Voluntary skin depigmentation is a widespread social and cosmetic practice in sub-Saharan Africa. Although motivated by the pursuit of a lighter complexion, it exposes users to numerous dermatological and systemic complications. In Côte d’Ivoire, a survey conducted in Abidjan in 2008 reported a prevalence of 53%. This study aimed to assess voluntary depigmentation practices, the types of products employed, reported adverse effects, and the level of awareness of associated risks among users. A descriptive cross-sectional survey was carried out from January to March 2019 among 150 patients recruited from five private pharmacies in Abidjan. Data were collected using a structured questionnaire addressing sociodemographic charac-teristics, motivations, products used, adverse effects, and perception of risks. Results were analyzed using frequency and per-centage distributions. The sample consisted predominantly of women (93%), aged 20-40 years. The main motivation was the desire for a beautiful complexion (78%). The most frequently used substances were corticosteroids (38%) and hydroquinone (33%). 94% of participants were unaware of the exact composition of the products applied. Although 35% vaguely acknowl-edged potential dangers, their overall knowledge of complications remained poor. Twenty-five percent of the study population reported adverse effects voluntary skin. An integrated strategy combining health edu-cation, stricter regulatory measures, and the active involvement of pharmacists is urgently required to mitigate the prevalence and consequences of this practice.
| Published in | Pharmaceutical Science and Technology (Volume 9, Issue 2) | 
| DOI | 10.11648/j.pst.20250902.15 | 
| Page(s) | 79-83 | 
| Creative Commons | 
 This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. | 
| Copyright | Copyright © The Author(s), 2025. Published by Science Publishing Group | 
Survey, Voluntary Depigmentation, Skin-lightening Products, Toxicology, Pharmacies, Abidjan
| [1] | Nyiragasigwa F. Les facteurs associés à la dépigmentation volontaire de la peau chez les noirs en Belgique. [Mémoire de Master]. Louvain-la-Neuve (Belgique): Université catholique de Louvain, Faculté de santé publique; 2021. Directeur: Hesbeen W. Disponible sur: | 
| [2] | Faye O, Keita S, Diakité FS, Konaré HD, Ndiaye HT. Side effects of depigmenting products in Bamako, Mali. Int J Dermatol. 2005; 44(Suppl 1): 35-6. | 
| [3] | Djuikom D. Les femmes immigrées d’origine subsaharienne en Belgique et la question de la dépigmentation de la peau: cas de la ville de Liège. [Mémoire de Master]. Louvain-la-Neuve (Belgique): Université Catholique de Louvain, Faculté de philosophie, arts et lettres; 2023. Directeur: Martinus C. Disponible sur: | 
| [4] | Morand JJ, Ly F, Lightburn E, Mahé A. Complications of cosmetic depigmentation in Africa. Med Trop (Mars). 2007; 67(6): 627-34. | 
| [5] | Pitche P, Afanou A, Amanga Y, Oniankitan O, Tchangai-Walla K. Cosmetic use of bleaching agents in Lomé. Int J Dermatol. 2005; 44(Suppl 1): 30-2. | 
| [6] | Olumide YM, Akinkugbe AO, Altraide D, Mohammed T, Ahamefule N, Ayanlowo S, et al. Complications of chronic use of skin-lightening cosmetics. Int J Dermatol. 2008; 47(4): 344-53. | 
| [7] | Ajose FO. Consequences of skin bleaching in Nigerian men and women. Int J Dermatol. 2005; 44(Suppl 1): 41-3. | 
| [8] | Adebajo SB. An epidemiological survey of the use of cosmetic skin-lightening products among traders in Lagos, Nigeria. West Afr J Med. 2002; 21(1): 51-5. | 
| [9] | Gathse A, Obengui I, Ibara JR. Reasons for consultations related to bleaching product use among 104 women in Brazzaville. Bull Soc Pathol Exot. 2005; 98(5): 401-2. | 
| [10] | Kourouma S, Gbery P, Kaloga M, et al. Cosmetic skin depigmentation among Black women: results of a CAP survey in Abidjan, Côte d’Ivoire. Pan Afr Med J. 2016; 24: 159. | 
| [11] | Gbandama KKP, Diabaté A, Kouassi KA, Loemba Yala TJG, Allou AS, Kourouma HS. Carcinome épidermoïde associé à l’utilisation de produits dépigmentants chez une femme adulte à la peau foncée en Côte d’Ivoire. Santé Rés Afr. 2024; 2(6). Disponible sur: | 
| [12] | Djuikem N. Study on skin depigmentation practices: case of Yaoundé, Cameroon. [Mémoire de Master]. Yaoundé (Cameroun): Université de Yaoundé I; 2015. | 
| [13] | Del Giudice E, Raynaud A, Mahé A. Cosmetic use of depigmenting products in Africa. Bull Soc Pathol Exot. 2003; 96(5): 389-93. | 
| [14] | Traoré A, Kadeba JC, Niamba P, Barro F, Ouedraogo L. Use of cutaneous depigmenting products by women in two towns in Burkina Faso: epidemiologic data, motivations, products and side effects. Int J Dermatol. 2005; 44(Suppl 1): 30-2. | 
| [15] | Raynaud E, Cellier C, Perret JL. Cosmetic skin depigmentation: prevalence and adverse effects in a Senegalese female population. Ann Dermatol Venereol. 2001; 128(6-7): 720. | 
| [16] | Ly F, Kane A, Déme A, Ngom NF, Niang SO, Bello R, et al. First cases of squamous cell carcinoma arising on artificially depigmented skin. Ann Dermatol Venereol. 2010; 137(2): 128-31. | 
| [17] | Ly F, Soko AS, Dione DA, Niang SO, Kane A, Bocoum TI, et al. Aesthetic problems associated with the cosmetic use of bleaching products. Int J Dermatol. 2007; 46(Suppl 1): 15-7. | 
| [18] | Mbengue M, Ndiaye AA, Diop AM. Connaissances, pratiques et perceptions sociales de la dépigmentation chez les femmes de la commune de Bambey au Sénégal. Ann Univ Moundou, Série A-FLASH. 2023; 10(1): 1-14. Disponible sur: | 
| [19] | Charoo NA. Hyperpigmentation: Looking beyond hydroquinone. J Cosmet Dermatol. 2022; 21(10): 4133-45. | 
| [20] | Mahé A, Ly F, Gounongbé A. L’utilisation cosmétique de produits dépigmentants à Dakar (Sénégal): facteurs socio-économiques et motivations individuelles. Sci Soc Santé. 2004; 22(2): 5-33. | 
| [21] | Del Giudice P, Raynaud E, Mahé A. L’utilisation cosmétique de produits dépigmentants en Afrique. Ann Dermatol Venereol. 2002; 129(2): 181-4. | 
| [22] | Bhattar PA, Zawar VP, Godse KV, Patil SP, Nadkarni NJ, Gautam MM. Exogenous ochronosis. Indian J Dermatol. 2015; 60(6): 537-43. | 
| [23] | Yaméogo BGJ, Ilboudo LSBA, Ouédraogo NA, Belem M. Analysis of depigmenting substances of interest (hydroquinone, kojic acid, and clobetasol propionate) contained in lightening cosmetic products marketed in Burkina Faso. Cosmetics. 2023; 10(6): 154. | 
APA Style
Tigori-Sangare, B., Tuo-Kouassi, A. N., Brissy-Ayekoue, D. C., Kone-Bakayoko, S., Kaba, M., et al. (2025). Voluntary Skin Depigmentation in Abidjan: Toxicological Implications of Skin Lightening Products. Pharmaceutical Science and Technology, 9(2), 79-83. https://doi.org/10.11648/j.pst.20250902.15
ACS Style
Tigori-Sangare, B.; Tuo-Kouassi, A. N.; Brissy-Ayekoue, D. C.; Kone-Bakayoko, S.; Kaba, M., et al. Voluntary Skin Depigmentation in Abidjan: Toxicological Implications of Skin Lightening Products. Pharm. Sci. Technol. 2025, 9(2), 79-83. doi: 10.11648/j.pst.20250902.15
@article{10.11648/j.pst.20250902.15,
  author = {Beatrice Tigori-Sangare and Awa Nakognon Tuo-Kouassi and Dina Colombe Brissy-Ayekoue and Sandia Kone-Bakayoko and Myriam Kaba and Apo Laurette Ingrid Anin},
  title = {Voluntary Skin Depigmentation in Abidjan: Toxicological Implications of Skin Lightening Products
},
  journal = {Pharmaceutical Science and Technology},
  volume = {9},
  number = {2},
  pages = {79-83},
  doi = {10.11648/j.pst.20250902.15},
  url = {https://doi.org/10.11648/j.pst.20250902.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pst.20250902.15},
  abstract = {Voluntary skin depigmentation is a widespread social and cosmetic practice in sub-Saharan Africa. Although motivated by the pursuit of a lighter complexion, it exposes users to numerous dermatological and systemic complications. In Côte d’Ivoire, a survey conducted in Abidjan in 2008 reported a prevalence of 53%. This study aimed to assess voluntary depigmentation practices, the types of products employed, reported adverse effects, and the level of awareness of associated risks among users. A descriptive cross-sectional survey was carried out from January to March 2019 among 150 patients recruited from five private pharmacies in Abidjan. Data were collected using a structured questionnaire addressing sociodemographic charac-teristics, motivations, products used, adverse effects, and perception of risks. Results were analyzed using frequency and per-centage distributions. The sample consisted predominantly of women (93%), aged 20-40 years. The main motivation was the desire for a beautiful complexion (78%). The most frequently used substances were corticosteroids (38%) and hydroquinone (33%). 94% of participants were unaware of the exact composition of the products applied. Although 35% vaguely acknowl-edged potential dangers, their overall knowledge of complications remained poor. Twenty-five percent of the study population reported adverse effects voluntary skin. An integrated strategy combining health edu-cation, stricter regulatory measures, and the active involvement of pharmacists is urgently required to mitigate the prevalence and consequences of this practice.
},
 year = {2025}
}
											
										TY - JOUR T1 - Voluntary Skin Depigmentation in Abidjan: Toxicological Implications of Skin Lightening Products AU - Beatrice Tigori-Sangare AU - Awa Nakognon Tuo-Kouassi AU - Dina Colombe Brissy-Ayekoue AU - Sandia Kone-Bakayoko AU - Myriam Kaba AU - Apo Laurette Ingrid Anin Y1 - 2025/10/31 PY - 2025 N1 - https://doi.org/10.11648/j.pst.20250902.15 DO - 10.11648/j.pst.20250902.15 T2 - Pharmaceutical Science and Technology JF - Pharmaceutical Science and Technology JO - Pharmaceutical Science and Technology SP - 79 EP - 83 PB - Science Publishing Group SN - 2640-4540 UR - https://doi.org/10.11648/j.pst.20250902.15 AB - Voluntary skin depigmentation is a widespread social and cosmetic practice in sub-Saharan Africa. Although motivated by the pursuit of a lighter complexion, it exposes users to numerous dermatological and systemic complications. In Côte d’Ivoire, a survey conducted in Abidjan in 2008 reported a prevalence of 53%. This study aimed to assess voluntary depigmentation practices, the types of products employed, reported adverse effects, and the level of awareness of associated risks among users. A descriptive cross-sectional survey was carried out from January to March 2019 among 150 patients recruited from five private pharmacies in Abidjan. Data were collected using a structured questionnaire addressing sociodemographic charac-teristics, motivations, products used, adverse effects, and perception of risks. Results were analyzed using frequency and per-centage distributions. The sample consisted predominantly of women (93%), aged 20-40 years. The main motivation was the desire for a beautiful complexion (78%). The most frequently used substances were corticosteroids (38%) and hydroquinone (33%). 94% of participants were unaware of the exact composition of the products applied. Although 35% vaguely acknowl-edged potential dangers, their overall knowledge of complications remained poor. Twenty-five percent of the study population reported adverse effects voluntary skin. An integrated strategy combining health edu-cation, stricter regulatory measures, and the active involvement of pharmacists is urgently required to mitigate the prevalence and consequences of this practice. VL - 9 IS - 2 ER -