JCDSA  Vol.5 No.1 , March 2015
Epidemiological and Clinical Aspects of Skin Bleaching in Secondary School in Bohicon, Benin
Abstract: Skin bleaching is a public health problem in West Africa most studied in general population. We conducted a cross-sectional survey to evaluate the prevalence of the phenomenon in secondary schools in central Benin. The prevalence of voluntary depigmentation (VD) was 36.6%. The sex ratio was 0.49. Gender was statistically associated with VD (p value < 0.000). Bleaching products used were often hydroquinone (42.2%), and corticosteroid (22.7%). The mean duration of the practice was 20 months. Products were applied over all body twice a day in most students. The main dermatological complications of the practice were discoloration (32.2%), stretch marks (20%), acne (18.5%), and fungal infections (13.1%). Parents funded and chose the bleaching products in most cases. This was the first survey conducted in secondary schools in West Africa targeted voluntary depigmentation. The high prevalence of the practice raises some questions, among them the core values of West African societies.
Cite this paper: Atadokpédé, F. , Adégbidi, H. , Koudoukpo, C. , Téclessou, J. , Aholoukpé, C. , Degboé, B. , Ango-Padonou, F. and Yedomon, H. (2015) Epidemiological and Clinical Aspects of Skin Bleaching in Secondary School in Bohicon, Benin. Journal of Cosmetics, Dermatological Sciences and Applications, 5, 1-6. doi: 10.4236/jcdsa.2015.51001.

[1]   Mahe, A., Blanc, L., Halna, J.M., Keita, S., Sanogo, T. and Bobin, P. (1993) An Epidemiologic Survey on the Cosmetic Use of Bleaching Agents by the Women of Bamako, Mali. Annales de Dermatologie et de Vénéréologie, 120, 870-873.

[2]   Traoré, A., Kadeba, J.C. and Niamba, P. (2005) Use of Cutaneous Depigmenting Products by Women in Two Towns in Burkina Faso: Epidemiologic Data, Motivations, Products and Side Effects. International Journal of Dermatology, 44, 30-32.

[3]   Pitché, P., Afanou, A., Amanga, Y. and Tchangai-Walla, K. (1998) Les pratiques cosmétiques dépigmentantes des femmes à Lomé (Togo). Medecine d’Afrique Noire, 45, 709-713.

[4]   Wone, I., Tal-Dia, A., Diallo, O.F., Badiane, M., Touré, K. and Diallo, I. (2000) Prévalence de l’utilisation de produits cosmétiques dépigmentants dans deux quartiers à Dakar (Sénégal). Dakar Médical, 45, 154-157.

[5]   Nnoruka, E. and Okoye, O. (2006) Tropical Steroid Abuse: Its Use as a Depigmenting Agent. Journal of the National Medical Association, 98, 934-939.

[6]   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, 69-72.

[7]   Morand, J.J., Ly, F., Lightburn, E. and Mahé, A. (2007) Complications de la dépigmentation cosmétique en Afrique. Medecine Tropicale, 67, 627-634.

[8]   Adebajo, S.B. (2002) An Epidemiological Survey of the Use of Cosmetic Skin Lightening Cosmetics among Traders in Lagos Nigeria. West African Journal of Medicine, 21, 51-55.

[9]   Hardwick, N., Van Gelger, L.W., Van der Merwe, C.A. and Van der Merwe, M.P. (1989) Exogenous Ochronosis: An Epidemiological Study. British Journal of Dermatology, 120, 229-238.

[10]   Didillon, H. and Bounsana, D. (1986) Modifier la couleur de sa peau: Mode ou complexe? Acte du colloque de Brazzaville, Karthala, 255-283.

[11]   Muchadeyi, E., Thompson, S. and Baker, N. (1983) A Survey of the Constituents, Availability and Use of Skin Lightening Creams in Zimbabwe. Central African Journal of Medicine, 29, 225-227.

[12]   Ly, F., Mahé-Vasseur, P., Agne El Fecky, A. and Verschoore, M. (2007) Enquête qualitative sur la dépigmentation artificielle de la peau noire: Essai d’analyse anthropologique et psychosociale en contexte sénégalais. Annales de Dermatologie et de Vénéréologie, 134, 21-22.

[13]   Raynaud, E., Cellier, C. and Perret, J.L. (2001) Dépigmentation cutanée à visée cosmétique: Enquête de prévalence et effets indésirables dans une population féminine Sénégalaise. Annales de Dermatologie et de Vénéréologie, 128, 720-724.

[14]   Mahe, A., Ly, F., Aymard, G. and Dangou, J.M. (2003) Skin Diseases Associated with the Cosmetic Use of Bleaching Products in Women from Dakar, Sénégal. British Journal of Dermatology, 148, 493-500.