Background: Few studies have quantified the psychosocial effects of ha
ir loss using standardized instruments in men not seeking treatment fo
r hair loss. Objective: Examine self-perception of hair loss and its e
ffects on men from the community. Methods: Men 18-50 years of age recr
uited without regard to hair loss, from households near Dayton, Ohio,
completed a questionnaire assessing self-perception of hair loss, sati
sfaction with hair appearance, hair-loss-specific effects and general
health status. Results: Men with greater hair loss had more bother, co
ncern about getting older, perceived noticeability to others and great
er dissatisfaction with their hair appearance than men with less hair
loss. These effects decreased with age for men with hair loss, but reg
ardless of age, perceived noticeability of hair loss increased monoton
ically with degree of hair loss. Conclusions: Men with greater hair lo
ss report more negative effects due to their hair loss across all age
groups, but the effects were more pronounced in younger men.