The Afrocentric view concerning Jamaicans who bleach their skins is that they suffer from self-hate, a result of the lingering psychological scars of slavery. The self-hatred thesis is tested by comparing the self-esteem scores of a small convenience sample of skin bleachers with the scores of a control group. The two groups have almost the same average scores above the median, which indicates that skin bleaching did not occur because of low self-esteem. The preliminary results suggest that there are varied reasons for skin bleaching and there is a range of Black identities as each person constructs his or her identity in a multicultural society.

This article focuses on the sexual attraction motive for skin bleaching in Jamaica. Some captive Africans on plantations in Jamaica altered their complexion. These Africans modeled the British in the colony who bleached their skin to protect the ''superior,'' ''sexy,'' and ideal white skin from the ''impurities'' of interracial sex and the tropical climate. The beauty and sexual attraction accorded to light skin was also evident in skin bleaching newspaper ads in the 1950s. The ads told women that acquiring light complexion through skin bleaching would make them sexually attractive to men. The persistence of colorism and its most blatant expression-skin bleaching-is also evident in contemporary Jamaica as expressed in some dancehall songs which praise skin bleachers, and the explanatory narratives of skin bleachers that bleaching makes them pretty and sexually attractive to potential spouses. Similar themes are reflected in the criticism that the browning Dancehall Queen Carlene was deemed sexually attractive and choreographically talented only because of her brown physicality. Some spouses request that their partner acquire the bleached physicality because they find it sexually attractive similar to many male clients in ''massage parlors'' who only request female sex workers who bleach their skin.

Health literacy is a measure of the patient’s ability to read, comprehend and act on medical instructions. This research article examines health literacy and health-seeking behaviors among elderly men in Jamaica, in order to inform health policy. This is a descriptive cross-sectional study. A 133-item questionnaire was administered to a random sample of 2,000 men, 55 years and older, in St Catherine, Jamaica. In this study, 56.9% of urban and 44.5% of rural residents were health literate. Only 34.0% of participants purchased medications prescribed by the medical doctor and 19.8% were currently smoking. Despite the reported good self-related health status (74.4%) and high cognitive functionality (94.1%) of the older men, only 7.9% sought medical care outside of experiencing illnesses. Thirty-seven percent of rural participants sought medical care when they were ill compared with 31.9% of their urban counterparts. Thirty-four percent of the participants took the medication as prescribed by the medical doctor; 43% self-reported being diagnosed with cancers such as prostate and colorectal in the last 6 months, 9.6% with hypertension, 5.3% with heart disease, 5.3% with benign prostatic hyperplasia, 5.3% with diabetes mellitus, and 3.8% with kidney/bladder problems. Approximately 14% and 24% of the participants indicated that they were unaware of the signs and symptoms of hypertension and diabetes mellitus, respectively. The elderly men displayed low health literacy and poor health-seeking behavior. These findings can be used to guide the formulation of health policies and intervention programs for elderly men in Jamaica.