Hairstylists' Role in Addressing Hair Loss in Black Women

Background : Black women experience a disproportionate burden of hair loss disorders, which may be linked to cultural hair care practices. Early recognition and referral are critical to prevent irreversible scarring alopecia. Hair care professionals (HCPs) are uniquely positioned to identify early signs of hair loss due to frequent client interactions and established trust. Summary : We conducted a systematic literature review to evaluate HCPs’ knowledge, attitudes, and referral practices regarding hair loss in Black women. Of 916 records, four studies met inclusion criteria. Two survey studies found that a third of HCPs serving African American clientele would refer their clients to dermatologists for management of hair loss. In a study among South African HCPs, a targeted educational intervention was effective at improving identification of hair loss disorders and in recognizing the need for dermatological consultation. Another educational intervention for HCPs serving African American clientele increased HCPs' likelihood to refer clients with CCCA to dermatologists and at earlier stages of disease. Key Messages : HCPs show variable knowledge on hair loss in Black women and inconsistent referral practices. Brief educational interventions may increase recognition and referral. Strengthening collaboration and integrating dermatologic education into cosmetology training may improve early detection and reduce disparities.