{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T23:37:17Z","timestamp":1773185837230,"version":"3.50.1"},"reference-count":52,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Vitiligo can cause substantial psychosocial distress, including stigma, depression, and social exclusion. Cultural factors shape disease perception and information needs. Online search queries provide real\u2010time indicators of unmet public interests. We investigated language\u2010 and culture\u2010associated differences in vitiligo\u2010related online information seeking in Germany to inform culturally competent dermatologic care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a retrospective observational study using anonymized data from the Google Ads Keyword Planner (October 2019\u2013May 2023). Search terms related to vitiligo were analyzed in six languages (German, Turkish, Arabic, English, Russian, Polish), representing the most commonly spoken languages in Germany. Keywords were thematically categorized and comparatively analyzed across languages.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 7.8 million vitiligo\u2010related search queries were identified, with the majority in German. \u201cGeneral information\u201d was the most frequently searched category, except in Arabic, where \u201ctreatment options\u201d ranked highest. Treatment queries in Turkish and Arabic more frequently mentioned alternative therapies and home remedies than specific evidence\u2010based treatments. Notable cross\u2010language differences emerged in searches for camouflage, depigmentation, faith\u2010related coping, and psychosocial burden.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Online search behavior reveals both shared and language\u2010specific interests about vitiligo. Observed language patterns are hypothesis\u2010generating and may reflect differences in information access, healthcare navigation, and language barriers rather than inherent cultural preferences. Language\u2010specific patterns highlight the need for culturally sensitive communication, multilingual patient education, and inclusive care models in dermatology to promote health equity.<\/jats:p>\n \n \n \n image<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ijd.70385","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T04:22:25Z","timestamp":1773116545000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multilingual Digital Search Behavior Reveals Cultural Disparities in Vitiligo Information Needs in Germany"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8652-8029","authenticated-orcid":false,"given":"Lilian","family":"Rauch","sequence":"first","affiliation":[{"name":"Department of Dermatology and Allergy, Biederstein Technical University of Munich Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2819-1805","authenticated-orcid":false,"given":"Christine","family":"Gasteiger","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy, Biederstein Technical University of Munich Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7338-7734","authenticated-orcid":false,"given":"Markus","family":"B\u00f6hm","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6342-5104","authenticated-orcid":false,"given":"Georg","family":"Pliszewski","sequence":"additional","affiliation":[{"name":"German Vitiligo Association e.V. Adelsdorf Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5352-5105","authenticated-orcid":false,"given":"Tilo","family":"Biedermann","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy, Biederstein Technical University of Munich Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9313-6588","authenticated-orcid":false,"given":"Alexander","family":"Zink","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy, Biederstein Technical University of Munich Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"issue":"5","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","DOI":"10.3390\/ijms24054910","article-title":"Vitiligo, From Pathogenesis to Therapeutic Advances: State of the Art","volume":"24","author":"Diotallevi F.","year":"2023","journal-title":"International Journal of Molecular Sciences"},{"issue":"3","key":"e_1_2_10_3_1","first-page":"365","article-title":"S1\u2010Leitlinie: Diagnostik und Therapie der Vitiligo","volume":"20","author":"B\u00f6hm M.","year":"2022","journal-title":"Journal der Deutschen Dermatologischen Gesellschaft"},{"issue":"10","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"1831","DOI":"10.1111\/jdv.18257","article-title":"Vitiligo Prevalence and Quality of Life Among Adults in Europe, Japan and the USA","volume":"36","author":"Bibeau K.","year":"2022","journal-title":"Journal of the European Academy of Dermatology and Venereology"},{"issue":"10","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1001\/jamadermatol.2023.2787","article-title":"Mental Health and Psychosocial Quality\u2010of\u2010Life Burden Among Patients With Vitiligo: Findings From the Global VALIANT Study","volume":"159","author":"Bibeau K.","year":"2023","journal-title":"JAMA Dermatology"},{"issue":"10","key":"e_1_2_10_6_1","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1111\/ddg.15503","article-title":"Vitiligo\u2014A Disease: A Position Paper on Stigmatization, Life Quality Impairment and Psychosocial Comorbidity","volume":"22","author":"B\u00f6hm M.","year":"2024","journal-title":"Journal der Deutschen Dermatologischen Gesellschaft"},{"issue":"1","key":"e_1_2_10_7_1","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1111\/jdv.18593","article-title":"Quality of Life Measurement in Vitiligo. 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