“…The prevalence of CCCA in African‐American women has been reported as being 5·6% 4 and 16·2% 2 – higher than the 2·7% 6 in South Africans; the differences were discussed previously 7 . In South Africa, females have the highest prevalence of TA [31·7%, in women, increasing with age: 8·6% (6–7 years); 15·6% (10–15 years); 21·7% (17–21 years)]; 8 the risk increased with symptomatic traction (OR 1·98, 95% CI 1·10–3·57; P < 0·022) and was highest with combined hairstyles (OR 3·47, 95% CI 1·94–6·20; P < 0·001) 8 .…”