I am white as paper, probably one of the palest people and I live in Asia and often get comment that I have the dream skin. While back at home my parents were teasing me about being a ghost and doctors asking am I sick. Interesting how it changes on cultural basis
I think it’s more than just cultural. Yes, it’s definitely a factor, and there are cultures and there were times where paper white was considered beautiful.
But I think on some level we naturally associate severe paleness with being sick or non-social.
I say this as the original commenter