A majority of individuals [545 (80.9%)] from our study had heard of male pattern baldness before. More than half of the participants thought that people with MPB are considered unattractive [346 (51.4%)] and majority, 482 (71.6%) people thought that MPB causes depression and anxiety. A larger portion of the people that took part (71.9%) reported that they suffer from hair-fall problems. A majority of people [575 (85.4%)] felt that there is need for more awareness programs in Pakistan.

Conclusions: Majority of the partakers generally had poor knowledge regarding causes of MPB, affected age groups and the role of genetics. However, they recognized its negative impact on social, emotional and psychological health. More researches are needed to be conducted in Karachi on MPB.


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1. Blume-Peytavi U, Blumeyer A, Tosti A, Finner A, Marmol V, Trakatelli M, et al. S1 guideline for diagnostic evaluation in androgenetic alopecia in men, women and adolescents. British Journal of Dermatology. 2010Aug;164(1):5–15. Doi: 10.1111/j.1365-2133.2010.10011.x
2. Hamilton JB. Patterned Loss Of Hair In Man: Types And Incidence. Annals of the New York Academy of Sciences. 1951;53(3):708–28.
3. Heath AC, Nyholt DR, Gillespie NA, Martin NG. Genetic Basis of Male Pattern Baldness. Journal of Investigative Dermatology. 2003;121(6):1561–4. Doi: http://10.1111/j.1523-1747.2003.12615.x
4. Rhodes T, Girman CJ, Savin RC, Kaufman KD, Guo S, Lilly FRW, et al. Prevalence of Male Pattern Hair Loss in 18–49 Year Old Men. Dermatologic Surgery. 1998;24(12):1330–2.
5. Shankar K, Chakravarthi M, Shilpakar R. Male androgenetic alopecia: Population-based study in 1,005 subjects. International Journal of Trichology. 2009;1(2):131. doi: 10.4103/0974-7753.58556
6. Grover S. A study of patterns of androgenetic alopecia in men: an Indian perspective. British Journal of Dermatology. 2005;152(3):572–4.
7. Norwood OT. Male Pattern Baldness: classification and Incidence. Southern Medical Journal. 1975;68(11):1359–65. DOI: 10.1097/00007611-197511000-00009
8. Sinclair RD, Dawber RP. Androgenetic alopecia in men and women. Clinics in dermatology. 2001 Mar 1;19(2):167-78.
9. Tang PH, Chia HP, Cheong LL, Koh D. A community study of male androgenetic alopecia in Bishan, Singapore. Singapore Med J. 2000 May;41(5):202-5. Available at:
10. Kaufman KD. Androgen Metabolism As It Affects Hair Growth In Androgenetic Alopecia. Dermatologic Clinics. 1996;14(4):697–711.
11. Prodi DA, Pirastu N, Maninchedda G, Sassu A, Picciau A, Palmas MA, et al. EDA2R Is Associated with Androgenetic Alopecia. Journal of Investigative Dermatology. 2008;128(9):2268–70.
12. Richards JB, Yuan X, Geller F, et al. Male-pattern baldness susceptibility locus at 20p11. Nature genetics. 2008;40(11):1282-1284. doi:10.1038/ng.255.
13. Tellez-Segura R. Involvement of mechanical stress in androgenetic alopecia. International journal of trichology. 2015 Jul;7(3):95. doi: 10.4103/0974-7753.167468
14. Guo EL, Katta R. Diet and hair loss: effects of nutrient deficiency and supplement use. Dermatol Pract Concept. 2017;7(1):1. doi: 10.5826/dpc.0701a01
15. Olsen EA, Dunlap FE, Funicella T, Koperski JA, Swinehart JM, Tschen EH, et al. A randomized clinical trial of 5% topical minoxidil versus 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in men. Journal of the American Academy of Dermatology. 2002;47(3):377–85.
16. Leyden J, Dunlap F, Miller B, Winters P, Lebwohl M, Hecker D, Kraus S, Baldwin H, Shalita A, Draelos Z, Markou M. Finasteride in the treatment of men with frontal male pattern hair loss. Journal of the American Academy of Dermatology. 1999 Jun 1;40(6):930-7.
17. Dua A, Dua K. Follicular Unit Extraction Hair Transplant. Journal of Cutaneous and Aesthetic Surgery. 2010;3(2):76-81. doi:10.4103/0974-2077.69015.
18. Afifi L, Maranda EL, Zarei M, Delcanto GM, Falto-Aizpurua L, Kluijfhout WP, et al. Low-level laser therapy as a treatment for androgenetic alopecia. Lasers in Surgery and Medicine. 2016;49(1):27–39.
19. Elinor Fondell, Kathryn C. Fitzgerald, Guido J. Falcone, Éilis J. O'Reilly, Alberto Ascherio; Early-Onset Alopecia and Amyotrophic Lateral Sclerosis: A Cohort Study, American Journal of Epidemiology, Volume 178, Issue 7, 1 October 2013, Pages 1146–1149,
20. Keum N, Cao Y, Lee DH, et al. Male pattern baldness and risk of colorectal neoplasia. British Journal of Cancer. 2016;114(1):110-117. doi:10.1038/bjc.2015.438.
21. Hawk E, Breslow RA, Graubard BI. Male pattern baldness and clinical prostate cancer in the epidemiologic follow-up of the first National Health and Nutrition Examination Survey. Cancer Epidemiol Biomarkers Prev. 2000 May;9(5):523-7. PubMed PMID: 10815699. Available at
22. Han SH, Byun JW, Lee WS et al. Quality of Life Assessment in Male Patients with Androgenetic Alopecia: Result of a Prospective, Multicenter Study.Ann Dermatol. 2012 Aug;24(3):311-318.
23. Rafique R, Hunt N. Experiences and coping behaviours of adolescents in Pakistan with alopecia areata: An interpretative phenomenological analysis. International Journal of Qualitative Studies on Health and Well-being. 2015;10(1):26039.
24. Al-Mutairi N, Eldin O. Clinical profile and impact on quality of life: Seven years experience with patients of alopecia areata. Indian Journal of Dermatology, Venereology, and Leprology. 2011;77(4):489. DOI: 10.4103/0378-6323.82411
25. Salvia J, Sheare JB, Algozzine B. Facial attractiveness and personal-social development. Journal of Abnormal Child Psychology. 1976; 3(3):171–8.
26. Lee H-J, Ha S-J, Kim D, Kim H-O, Kim J-W. Perception of men with androgenetic alopecia by women and nonbalding men in Korea: how the nonbald regard the bald. International Journal of Dermatology. 2002; 41(12):867–9.
27. Sirois FM, Gick ML. An investigation of the health beliefs and motivations of complementary medicine clients. Social Science & Medicine. 2002; 55(6):1025–37.
28. Furnham A, Smith C. Choosing alternative medicine: A comparison of the beliefs of patients visiting a general practitioner and a homoeopath. Social Science & Medicine. 1988; 26(7):685–9.
29. Taber JM, Leyva B, Persoskie A. Why do People Avoid Medical Care? A Qualitative Study Using National Data. Journal of General Internal Medicine. 2014Dec; 30(3):290–7.
30. Newell RJ. Altered body image: a fear-avoidance model of psycho-social difficulties following disfigurement. Journal of Advanced Nursing. 1999; 30(5):1230–8.
How to Cite
Ahmed N, Khan BA, Bukhari SW, Wasif KU, Khan KS, Shabbir O, Nazir MB, Shahid A. Knowledge, Perception and Beliefs Regarding Androgenic alopecia among Young Adults in Karachi, Pakistan. Int Arch BioMed Clin Res [Internet]. 2020Mar.30 [cited 2020May28];6(1):PA1-PA6. Available from: