A Questionnaire Based Assessment of Skin Bleaching Practice Among Female Medical Students in A Tertiary Care Institute: A Cross Sectional Study
Authors/Creators
- 1. International Journal of Medical Science and Advanced Clinical Research (IJMACR)
Description
Abstract
Introduction: Skin bleaching involves the application of chemicals such as ammonia, hydrogen peroxide, and hypochlorite, either in salons or at home, with repeated treatments over time. Skin bleaching products often contain hazardous ingredients that can lead to adverse outcomes, including rashes, dryness, sunburns, and more severe long-term effects such as DNA damage and increased vulnerability to skin cancers. Despite these effects there is a scarcity of medical research and literature focused on their misuse. (1)
Aims and objectives
1. To estimate the prevalence of ‘skin bleaching’ among female medical students.
2. To assess the pattern of practices regarding ‘skin bleaching’ in female medical students.
Materials & Methods: A cross-sectional study was conducted among 103 female medical students in a tertiary care medical college in Mangalore, using a preformed digital questionnaire. It included socio-demographic questionnaire, and questions related to use of bleaching agents, pattern of use, and side effect following use. Ethical committee clearance was obtained prior to the study.
Results: The most common bleaching products used were cream bleach (35.3%), oxybleach (17.6%), milk bleach (11.8%), or powder bleach (5.9%). Post procedure protective measures like moisturizer, sunscreen, avoiding sunlight and soaps (88.2%) were practiced by majority of cases. While, 70.6% didn’t have any side effects, rashes (23.6%), burning sensation (11.8%), dryness (11.8%), and darkening on exposure to sunlight (5.9%) were the most common complains noted.
Conclusion: Around one sixth of female medical students used bleaching products at some time of life. While majority of participants used occasionally, around half of them did the procedure in salon, and post-procedural protective measures were carried in most cases. Despite that, around one-fourth of the participants complained of some degree of side effects. Awareness of potential risks and effects of skin bleaching remains limited, even among well-educated youth and medical students.
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- Repository URL
- https://ijmacr.com/issue/archive_issue/58
References
- 1. Swann G. The skin is the body's largest organ. J Vis Commun Med. 2010 Dec;33(4):148-9. doi: 10.3109/ 17453054.2010.525439. PMID: 21087182. 2. Shivakumar S, Jafferany M. "The unfair drive to be fair": Psychosocial aspects and implications of the use of skin lightening agents. Dermatol Ther. 2020 Nov;33(6):e14091. doi: 10.1111/dth.14091. Epub 2020 Aug 24. PMID: 32720427 3. Sitohang IBS, Ninditya S. Systemic Glutathione as a Skin-Whitening Agent in Adult. Dermatol Res Pract. 2020 Apr 24;2020:8547960. doi: 10.1155/ 2020/ 8547960. PMID: 32373172; PMCID: PMC7196133 4. Jagadeesan S, Kaliyadan F, Ashique KT, Karunakaran A. Bleaching and skin-lightening practice among female students in South India: A cross-sectional survey. J Cosmet Dermatol. 2021 Apr;20(4):1176-1181. doi: 10.1111/ jocd.13689. Epub 2020 Sep 16. PMID: 32854171. 5. Pillaiyar T, Manickam M, Namasivayam V. Skin whitening agents: medicinal chemistry perspective of tyrosinase inhibitors. J Enzyme Inhib Med Chem. 2017 Dec;32(1):403-425. doi: 10.1080/ 14756366. 2016.1256882. PMID: 28097901; PMCID: PMC 6010116. 6. Nordlund JJ, Abdel-Malek ZA, Boissy RE, Rheins LA. Pigment cell biology: an historical review. J Invest Dermatol. 1989 Apr;92(4 Suppl):53S-60S. doi: 10.1111/ 1523-1747.ep13074988. PMID: 2649615. 7. Yardman-Frank JM, Fisher DE. Skin pigmentation and its control: From ultraviolet radiation to stem cells. Exp Dermatol. 2021 Apr;30(4):560-571. 8. Dadzie OE. Unethical skin bleaching with glutathione. BMJ. 2016 Aug 31;354:i4386. doi: 10.1136/bmj.i4386. PMID: 27581922 9. Nyoni-Kachambwa P, Naravage W, James NF, Van der Putten M. A preliminary study of skin bleaching and factors associated with skin bleaching among women living in Zimbabwe. Afr Health Sci. 2021 Mar;21(1):132-139. doi: 10.4314/ ahs.v21i1.18. PMID: 34394290; PMCID: PMC8356578 10. Verma SB. Obsession with light skin--shedding some light on use of skin lightening products in India. Int J Dermatol. 2010 Apr;49(4):464-5. doi: 10.1111/j.1365- 4632.2010. 04330.x. PMID: 20465708 11. Hopwood P, Fletcher I, Lee A, Al Ghazal S. A body image scale for use with cancer patients. Eur J Cancer. 2001 Jan;37(2):189-97. 12. Agorku ES, Kwaansa‐Ansah EE, Voegborlo RB, Amegbletor P, Opoku F. Mercury and hydroquinone content of skin toning creams and cosmetic soaps, and the potential risks to the health of Ghanaian women. SpringerPlus 2016;5:319. 13. Egbi OG, Kasia B. Prevalence, determinants and perception of use of skin lightening products among female medical undergraduates in Nigeria. Skin Health Dis. 2021 May 20;1(3):e46. doi: 10.1002/ ski2.46. 14. Alrayyes SF, Alrayyes SF, Farooq UD. Skin-lightening patterns among female students: A cross-sectional study in Saudi Arabia. Int J Womens Dermatol. 2019 Apr 26;5(4):246-250. doi: 10.1016/ j.ijwd.2019.04.026. 15. Peltzer K, Pengpid S, James C. The globalization of whitening: prevalence of skin lighteners (or bleachers) use and its social correlates among university students in 26 countries. Int J Dermatol. 2016 Feb;55(2):165-72. doi: 10.1111/ijd.12860. 16. Arora N, Amin S. Analyzing Global Interest in Skin Whitening by Geographic Region. Proc (Bayl Univ Med Cent). 2024 Mar 14;37(3):505-507. doi: 10.1080/08998280.2024.2328448. 17. Pollock S, Taylor S, Oyerinde Ol. The dark side of skin lightening: an international collaboration and review of a public health issue affecting dermatology. Int J Womens Dermatol. 2020; 7(2): 158–164. doi: 10.1016/j.ijwd.2020.09.006 18. Nyoni-Kachambwa P, Naravage W, James NF, Van der Putten M. A preliminary study of skin bleaching and factors associated with skin bleaching among women living in Zimbabwe. Afr Health Sci. 2021 Mar;21(1):132-139. doi: 10.4314/ahs.v21i1.18. 19. Jacob SM, Thillaikarasi A. Awareness on Skin Lightening Practice and their Side Effects among Nursing Staff in a Tertiary Care Centre. Indian J Dermatol. 2023 May-Jun;68(3):356. doi: 10.4103/ ijd.ijd_1010_22. 20. Shroff H, Diedrichs PC, Craddock N. Skin Color, Cultural Capital, and Beauty Products: An Investigation of the Use of Skin Fairness Products in Mumbai, India. Front Public Health. 2018 Jan 23;5:365. doi: 10.3389/fpubh.2017.00365. 21. Yusuf MA, Mahmoud ND, Rirash FR, Stoff BK, Liu Y, McMichael JR. 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. 2019 Aug 23;5(5):349-355. doi: 10.1016/ j.ijwd. 2019.08.006.