What are waist beads? Waist beads are a traditional African accessory that consist of small glass beads on a string or wire worn around the waist or hips. They come in different colors and shapes and may also include decorative stones, crystals, or charms. Waist beads have been worn for centuries by women in many West African cultures. In Ghana, Nigeria, Senegal, Mali and other West African countries, waist beads are a symbol of femininity, fertility, sensuality, and spiritual well-being. Today, in both Africa and the United States, women use waist beads for aesthetic and practical purposes.