Prevalence of Hand Dermatitis in Different Occupations

Smit, H.A.; Burdorf, Alex; Coenraads, Pieter Jan

doi:10.1093/ije/22.2.288

Cited by 169 publications

(148 citation statements)

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“…The po int prevalence of self-reported hand dermatoses amo ng the wome n of our study was somewhat hig her (11 %) than that of cl inical hand eczema among Lamrni nta usta 's hospital workers (8 %) ( 19). The one-year prevalence of self-reported hand eczema has varied fro m 5 to 9% among men and 11 to 15% among women in studies based on postal surveys of general populatio ns (26)(27)(28). The correspondi ng figures in the present study (7% for the men and 16% for the women) wer e simi lar to these prevalence figures.…”

Section: Discussionsupporting

confidence: 71%

Prevalence of hand dermatoses among Finnish farmers.

Susitaival¹,

Husman²,

Horsmanheimo³

et al. 1994

Scand J Work Environ Health

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SUSITAIVAL P, HUSMAN L, HORSMANHEIMO M, NOTKOLA V, HUSMAN K. Prevalence of hand dermatoses among Finnish farmers. Scand J Work Environ Health 1994;20:206-12. OBJECTIVES -The goal of this study was to determine the prevalence and risk factors of hand dermatosis among farmers. METHODS -A questionnaire survey was carried out in a geographically defined sample of the Finnish farming population between the ages of 18 and 64 years (N = 10 847). RESULTS -The one-year prevalence of self-reported hand and forearm dermatoses was 16% for the women and 7% for the men. These figures were similar to the prevalence of hand eczema in two large Scandinavian questionnaire surveys. The highest one-year prevalence of hand dermatoses was found for women on farms with more than nine dairy cows (20%). Atopy (both the personal history of atopic dermatitis and respiratory atopy), female gender, and, among the women, also age under 35 years were the most important risk factors for the occurrence of hand dermatosis. Work-related risk factors were handling disinfectants daily, handling silage preservatives, milking cows, and machine servicing. CONCLUSIONS -Occupationalrisk factors for hand dermatoses were found, especially for dairy farming. The results may be useful for the prevention of hand dermatoses in farming since they direct attention to related occupational hazards, and they may also aid vocational guidance for the atopic population. In order to lower the prevalence of hand dermatoses in dairy farming, both preventive and protective measures should become everyday practice in farming work.

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Section: Discussionsupporting

confidence: 71%

Prevalence of hand dermatoses among Finnish farmers.

Susitaival¹,

Husman²,

Horsmanheimo³

et al. 1994

Scand J Work Environ Health

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“…Cumulative prevalences of hand eczema of between 30 and 40% have been reported in Sweden and Finland (13,20). In the Netherlands, a 1-year prevalence of hand eczema of 30% has been noted among nurses (34). In comparison with population data, an ageadjusted prevalence ratio of 2.2 was found for female nurses.…”

Section: High-risk Occupationsmentioning

confidence: 95%

Differences between the sexes with regard towork‐related skin disease *

Meding

2000

Contact Dermatitis

121

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Work-related skin disease is common and usually presents as hand eczema. From the Occupational Injury Information System in Sweden, as well as from registers of industrial injuries in other countries, it is evident that females report skin disease more often than males. Epidemiological studies of hand eczema also show that women are more often affected than men, in particular young women. The most common type of hand eczema is irritant contact dermatitis, which is often caused by wet work. Many female-dominated occupations involve extensive wet work, e.g., hairdressing, catering, cleaning and health-care work. These occupations are also high-risk occupations for hand eczema. Experimental studies of skin irritation have not confirmed differences between the sexes; thus, the higher prevalence of irritant contact dermatitis among females is most likely due to exposure, occupational and non-occupational. Nickel allergy is the most common contact allergy, which is most frequent in young females, and in 30-40% results over time in hand eczema. Hand eczema has an impact on quality of life and females seem to report a higher degree of discomfort than males. To achieve the optimal effect of preventive efforts regarding occupational skin disease, the focus for prevention should aim at reducing wet exposure.Key words: females; differences between the sexes; hand eczema; high-risk occupation; males; occupational skin disease; prevalence; prevention; risk factor; wet work. C Munksgaard, 2000. Accepted for publication 28 March 2000Skin disease caused or worsened by factors in the working environment is one of the most commonly occurring work-related illnesses. The predominant condition is hand eczema, since in many jobs the skin on the hands is subjected to damage caused by contact with skin irritants and allergens. Unequivocal reports in industrial injury registers, epidemiological studies and clinical records indicate that women are affected far more than men. However, differences between the sexes with regard to work-related skin disease have never been studied to any great extent. A summary of a number of dermatological textbooks was drawn up in 1996 at

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“…However, for some exposures, like paraquat, this effect could even be more dramatic, with almost 0% absorption through intact skin but 100% absorption through damaged skin (72). It seems, therefore, essential to take the presence of adverse skin conditions into account when systemic uptake through the skin is considered, especially since skin diseases are estimated to account for 9-35% of all occupational diseases (73)(74).…”

Section: Uptakementioning

confidence: 99%