Perceptions and experiences of skin lighteners in Cape Town

dc.contributor.advisorColvin, Christopher
dc.contributor.advisorCooper, Sara
dc.contributor.authorJacobs-Alfred, Meagan
dc.date.accessioned2026-06-22T08:44:03Z
dc.date.available2026-06-22T08:44:03Z
dc.date.issued2026
dc.date.updated2026-06-22T08:27:25Z
dc.description.abstractThere are significant public health concerns related to the use and effects of skin lightening beauty products, the growth of which has been called a global epidemic. Research has demonstrated the sometimes-severe consequences associated with the use of skin lightening products, including poor self-esteem, permanent skin damage and even skin cancer. Many countries have regulations over skin lightening products, but it is challenging to properly manage the illicit market that nonetheless emerges. While most research has focused on the dermatological effects of skin lightening creams, little focus has been placed on the actual experiences of using skin lightening creams and the implications these have on public health. The goal of this study is to provide an account of the perspectives and experiences of service providers and skin lightening cream consumers in Cape Town. To gain insight into the daily consumption of skin lightening cosmetics, this study focused on beauty salons, African hairdressers, and stores belonging to the so-called "ethnic" trade associated with immigrants and descendants of African populations as its main sites of investigation. By means of snowball sampling, 20 female participants, between the ages of 24- and 68-years old, were recruited. In order to understand how expectations that are placed on the body, by the marketing of skin lightening products reflect and perpetuate racial, class, and gender-based social forces, observations in public spaces, followed by semi-structured interviews were conducted to address the following research questions: What are the motivations behind the use of skin lightening products, the effects and characteristics of using skin lightening products, and finally, the characteristics and influence the regulation of products have on the marketing and usage of products. Thematic analysis findings revealed the usage of skin lightening products, is mostly driven by colourism, dermatological issues, and celebrity and media marketing. Findings also indicate that using skin lightening products can have both beneficial and harmful effects, with the latter predominating and the former having severe health consequences. Lastly, the implementation of policies gave rise to covert marketing techniques and the expansion of an illicit market. While the study questions the implications of policies implemented to address the problem of skin lightening, it also raises questions about the effectiveness of policy implementation due to new concerns brought on by the illegal skin lightening marketing and covert marketing strategies.
dc.identifier.apacitationJacobs-Alfred, M. (2026). <i>Perceptions and experiences of skin lighteners in Cape Town</i>. (). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/43340en_ZA
dc.identifier.chicagocitationJacobs-Alfred, Meagan. <i>"Perceptions and experiences of skin lighteners in Cape Town."</i> ., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2026. http://hdl.handle.net/11427/43340en_ZA
dc.identifier.citationJacobs-Alfred, M. 2026. Perceptions and experiences of skin lighteners in Cape Town. . University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. http://hdl.handle.net/11427/43340en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Jacobs-Alfred, Meagan AB - There are significant public health concerns related to the use and effects of skin lightening beauty products, the growth of which has been called a global epidemic. Research has demonstrated the sometimes-severe consequences associated with the use of skin lightening products, including poor self-esteem, permanent skin damage and even skin cancer. Many countries have regulations over skin lightening products, but it is challenging to properly manage the illicit market that nonetheless emerges. While most research has focused on the dermatological effects of skin lightening creams, little focus has been placed on the actual experiences of using skin lightening creams and the implications these have on public health. The goal of this study is to provide an account of the perspectives and experiences of service providers and skin lightening cream consumers in Cape Town. To gain insight into the daily consumption of skin lightening cosmetics, this study focused on beauty salons, African hairdressers, and stores belonging to the so-called "ethnic" trade associated with immigrants and descendants of African populations as its main sites of investigation. By means of snowball sampling, 20 female participants, between the ages of 24- and 68-years old, were recruited. In order to understand how expectations that are placed on the body, by the marketing of skin lightening products reflect and perpetuate racial, class, and gender-based social forces, observations in public spaces, followed by semi-structured interviews were conducted to address the following research questions: What are the motivations behind the use of skin lightening products, the effects and characteristics of using skin lightening products, and finally, the characteristics and influence the regulation of products have on the marketing and usage of products. Thematic analysis findings revealed the usage of skin lightening products, is mostly driven by colourism, dermatological issues, and celebrity and media marketing. Findings also indicate that using skin lightening products can have both beneficial and harmful effects, with the latter predominating and the former having severe health consequences. Lastly, the implementation of policies gave rise to covert marketing techniques and the expansion of an illicit market. While the study questions the implications of policies implemented to address the problem of skin lightening, it also raises questions about the effectiveness of policy implementation due to new concerns brought on by the illegal skin lightening marketing and covert marketing strategies. DA - 2026 DB - OpenUCT DP - University of Cape Town KW - skin lightening KW - public health KW - motivations KW - effects KW - policies KW - media KW - advertisements LK - https://open.uct.ac.za PB - University of Cape Town PY - 2026 T1 - Perceptions and experiences of skin lighteners in Cape Town TI - Perceptions and experiences of skin lighteners in Cape Town UR - http://hdl.handle.net/11427/43340 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/43340
dc.identifier.vancouvercitationJacobs-Alfred M. Perceptions and experiences of skin lighteners in Cape Town. []. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2026 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/43340en_ZA
dc.language.isoen
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Public Health and Family Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape Town
dc.subjectskin lightening
dc.subjectpublic health
dc.subjectmotivations
dc.subjecteffects
dc.subjectpolicies
dc.subjectmedia
dc.subjectadvertisements
dc.titlePerceptions and experiences of skin lighteners in Cape Town
dc.typeThesis / Dissertation
dc.type.qualificationlevelDoctoral
dc.type.qualificationlevelPhD
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