Prevalence, Perceived Benefits and Health Implications Awareness of Skin Bleaching Practices among Adults in Delta State, Nigeria

Lawrence Adhowhoarie Oboma; Victor Effiong Ben

doi:10.59890/ijarss.v3i2.354

Authors

Lawrence Adhowhoarie Oboma University of Uyo
Victor Effiong Ben University of Uyo

DOI:

https://doi.org/10.59890/ijarss.v3i2.354

Keywords:

Awareness, Health Implications, Perceived Benefits, Prevalence, Skin Bleaching, Skin Lightening, Skin Whitening

Abstract

Regardless of the numerous side effects of skin bleaching, the phenomenon is assuming popularity among individuals across different regions and cultures in Nigeria. The study aims to assess the prevalence, perceived benefits and health implication awareness of skin bleaching practices among adults in Delta State, Nigeria, based on the assumptions of Health Belief Model (HBM), Social Learning Theory and Social Comparison Theory. Descriptive research design was adopted, based on the statistically determined sample size, cluster, purposive and convenience sampling techniques were combined to select 238 respondents from different settings, such as shopping malls, markets, workplaces, recreation parks and street corners, using covert observation and intercept, and hypotheses were tested using Chi-square and T-test statistical tools at 0.05 level of significance. Commonly used skin bleaching products and brands were identified, and perceived benefits were grouped into enhanced attractiveness (40.8%), improved self-esteem (20.2%), social acceptance (22.3%) and professional advantages (4.6%). The results showed 60.9% prevalence, significant association with perceived benefits, no significant difference in awareness of health implications. The study emphasized the implementation of regulations and guidelines, development of evidence-based interventions and awareness campaigns to promote safe and informed choices regarding skincare practices.

References

Adebajo, S. B. (2002). An epidemiological survey of the use of cosmetic skin lightening cosmetics among traders in Lagos, Nigeria. West Africa Journal of Medicine, 21:51-55.

Adebimpe W. O, Omobuwa O, Ibirongbe D, and Efuntoye, A. (2020). Knowledge, pattern and determinants of the use of skin-lightening creams among University Undergraduates in Southwestern Nigeria. Port Harcourt Medical Journal, 14:6-11.

Adow, M. (2017) Nigeria’s Dangerous Skin Whitening Obsession. Aljazeera [Internet]. http://www.aljazeera.com/indepth/features/2013/04/20134514845907984.html

Ahmed, I., and Saltus, R. (2015). A thematic analysis of female university students’ perception of idealized body image in Sudan, and their experiences of performing common beauty practices. Diversity and Equality in Health and Care, 12(2), 40-47.

Ajose, F.O.A. (2005). Consequences of skin bleaching in Nigerian men and women. International Journal of Dermatology, 44, 41–43.

Alotaibi, H. M, Alharthi, R. M, AlMutairi, H. M, Alsuhibani, A. S, Alenezi, R. F, and Alodhayani A. A (2022). Use of skin-bleaching products among Saudi population: Are they aware of their hazards? Journal of Nature and Science of Medicine;5:3-6

Alghamdi, K. M (2010). The use of topical bleaching agents among women: A cross‐sectional study of knowledge, attitude and practices. Journal of the European Academy of Dermatology and Venereology, 24(10):1214-1219.

Amodu, M.O., Bolori, M.T., Ahmad, I.M., Kale, A. and Kuchichi, A. (2018) Knowledge, Attitude and Practice of Skin Whitening among Female University Students in Northeastern Nigeria. Open Access Library Journal, 5: e4501. https://doi.org/10.4236/oalib.1104501

Andrew, M. A. (2007). Epidemiological survey on the cosmetic use of bleaching agents by the women in Jamaica. Dermatol Venereology, 120 (12), 870-3

Atadokpédé F, Adégbidi H, Koudoukpo C, Téclessou1 J, Aholoukpé C, Degboéet B, et al. (2015) Epidemiological and Clinical Aspects of Skin Bleaching in Secondary School in Bohicon, Benin. Journal of Cosmetics, Dermatological Sciences and Applications, 5: 1-6.

Ayandele, O. and Popoola, O (2019) Psychosocial Predictors of Skin Bleaching Among Female Students of the Polytechnic, Ibadan, Nigeria. Ife PsychologIA, 27 (2), 110-120

Badulla, W. F. S., Alshakka, M and Ibrahim, M. I. M (2022) Reported Side-Effects of Using Skin-Lightening Products in Aden-Yemen: Knowledge, Attitude and Practice. Journal of Pharmaceutical Research International, Volume 34, Issue 53A, Page 31-41 DOI: 10.9734/JPRI/2022/v34i53A7225

Bakare O. Q, Oluwole EO, Anyanwu-Iyah EH , Aworinde OG , and Lawal EO (2023) Skin Lightening: Knowledge, Attitude, Practices and the Motivations for its Use Among the Residents of Ikeja Local Government Area, Lagos. Annals of Health Research. Volume 9, Issue No. 1 doi:10.30442/ahr.0901-01-185

Charles, C.A.D. (2003). Skin bleaching, self-hate, and black identity in Jamaica. Journal of Black Studies, 33(6), 711–728.

Dadzie, O.E. and Petit, A. (2009). Skin bleaching: highlighting the misuse of cutaneous depigmenting agents. Journal of the European Academy Of Dermatology And Venereology: JEADV, 23(7), 741–750.

Darj E, Infanti J. J, Ahlberg B. M, and Okumu J. (2015) “The fairer the better?” Use of potentially toxic skin bleaching products. African Health Science., 15 (4):1074–1080. doi:10.4314/ahs.v15i4.4

del Giudice, P. and Yves, P. (2002). The widespread use of skin lightening creams in Senegal: A persistent public health problem in West Africa. International Journal of Dermatology, 41(2), 69–72.

de Souza, M. M (2008). The concept of skin bleaching in Africa and its devastating health implications. Clinics in Dermatology, 26(1), 27–29.

Dlova N, Hamed S. H, Tsoka-Gwegweni J, Grobler A, and Hift R. (2014) Women’s perceptions of the benefits and implications of skin-lightening creams in two South African communities. Journal of Cosmetics Dermatology, 13(3):236–241. doi:10.1111/jocd.12104

Dlova N, Hamed S, Tsoka-Gwegweni J, and Grobler A. (2015) Skin lightening practices: an epidemiological study of South African women of African and Indian ancestries. British Journal of Dermatology, 173:2–9. doi:10.1111/bjd.13556

Durosaro, A. I., Ajiboye, S. K., and Oniye, A. O. (2012). Perceptions of skin bleaching among female secondary school students in Ibadan Metropolis Nigeria. Journal of Education and Practice, 3(7), 40-46

Edmond, J. D. (2014). The promotion of Skin-Bleaching Products in Jamaica: Media Representation and Cultural Impact. Research papers.Paper, 520.

Egbi O. G, and Kasia B. (2021) Prevalence, determinants and perception of use of skin lightening products among female medical undergraduates in Nigeria. Skin Health Disease, 1(3):e46.

Glenn, E. N. (2008). Yearning for lightness. Gender and Society, 22(3), 281–302.

Glèlè-Ahanhanzo Y, Kpozehouen A, Maronko B, Azandjeme C, Mongbo V, and SossaJerome C. (2019). Getting clear skin and why not?: Voluntary depigmentation among women in a southwest region of Benin. Pan African Medical Journal 33:72. https://doi.org/doi: 10.11604/pamj.2019.33.72.18722.

Hall, R. (1995). The bleaching syndrome: African-Americans’ response to cultural domination vis-à-vis skin color. Journal of Black Studies, 26(2), 172–184.

Hamed S. H, Tayyem R, and Nimer N. (2010). Skinlightening practice among women living in Jordan: prevalence, determinants, and user's awareness. International Journal of Dermatology, 49:414-420. http://doi.org/10.1111/j.1365- 4632.2010.04463.x.

Harris, A. (2014). Bleaching to Reach: Skin Bleaching as a Performance of Embodied Resistance in Jamaican Dancehall Culture. FIU Electronic Thesis and Dissertations. Paper 1129.

Islam M, and Hani F. F (2021). Hopes and reality: consumers’ purchase intention towards whitening cream. Future Bus J., 7(1):1–12. doi:10.1186/s43093- 021-00098-1

Juliano, C. C. A. (2022) Spreading of Dangerous Skin-Lightening Products as a Result of Colourism: A Review. Appl. Sci., 12, 3177. https://doi.org/10.3390/app12063177

Kamagaju L, Morandini R, Gahongayire F, Stévigny C, Ghanem G, Pirotte G, et al. (2016 ) Survey on skin-lightening practices and cosmetics in Kigali, Rwanda. International Journal of Dermatology, 55(1):45-51

Kourouma S, Gbery I. P, Kaloga M, Ecra E. J, Sangare A, Kouassi I. Y, et al (2016). Cutaneous depigmentation in black female population for cosmetic purposes: results of a KAP survey conducted in Abidjan (Ivory Coast). Pan African Medical Journal, 24:159. https://doi.org/10.11604/pamj.2016.24.159. 8315.

Kpanake L, Muñoz Sastre M. T, and Mullet E. (2010). Skin bleaching among Togolese: a preliminary inventory of motives. J Black Psychol., 36 (3):350–368. doi:10.1177/0095798409353759

Ladizinski B., and Mistry N. (2011) Widespread use of toxic skin lightening compounds: Medical and psychosocial aspects. Dermatol Clin., 29(1):111–123

Lewis, K., Robkin, N., Gaska, K., Njoki, L. C., Andrews, E. and Jetha, K. (2010). The Tanzanian response to dangerous skin bleaching products and practices and the gendered politics of it all: A critical analysis. JENdA: A Journal of Culture and African Women Studies, (14).

Ly, F., Soko, A. S., Dione, D. A., Niang, S. O., Kane, A., Bocoum, T. I. and Ndiaye, B. (2007). Aesthetic problems associated with the cosmetic use of bleaching products. International Journal Of Dermatology, 46 Suppl 1, 15–17.

Mahé, A., Ly, F., Aymard, G. and Dangou, J. M. (2003). Skin diseases associated with the cosmetic use of bleaching products in women from Dakar, Senegal. British Journal of Dermatology, 148(3), 493–500.

Mahé, A., Ly, F. and Perret, J. L. (2005). Systemic complications of the cosmetic use of skin-bleaching products. International Journal of Dermatology, 44 (Suppl 1), 37–38.

Nanjundeswaraswamy, T. S and Divakar, S (2021) Determination of Sample Size and Sampling Methods in Applied Research. Proceedings on Engineering Sciences, Vol. 03, No. 1:25-32, doi: 10.24874/PES03.01.003

Nyoni-Kachambwa P, Naravage W, James N. F, and Van der Putten M. (2021) A preliminary study of skin bleaching and factors associated with skin bleaching among women living in Zimbabwe. African Health Sci., 21(1):132–139. doi:10.4314/ahs.v21i1.18

Ofili A, Eze E, and Onunu A. (2006) Prevalence of use of skin lightening agents amongst university of Benin undergraduates in Benin city, Nigeria. Niger Med Pract. 49(1). https://doi.org/10. 4314/nmp.v49i1.28789

Okoro O. E, Barminas R, Olarinoye G, Magaji D, and Oseze H (2022). Knowledge, Attitude and Practice of Skin Bleaching among Adolescents in Keffi, North-central Nigeria. Nigerian Journal of Dermatology, 12(2):37-45

Olumide, Y. M. (2006). Effect of skin bleaching on Nigerian men and women. International Journal of Dermatology; 67; 65-66.

Olumide, Y. M., Akinkugbe, A. O., Altraide, D., Mohammed, T., Ahamefule, N., Ayanlowo, S., and Essen, N. (2008). Complications of chronic use of skin lightening cosmetics. International Journal of Dermatology, 47(4), 344-353.

Olumide Y. M (2010). Use of skin lightening creams. BMJ, 341:c6102. https://doi.org/10.1136/bmj.c6102.

Peltzer K, Pengpid S, and James C. (2016). The globalisation of whitening: prevalence of skin lighteners (or bleachers) use and its social correlates among university students in 26 countries. International Journal of Dermatology, 55:165-72. https://doi.org10.1111/ijd.12860.

Pelzer K, and Pegpid S. (2017). Knowledge about, attitude towards and practice of skin lightening products use and its social correlates among university students in five Associations of Southeast Asian Nations (ASEAN) countries. Int J Dermatol, 56:277-283. https://doi.org/ 10.1111/ijd.13518.

Petit, A., Cohen-Ludmann, C., Clevenbergh, P., Bergmann, J. F., and Dubertret, L. (2006). Skin lightening and its complications among African people living in Paris. Journal of the American Academy of Dermatology, 55(5), 873-878.

Phillips, J.I., Isaacson, C. and Carman, H. (1986). Ochronosis in black South Africans who used skin lighteners. The American Journal of Dermatopathology, 8(1), 14–21.

Pitché, P., Kombaté, K. and Tchangai-Walla, K. (2005). Cosmetic use of skin-bleaching products and associated complications. International Journal of Dermatology, 44(Suppl 1), 39–40.

Punch (2023). Nigerians be warned, avoid bleaching creams. Punch Editorial, 7th May, 2023. https://punchng.com/nigerians-be-warned-avoid-bleaching-creams/ accessed 13/05/2023

Ramsay, H., Goddard, W., Gill, S. and Moss, C. (2003). Herbal creams used for atopic eczema in Birmingham, UK illegally contain potent corticosteroids. Archives of Disease in Childhood, 88(12), 1056–1057.

Rao, N. S. N. (1985). Elements of Health Statsitics, First edition. R. Publication, Varanasi, India.

Regencia Z. J. G., Gouin J. P, Ladia M. A. J., Montoya, J. C and Baja E. S. (2023). Effect of body image perception and skin-lightening practices on mental health of Filipino emerging adults: a mixed-methods approach protocol. BMJ Open 2023;13:e068561. doi:10.1136/bmjopen-2022-068561

Robinson, P. A. (2011). Perceptions of Beauty and Identity: The Skin Bleaching Phenomenon in Jamaica. Adult Education Research Conference. Retrieved from http://newprairierpress.org/aerc/2011/papers/85.

Sagoe D, Pallesen S, Dlova NC, Lartey M, Ezzedine K, and Dadzie O. (2019) The global prevalence and correlates of skin bleaching: a meta-analysis and meta-regression analysis. International Journal of Dermatology, 58(1):24–44. doi:10.1111/ijd.14052

Suzuki, K., Yagami, A. and Matsunaga, K. (2012). Allergic contact dermatitis caused by a skin-lightening agent, 5,5, -dipropylbiphenyl-2,2, -diol. Contact Dermatitis (01051873), 66(1), 51–52.

Toombs, E. L. (2007). Hydroquinone – what is it’s future? Dermatologic Therapy, 20(3), 149–156.

Tse, T. W. (2010). Hydroquinone for skin lightening: Safety profile, duration of use and when should we stop? Journal of Dermatological Treatment, 21(5), 272–275.

Yusuf M. A, Mahmoud N. D, Rirash F. R, Stoff B. K, Liu Y, and McMichael J. R. (2019). Skin lightening practices, beliefs, and self-reported adverse effects among female health science students in Borama, Somaliland: A cross-sectional survey. Int J Womens Dermatol., 5(5):349-355.