{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T06:09:02Z","timestamp":1794377342508,"version":"4.9.0"},"reference-count":15,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:00:00Z","timestamp":1759795200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100003161","name":"National Alopecia Areata Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100003161","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Dermatology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Patients with alopecia areata (AA) face significant disease burden. We aim to describe the financial and time burden of AA and how these are modified by demographic and clinical factors. Adults with AA participated in an online survey. A multivariate linear regression analyzed AA\u2010related financial and time expenditures, controlling for demographic variables and AA characteristics. The majority of participants were white (80.0%), non\u2010Hispanic (89.1%), and female (86.2%), with many reporting an annual income \u2265$100,000 (34.2%) and almost all having health insurance (96.0%). Most participants described their AA as severe (55.2%). AA\u2010related expenses averaged $1952\u2009\u00b1\u2009$2940 over 6\u2009months, and participants spent a monthly average of 21.2\u2009\u00b1\u200934.9\u2009h on AA\u2010related tasks and activities. Wigs were the greatest source of expenses ($930\u2009\u00b1\u2009$1940) and time spent (3.8\u2009\u00b1\u20099.6\u2009h). Higher income, younger age, female gender, and severe disease were associated with higher AA costs, and lower income, female gender, and severe disease were associated with greater time spent on AA (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05). Patients spend thousands of dollars and hundreds of hours on AA annually. Wigs are the greatest source of expenditures. Female patients and those with severe disease experience an elevated degree of disease burden. Limitations include most participants being white, non\u2010Hispanic females with health insurance and an annual income over $100,000. Future work should aim to confirm these findings in more diverse cohorts and improve insurance coverage for AA.\n                  <\/jats:p>","DOI":"10.1111\/1346-8138.70004","type":"journal-article","created":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T09:31:33Z","timestamp":1759829493000},"page":"1892-1896","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Financial and Time Burden of Alopecia Areata"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2132-1174","authenticated-orcid":false,"given":"Samantha","family":"Gregoire","sequence":"first","affiliation":[{"name":"Department of Dermatology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"University at Buffalo Jacobs School of Medicine and Biomedical Sciences  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ursula","family":"Biba","sequence":"additional","affiliation":[{"name":"Department of Dermatology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"David Geffen School of Medicine at University of California Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Department of Dermatology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Lake Erie College of Osteopathic Medicine  Erie Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha A.","family":"Mesinkovska","sequence":"additional","affiliation":[{"name":"National Alopecia Areata Foundation  Novato California USA"},{"name":"Department of Dermatology University of California Irvine School of Medicine  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Waldman","sequence":"additional","affiliation":[{"name":"National Alopecia Areata Foundation  Novato California USA"},{"name":"Department of Dermatology Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Anderson","sequence":"additional","affiliation":[{"name":"National Alopecia Areata Foundation  Novato California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6084-5617","authenticated-orcid":false,"given":"Arash","family":"Mostaghimi","sequence":"additional","affiliation":[{"name":"Department of Dermatology Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.11"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2024.2404"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13555\u2010021\u201000512\u20100"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2018.5218"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisp.2020.05.007"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.abd.2020.09.004"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2023.110983"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssresearch.2015.04.003"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346\u20108138.16888"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.18926"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2022.02.019"},{"issue":"6","key":"e_1_2_8_13_1","first-page":"52","article-title":"Expanding Wig Coverage Under Medicare: Improving Access for Patients With Alopecia","volume":"16","author":"Rinderknecht F. A.","year":"2023","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010015468"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/JW9.0000000000000075"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/JW9.0000000000000155"}],"container-title":["The Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1346-8138.70004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T06:34:32Z","timestamp":1768026872000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1346-8138.70004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,7]]},"references-count":15,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/1346-8138.70004"],"URL":"https:\/\/doi.org\/10.1111\/1346-8138.70004","archive":["Portico"],"relation":{},"ISSN":["0385-2407","1346-8138"],"issn-type":[{"value":"0385-2407","type":"print"},{"value":"1346-8138","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,7]]},"assertion":[{"value":"2025-07-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}