Prevalence, associated factors, and cutaneous effects of skin-lightening practices among patients at Mbarara Regional Referral Hospital Skin Clinic, Uganda: A cross-sectional study

Abstract

Skin-lightening is a widespread practice among non-White populations, involving the use of soaps, creams, and powders with agents like corticosteroids, hydroquinone, and mercury to reduce melanin and lighten skin tone. However, these products often lead to harmful skin effects. Many people with skin of color lighten their skin for beauty and desirability, influenced by entertainment portrayals favoring lighter tones. Post inflammatory hyperpigmentation from skin disorders also drives self-medication with topical creams. In Uganda, weak regulation makes such products easily accessible, possibly contributing to a rise in skin lightening practices.