Affordable Access

deepdyve-link
Publisher Website

Determinants of hand dermatitis, urticaria and loss of skin barrier function in professional cleaners in New Zealand.

Authors
  • Douwes, Jeroen1
  • Slater, Tania1
  • Shanthakumar, Mathangi1
  • McLean, Dave1
  • Firestone, Ridvan Tua1
  • Judd, Lissa2
  • Pearce, Neil1, 3
  • 1 a Centre for Public Health Research , Massey University , Wellington , New Zealand. , (New Zealand)
  • 2 b Anwyl Specialist Medical Centre , Wellington , New Zealand. , (New Zealand)
  • 3 c Department of Medical Statistics , London School of Hygiene and Tropical Medicine , London , UK.
Type
Published Article
Journal
International journal of occupational and environmental health
Publication Date
Apr 01, 2017
Volume
23
Issue
2
Pages
110–119
Identifiers
DOI: 10.1080/10773525.2018.1427307
PMID: 29359638
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study assessed the risk of dermatitis, urticaria and loss of skin barrier function in 425 cleaners and 281 reference workers (retail workers and bus drivers). Symptoms, atopy and skin barrier function were assessed by questionnaire, skin prick tests, and measurement of transepidermal water loss. Cleaners had an increased risk of current (past 3 months) hand/arm dermatitis (14.8% vs. 10.0%; OR = 1.9, p < 0.05) and urticaria (11% vs. 5.3%; OR = 2.4, p < 0.05) and were more likely to have dermatitis as adults (17.6% vs. 11.4%; OR = 1.8, p < 0.05). The risk of atopy was not increased, but associations with symptoms were more pronounced in atopics. Transepidermal water loss was significantly higher in cleaners. Wet-work was a significant risk factor for dermatitis and hand washing and drying significantly reduced the risk of urticaria. In conclusion, cleaners have an increased risk of hand/arm dermatitis, urticaria and loss of skin barrier function.

Report this publication

Statistics

Seen <100 times