Knowledge, Attitude and Practice of the Nephrotoxic Effects of Skin Bleaching Among Women in Akure Metropolis
Keywords:
Skin Bleaching, Kidney, WomenAbstract
Background: Skin bleaching (SB) is a practice that keeps rising among Nigerian women. The prevalence is as high as 77.3%, making Nigeria the leading country in Africa. It is associated with various adverse effects on the kidney health especially when agents containing ingredients such as mercury and steroids are used. It is therefore important to eliminate the practice of skin bleaching to reduce the associated nephrotoxic effects.
Objective: The aim of this study is to evaluate the knowledge, attitude and practice of skin bleaching and its nephrotoxic effect among women in Akure metropolis, Ondo State, Nigeria.
Method: This was a cross-sectional descriptive study among 269 women in Akure. They were interviewed using a self-administered questionnaire. The questionnaire sought information on the knowledge, attitude and practice of skin bleaching. Data was analyzed using IBM SPSS.
Result: A total of 269 women with a mean age of 29.16 ± 9.60 years completed the survey Most (65.7%) of the respondents had a good knowledge of skin bleaching. A majority (93.2%) had heard about skin bleaching, while 55.3% knew that skin bleaching can affect kidney health. Among the study participants, 140 (53.0%) were using skin bleaching products. Level of education, marital status and occupation were significantly associated with skin bleaching (p<0.05)
Conclusion: The level of knowledge and attitudes towards the effects of skin bleaching on kidney health were found to be good. However, the practice was found to be high in more than half of the respondents. Therefore, regulation and control skin bleaching products’ sales and use should be implemented.
References
Abbas, H. H., Sakakibara, M., Sera, K., Nurgahayu, N., & Andayanie, E. (2020). Mercury exposure and health problems of the students using Skin-Lightening cosmetic products in Makassar, South Sulawesi, Indonesia. Cosmetics, 7(3), 58.
Adebajo SB. (2002). An epidemiological survey of the use of cosmetic skin lightening cosmetics among traders in Lagos, Nigeria. West Afr J Med 2002; 21:51-55.
Amodu, M. O., Bolori, M. T., Ahmad, I. M., Kale, A., & Kuchichi, A. (2018). Knowledge, Attitude and Practice of Skin Whitening among Female University Students in Northeastern Nigeria. OALib, 05(04), 1–14.
Couteau, C., & Coiffard, L. (2016). Overview of skin whitening agents: drugs and cosmetic products. Cosmetics, 3(3), 27.
Davids, L. M., Van Wyk, J., Khumalo, N. P., & Jablonski, N. G. (2016). Phenomenon of skin lightening: Is it right to be light? South African Journal of Science, 112(11/12), 5.
Dalal, R., Bruss, Z. S., & Sehdev, J. S. (2019). Physiology, renal blood flow and filtration. In StatPearls publishing eBooks.
Dey, V. K. (2014). Misuse of topical corticosteroids: A clinical study of adverse effects. Indian Dermatology Online Journal, 5(4), 436.
Dlova N. C, Hamed SH, Tsoka-Gwegweni J, Grobler A. (2015). Skin lightening practices: an epidemiological study of South African women of African and Indian ancestries. Br J Dermatol. 173 Suppl 2:2-9.
Egbi, O. G., & Kasia, B. (2021). Prevalence, determinants and perception of use of skin lightening products among female medical undergraduates in Nigeria. Skin Health and Disease, 1(3).
Hamed S. H, Tayyem R, Nimer N. (2010). Skinlightening practice among women living in Jordan: prevalence, determinants, and user's awareness. Int J Dermatol; 49:414-420.
Hargrove, T. W. (2018). Light Privilege? Skin Tone Stratification in Health among African Americans. Sociology of Race and Ethnicity, 5(3), 370–387.
Iftekhar, N., & Zhitny, V. P. (2020). Overview of skin bleaching history and origins. Dermatology, 237(2), 306–308.
Ladizinski B., Mistry N. (2011). Widespread use of toxic skin lightening compounds: Medical and psychosocial aspects. Dermatol Clin. 29(1):111–123.
Lewis K. M, Robkin N, Gaska K, Njoki LC. Investigating motivations for women’s skin bleaching in Tanzania. Psychology of Women Quarterly, 2011; 35(1): 29- 37
Ly F, Diousse P, Ndiaye C, Deme A, Diatta BA, Ndianye C. (2018). Cutaneous squamous cell carcinomas (SCC) associated with cosmetic skin whitening: 8 cases reported in Senegal. Ann Dermatol Vénéréol . 145:8388.
Marieb E. N (2020) the urinary system. In: Beauparlant S (ed) Human Anatomy: Global Edition. Pearson.
Meena, P., Das, P., Rathore, V., Panda, S., & Popa, C. (2024). Snow White tale in nephrology: the emerging threat of skin whitening creams on Kidney Health. Clinical Kidney Journal, 18(1).
Murerwa, R., Gwala, F., Amuti, T., & Muange, M. (2021). Childhood effects of prenatal and postnatal exposure to mercurial skin lightening agents. Literature Review. International Journal of Medical Students.
Nnoruka E, Okoye O. (2006). Topical steroid abuse: its use as a depigmenting agent. J Natl Med Assoc. 98(6):934-9.
Olumide Y. M, Akinkugbe A. O, Altraide D, Mohammed T, Ahamefule N, Ayanlowo S, Onyekonwu C, Essen N. (2008). Complications of chronic use of skin lightening cosmetics. Int J Dermatol. 47(4):344-53.
Olumide Y. M. (1986). Abuse of Topical corticosteroids in Nigeria. Nig. Med. Pract ; 11: 17–12.
Osei M, Ali M, Owusu A, Baiden F. (2018). Skinlightening practices among female high school students in Ghana. Public Health. 155:81-87.
Pollard, K. M., Cauvi, D. M., Toomey, C. B., Hultman, P., & Kono, D. H. (2019). Mercury-induced inflammation and autoimmunity. Biochimica Et Biophysica Acta (BBA) - General Subjects, 1863(12), 129299.
Sagoe D, Pallesen S, Dlova NC, Lartey M, Ezzedine K, Dadzie O (2019). The global prevalence and correlates of skin bleaching a meta-analysis and meta-regression analysis. Int J Dermatol. 58(1): 24-44
Wudiri, Z. W., Bolori, M. T., Bukar, F. L., Oloyede, T., Amodu, M. O., Abulfathi, A. A., Haruna, U., Bakari, A. A., Isa’ac, J. K., Garba, H. M., & Ibrahim, B. (2024). Knowledge, Perception and Practice of Skin Bleaching among Adults in Northeastern Nigeria. OALib, 11(05), 1–26.
Yusuf, M. A., Mahmoud, N. D., Rirash, F. R., Stoff, B. K., Liu, Y., & 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. International Journal of Women’s Dermatology, 5(5), 349–355.
Zambon J. P (2014) renal system. In: Atala A, Allickson J (eds) Translational Regenerative Medicine. Academic Press.