Alopecia Areata in Underrepresented Groups: Preliminary Analysis of the All of Us Research Program

    February 2023 in “ Archives of Dermatological Research
    Isabelle Moseley, Elisabeth A. George, Megan Tran, Hemin Lee, Abrar A. Qureshi, Eunyoung Cho
    TLDR Alopecia areata is more common in Black and Hispanic people but less diagnosed in those with lower socioeconomic status.
    The study analyzed data from the All of Us Research Program to assess the prevalence of alopecia areata (AA) among underrepresented groups in the United States. The study included 329,038 participants, with 752 diagnosed with AA, indicating a prevalence of 0.30%. The analysis revealed that Black and Hispanic individuals had higher odds of AA compared to Whites, with odds ratios of 1.72 and 2.13, respectively. Conversely, lower odds of AA were observed in individuals with less than a high school education, household income ≤ $35,000, and no health insurance. These findings suggested that individuals with skin of color had a higher prevalence of AA, while lower prevalence among those with lower socioeconomic status might reflect limited access to dermatologic care and potentially higher levels of undiagnosed AA.
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