# Cancer-related alopecia and wig acquisition: how age, sex, and treatment affect patient choices

## TL;DR

This study explores how age, sex, and treatment influence wig purchases among cancer patients in Japan, highlighting the need for better financial support for appearance care.

## Contribution

The study identifies demographic and clinical factors influencing wig purchases among cancer patients in Japan, emphasizing the need for targeted support systems.

## Key findings

- 31.4% of surveyed cancer patients reported purchasing wigs.
- Younger female patients and those undergoing treatment were more likely to purchase wigs.
- Higher-income patients tended to buy more expensive wigs, though income was not significantly correlated with purchase likelihood.

## Abstract

This study aimed to explore the prevalence and cost of wig purchases among patients with cancer in Okayama Prefecture, Japan, and examine the relationship between wig purchases and various demographic, social, and clinical factors. The findings aim to provide insights into appearance care and support systems for patients with cancer, particularly wig subsidies.

A survey was conducted between July and August 2023 among 3000 patients with cancer at 13 designated cancer care hospitals in Okayama Prefecture. Data on demographics, cancer treatment status, and wig purchase details were collected. Statistical analyses, including the Mann–Whitney U test, chi-square test, and logistic regression, were performed to identify factors significantly associated with wig purchases.

Among the 863 respondents, 31.4% (271 patients) reported purchasing wigs. Factors significantly associated with wig purchase included young age (odds ratio [OR] = 1.04), female sex (OR = 1.61), and current cancer treatment (OR = 1.16). No significant correlation was found between wig purchase and household income, although higher-income patients tended to purchase more expensive wigs.

The findings suggest that younger female patients with cancer and those undergoing treatment were more likely to purchase wigs, highlighting the importance of appearance care and the need for enhanced financial support for low-income patients.