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菲律宾的皮肤美白产业。

The skin whitening industry in the Philippines.

作者信息

Mendoza Roger Lee

机构信息

School of Business, Wilmington University, 31 Reads Way, New Castle, DE 19720, USA. E-mail:

出版信息

J Public Health Policy. 2014 May;35(2):219-38. doi: 10.1057/jphp.2013.50. Epub 2013 Dec 19.

Abstract

Skin whitening is a big and booming industry in many developing countries. Its popularity owes mainly to post-colonial, internalized racism. This study examines whether government intervention is necessary and more efficient than market-driven approaches in addressing the health risks and harms associated with skin whitening. We gathered empirical data on the quality and quantity of health-related information about skin whiteners with a multi-stage probability sample of consumers in two cities in the Philippines (n=110; α=0.05). Regardless of their socio-demographic characteristics, we find that cognitive biases and information asymmetries build and sustain consumers' trust in manufacturers and distributors of skin whiteners while, paradoxically, breeding uncertainties over the integrity of these products. The results are product adulteration and misbranding, leading to pricing advantages for toxic whiteners over safer products. This has impeded regulatory efficacy. We recommend anchoring government intervention in transaction cost-reduction, containing the externalities of skin bleaching, and institutionalizing third party partnerships. Failure to do so would leave consumers extremely vulnerable to the forces of supply and demand that favor toxic whiteners, particularly in a market where voluntary collective action is difficult to organize.

摘要

在许多发展中国家,皮肤美白是一个规模庞大且蓬勃发展的产业。其流行主要归因于后殖民时期内化的种族主义。本研究探讨在应对与皮肤美白相关的健康风险和危害方面,政府干预是否必要以及是否比市场驱动的方法更有效。我们通过对菲律宾两个城市的消费者进行多阶段概率抽样(n = 110;α = 0.05),收集了有关皮肤美白产品健康相关信息的质量和数量的实证数据。无论消费者的社会人口特征如何,我们发现认知偏差和信息不对称既建立并维持了消费者对皮肤美白产品制造商和经销商的信任,而自相矛盾的是,又滋生了对这些产品安全性的不确定性。结果导致产品掺假和标签错误,使得有毒美白产品比更安全的产品具有价格优势。这阻碍了监管效力。我们建议将政府干预基于降低交易成本、控制皮肤美白的外部性以及将第三方合作制度化。否则,消费者将极易受到有利于有毒美白产品的供求力量的影响,尤其是在一个难以组织自愿集体行动的市场中。

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