Skin-lightening practices among shoppers in select markets in Kumasi, Ghana: A cross-sectional surveyCapsule Summary

Background: Despite warnings about its harmful adverse effects and the implementation of regulatory bans, anecdotal reports suggest high use of skin-lightening agents in Kumasi, Ghana. Objective: To estimate the prevalence and motivation for skin-lightening agent use and nonuse among shoppers in Kum...

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Main Authors: Mariah Owusu-Agyei, BA, Martin Agyei, MD, Temitayo A. Ogunleye, MD
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:JAAD International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666328720300250
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author Mariah Owusu-Agyei, BA
Martin Agyei, MD
Temitayo A. Ogunleye, MD
author_facet Mariah Owusu-Agyei, BA
Martin Agyei, MD
Temitayo A. Ogunleye, MD
author_sort Mariah Owusu-Agyei, BA
collection DOAJ
description Background: Despite warnings about its harmful adverse effects and the implementation of regulatory bans, anecdotal reports suggest high use of skin-lightening agents in Kumasi, Ghana. Objective: To estimate the prevalence and motivation for skin-lightening agent use and nonuse among shoppers in Kumasi, Ghana. Methods: This is a cross-sectional survey of a convenience sample of shoppers in 3 of Kumasi's largest markets. Results: Of the 350 shoppers who were approached, 334 consented, for a response rate of 95%. Data were analyzed on 331 completed surveys. A total of 40.4% of individuals reported current or past use of skin-lightening products, and 26.6% of men reported history of product use compared with 56.5% of women. Female sex was significantly associated with skin-lightening product use (odds ratio 3.59; 95% confidence interval 2.26-5.70). Users of skin-lightening agents were more likely to agree with statements that associated lighter skin with beauty, self-esteem, attractiveness, and wealth. Limitations: Using a nonrandomized convenience sampling method on a single city limits the generalizability of the results. Response, recall, and social desirability biases may have skewed the results, especially given the stigma associated with skin-lightening agent use. Conclusion: The practice of skin lightening among all participants is high and is associated with perceptions of increased beauty, attractiveness, self-esteem, and wealth.
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spelling doaj.art-949b6b4966eb4415b151a2b99c5bbd612022-12-21T22:42:40ZengElsevierJAAD International2666-32872020-12-0112104110Skin-lightening practices among shoppers in select markets in Kumasi, Ghana: A cross-sectional surveyCapsule SummaryMariah Owusu-Agyei, BA0Martin Agyei, MD1Temitayo A. Ogunleye, MD2Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Correspondence to: Mariah Owusu-Agyei, BA, Perelman School of Medicine, University of Pennsylvania, Jordan Medical Education Center, 6th Floor PCAM South Extension, 3400 Civic Center Blvd, Bldg 421, Philadelphia, PA 19104-5162.Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Dermatology, University of Pennsylvania, Philadelphia, PennsylvaniaBackground: Despite warnings about its harmful adverse effects and the implementation of regulatory bans, anecdotal reports suggest high use of skin-lightening agents in Kumasi, Ghana. Objective: To estimate the prevalence and motivation for skin-lightening agent use and nonuse among shoppers in Kumasi, Ghana. Methods: This is a cross-sectional survey of a convenience sample of shoppers in 3 of Kumasi's largest markets. Results: Of the 350 shoppers who were approached, 334 consented, for a response rate of 95%. Data were analyzed on 331 completed surveys. A total of 40.4% of individuals reported current or past use of skin-lightening products, and 26.6% of men reported history of product use compared with 56.5% of women. Female sex was significantly associated with skin-lightening product use (odds ratio 3.59; 95% confidence interval 2.26-5.70). Users of skin-lightening agents were more likely to agree with statements that associated lighter skin with beauty, self-esteem, attractiveness, and wealth. Limitations: Using a nonrandomized convenience sampling method on a single city limits the generalizability of the results. Response, recall, and social desirability biases may have skewed the results, especially given the stigma associated with skin-lightening agent use. Conclusion: The practice of skin lightening among all participants is high and is associated with perceptions of increased beauty, attractiveness, self-esteem, and wealth.http://www.sciencedirect.com/science/article/pii/S2666328720300250African healthblack skindark skinskin bleachingskin lighteningskin of color
spellingShingle Mariah Owusu-Agyei, BA
Martin Agyei, MD
Temitayo A. Ogunleye, MD
Skin-lightening practices among shoppers in select markets in Kumasi, Ghana: A cross-sectional surveyCapsule Summary
JAAD International
African health
black skin
dark skin
skin bleaching
skin lightening
skin of color
title Skin-lightening practices among shoppers in select markets in Kumasi, Ghana: A cross-sectional surveyCapsule Summary
title_full Skin-lightening practices among shoppers in select markets in Kumasi, Ghana: A cross-sectional surveyCapsule Summary
title_fullStr Skin-lightening practices among shoppers in select markets in Kumasi, Ghana: A cross-sectional surveyCapsule Summary
title_full_unstemmed Skin-lightening practices among shoppers in select markets in Kumasi, Ghana: A cross-sectional surveyCapsule Summary
title_short Skin-lightening practices among shoppers in select markets in Kumasi, Ghana: A cross-sectional surveyCapsule Summary
title_sort skin lightening practices among shoppers in select markets in kumasi ghana a cross sectional surveycapsule summary
topic African health
black skin
dark skin
skin bleaching
skin lightening
skin of color
url http://www.sciencedirect.com/science/article/pii/S2666328720300250
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