AI Article Synopsis

  • High usage of skin-lightening agents in Kumasi, Ghana is noted despite existing warnings and regulatory bans, with a significant prevalence of 40.4% among surveyed shoppers.
  • The study found that a higher percentage of women (56.5%) use these products compared to men (26.6%), with female gender being a strong predictor of usage.
  • Users tend to associate lighter skin with positive traits like beauty and wealth, though the study's findings may be affected by biases due to the sampling method and stigma surrounding the subject.

Article Abstract

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362006PMC
http://dx.doi.org/10.1016/j.jdin.2020.05.006DOI Listing

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