中华皮肤科杂志 ›› 2008, Vol. 41 ›› Issue (9): 565-567.

• 论著 •    下一篇

上海某社区雄激素源性秃发患病率调查

徐峰 盛友渔 楼玮 周静 任永涛 齐思思 杨勤萍 王侠生 付朝伟 沈晔 蔡伟俊 蔡民强 沈斌杰   

  1. 上海复旦大学附属华山医院皮肤科 上海复旦大学附属华山医院皮肤科 上海复旦大学附属华山医院皮肤科 上海医科大学附属华山医院皮肤科
  • 收稿日期:2007-10-18 修回日期:2008-03-06 发布日期:2008-09-15
  • 通讯作者: 徐峰 E-mail:xufeng@medmail.com.cn

Prevalence of androgenetic alopecia in a community of Shanghai: a survey

  

  • Received:2007-10-18 Revised:2008-03-06 Published:2008-09-15

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摘要： 目的 了解上海地区雄激素源性秃发（AGA）的患病率、脱发类型。方法 采用整群抽样的方法。按照统一制定的表格，对上海市长宁区北新泾社区居民进行问卷调查，并由皮肤科医生进行诊断确认，对雄激素源性秃发患者采用Norwood-Hamilton和Ludwig标准分级。所有数据录入EpiData数据库，运用SPSS11.5软件进行统计学分析。结果 本次调查回收有效问卷7056份（男3519份，女3537份），应答率72.5%。确诊AGA患者809例，其中男701例，平均年龄（64.16 ± 11.98）岁，年龄范围19 ～ 91岁，女108例，平均年龄（70.46 ± 18.89）岁，年龄范围35 ～ 91岁。总标化患病率为9.47%，男性和女性标化患病率分别为15.73%和2.73%，两者间差异有统计学意义（χ2 = 356.00，P < 0.001）。52.7%的患者有AGA家族史，其中男为55.78%，女为32.41%。男性AGA患者70岁以上年龄脱发类型以Ⅵ级最多，而20 ～ 70岁年龄脱发类型以Ⅲv级最多。女性AGA脱发类型以Ⅰ级和Ⅱ级最多。结论 上海地区男性雄激素源性秃发患病率显著高于女性，男性和女性雄激素源性秃发的患病率随年龄增长而增加。

关键词: 雄激素源性秃发, 发病情况, 流行病学调查

Abstract: Objective To investigate the prevalence and pattern of androgenetic alopecia （AGA） in Shanghai through a community-based survey. Methods A cluster sampling survey was done among the residents in Beixinjing Community, Changning District, Shanghai. All the subjects were asked to fill a questionnaire to provide their general information, including sex, age, native place, physical status, life habit, family history, etc. The diagnosis of AGA was made by dermatologists. To determine the pattern of hair loss, Norwood-Hamilton classification system and Ludwig classification system were used for male AGA and female AGA, respectively. All the data were statistically analyzed by EpiData and SPSS11.5 software. Results Totally, 7056 subjects completed the questionnaire, including 3519 males and 3537 females, and the response rate was 72.5%. AGA was diagnosed in 809 patients, consisting of 701 males aging from 19 to 91 years （mean 64.16 ± 11.9 years） and 108 females aging from 35 to 91 years （mean 70.46 ± 18.89 years）. The standardized prevalence （SP） was 9.47% in total, 15.73% in males and 2.73% in females; the difference was significant between males and females （χ2 = 356.00， P < 0.001）. A family history of AGA was observed in 52.7% of all subjects including 391 （55.78%） males and 35 （32.41%） females. Type III vertex involvement was the most common type in men aging from 20 to 70 years old, and type VI in those over 70 years old. Grade I and II predominated in female AGA. Conclusions The results of this survey indicate that the prevalence of AGA is remarkably higher in men than that in women. Furthermore, the prevalence is steadily increased with advancing age in Shanghai.

Key words: androgenetic alopecia, prevalence, survey