Evidence map›Paper›PMID 41808097›Full record

SynthesisBMC public health2026

Why are people cosmetic skin whitening? A systematic review.

Simon N Williams, Trevor Webb, Anna-Leena Lohiniva, Elena Jardan, Lesley Onyon, Elena Altieri

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Simon N WilliamsBehavioural Insights Unit, World Health Organization, Geneva, Switzerland. s.n.williams@swansea.ac.uk.
Trevor WebbBehavioural Insights Unit, World Health Organization, Geneva, Switzerland.
Anna-Leena LohinivaBehavioural Insights Unit, World Health Organization, Geneva, Switzerland.
Elena JardanDepartment of Environment, Climate Change and Health, World Health Organization, Geneva, Switzerland.
Lesley OnyonDepartment of Environment, Climate Change and Health, World Health Organization, Geneva, Switzerland.
Elena AltieriBehavioural Insights Unit, World Health Organization, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCosmetic skin whitening is a growing practice in a number of countries and long-term use has been shown to have potentially serious health risks. No reviews have documented the behavioral factors that help explain practices related to cosmetic skin whitening.

methodsWe conducted a systematic review exploring the main behavioral (psychological and cognitive, social and cultural, and environmental) factors behind the practice of cosmetic skin whitening, as well as the groups and characteristics are associated with the practice as well as what interventions have been designed to address this practice. Five databases (PubMed, Scopus, APA PsychINFO, ASSIA, and Web of Science's Preprint Citation Index) were searched using adaptations of key search terms (e.g. "skin whitening", "behavior", "risk"). Studies were not restricted by date or country.

resultsFrom 816 candidate studies, 43 studies were included in the final sample. Twelve main factors were identified: beauty; self-esteem; to attract a partner or get married; dissatisfaction with skin tone; low awareness of risks of skin whitening; to look whiter or fairer; for social status; social norms or social influence; for a job or to secure employment; colorism; the influence of advertising; and fashion. Prevalence of use ranged from 2-74%. Use was more common amongst women and younger adults but varied by country or region in terms of whether it was more commonly used by people with high or low formal education. Only one study documented an intervention designed to raise awareness of the harms of cosmetic skin whitening.

conclusionsCosmetic skin whitening is a complex practice influenced by multiple behavioral factors. Findings should be used to inform theory-based interventions designed to reduce the prevalence of cosmetic skin whitening practices.

Indexed as

Skin Lightening PreparationsBeautyFemaleHumansSelf ConceptSkin Lightening PreparationsBehavioural driversCosmetic skin whiteningSystematic review

Identifiers

PMID41808097
PMCPMC13085328

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.