Is hair a real public health issue? For some, the answer is a resounding “yes”, but perhaps not for the superficial reasons that may first come to mind. Research shows that perceptions of acceptable appearance for employment and other personal ideals may result in less physical activity for some women. Black women are at increased risk of developing obesity-related diseases and may be disproportionately impacted by hair concerns.
We suggest potential strategies to understand these concerns, including engaging existing natural hair communities, tailoring interventions, and partnering with community institutions, such as salons, to create social supports and tools for managing hair as an exercise barrier. Research also suggests that policing Black hair may represent a stressor for both Black men and women, compromising self-expression and a sense of safety. A decade after suggesting a link between hair and health, Black hair continues to be an important, yet understudied, aspect of health, personal safety, and well-being for Black communities.