Work

Determinants of awareness of risks associated with skin lightening products among female dermatology patients in Mogadishu: a cross-sectional study

Year: 2025

Type: article

Abstract: BACKGROUND: Skin lightening product (SLP) use is widespread in Somalia, driven by cultural ideals linking fair skin to beauty and social status. Limited regulation and low awareness of health risks contribute to the use of harmful products containing mercury, hydroquinone, and corticosteroids. This study aimed to assess awareness of SLP side effects and identify factors influencing awareness among female users at Mogadishu-Somalia-Türkiye Recep Tayyip Erdoğan Training and Research Hospital. METHODS: A hospital-based cross-sectional study was conducted among 489 female participants. Awareness levels were assessed using a composite score and categorized as 'Low' or 'High.' Bivariate and multivariable logistic regression analyses were used to identify factors associated with high awareness. RESULTS: Among 489 women (60.9% aged 21-40), 80.2% had low awareness of SLP risks. High awareness was significantly associated with knowing the product name (AOR = 38.97), active ingredients (AOR = 21.78), and believing a prescription is necessary (AOR = 3.13). Lower awareness was linked to spending over $100 monthly (AOR = 0.01) and full-body application (AOR = 0.20). CONCLUSION: Awareness of SLP risks is critically low among users in Mogadishu. Public health campaigns and stronger regulation are needed to address the health hazards of unsafe skin lightening practices.

Source: BMC Women s Health

DOI: 10.1186/s12905-025-04049-8