Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark: A cross-sectional questionnaire-based study
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Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark : A cross-sectional questionnaire-based study. / Sedeh, Farnam Barati; Michaelsdóttir, Thórunn Elísabet; Christiensen, Karl Bang; Mortensen, Ole Steen; Jemec, Gregor Borut Ernst; Ibler, Kristina Sophie.
I: Contact Dermatitis, Bind 89, Nr. 4, 2023, s. 241-249.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark
T2 - A cross-sectional questionnaire-based study
AU - Sedeh, Farnam Barati
AU - Michaelsdóttir, Thórunn Elísabet
AU - Christiensen, Karl Bang
AU - Mortensen, Ole Steen
AU - Jemec, Gregor Borut Ernst
AU - Ibler, Kristina Sophie
N1 - © 2023 The Authors. Contact Dermatitis published by John Wiley & Sons Ltd.
PY - 2023
Y1 - 2023
N2 - BACKGROUND: Professional cleaners are commonly affected by hand eczema (HE) due to wet work and exposure to cleaning products in the work environment.OBJECTIVE: To investigate (1) the prevalence of HE in a group of professional hospital cleaners, (2) the association of HE with various comorbidities and self-reported signs/symptoms of skin lesions and (3) the association of HE with various occupational and personal risk factors in the same population.METHODS: A cross-sectional questionnaire-based study including all cleaners working in three hospitals in Denmark. The questionnaire was composed of 35 questions. Prevalence is reported using proportions with 95% confidence intervals and compared using difference of proportions and Fisher's exact test.RESULTS: A total of 122 out of 180 cleaners (response rate = 68%) participated in this study. The self-reported lifetime prevalence of HE among the cleaners was 30.3%, while the 1-year prevalence was 18.9%. HE was significantly associated with a history of atopic diseases. There was a significant correlation between having HE, and self-reported redness and itch of the hands in the last 12 months, as well as the use of hydrochloric acid ≥4 days/week during the last 12 months. Logistic regression analysis found HE significantly associated with washing hands ≥20 times during a working day and a history of atopic dermatitis.CONCLUSION: Cleaners are at an elevated risk of developing HE. More focus on education/information regarding the prevention and treatment of HE is necessary for the cleaning profession. Self-reported redness and itching of the hands may be a useful prediction of HE in cleaners.
AB - BACKGROUND: Professional cleaners are commonly affected by hand eczema (HE) due to wet work and exposure to cleaning products in the work environment.OBJECTIVE: To investigate (1) the prevalence of HE in a group of professional hospital cleaners, (2) the association of HE with various comorbidities and self-reported signs/symptoms of skin lesions and (3) the association of HE with various occupational and personal risk factors in the same population.METHODS: A cross-sectional questionnaire-based study including all cleaners working in three hospitals in Denmark. The questionnaire was composed of 35 questions. Prevalence is reported using proportions with 95% confidence intervals and compared using difference of proportions and Fisher's exact test.RESULTS: A total of 122 out of 180 cleaners (response rate = 68%) participated in this study. The self-reported lifetime prevalence of HE among the cleaners was 30.3%, while the 1-year prevalence was 18.9%. HE was significantly associated with a history of atopic diseases. There was a significant correlation between having HE, and self-reported redness and itch of the hands in the last 12 months, as well as the use of hydrochloric acid ≥4 days/week during the last 12 months. Logistic regression analysis found HE significantly associated with washing hands ≥20 times during a working day and a history of atopic dermatitis.CONCLUSION: Cleaners are at an elevated risk of developing HE. More focus on education/information regarding the prevention and treatment of HE is necessary for the cleaning profession. Self-reported redness and itching of the hands may be a useful prediction of HE in cleaners.
U2 - 10.1111/cod.14379
DO - 10.1111/cod.14379
M3 - Journal article
C2 - 37438897
VL - 89
SP - 241
EP - 249
JO - Contact Dermatitis
JF - Contact Dermatitis
SN - 0105-1873
IS - 4
ER -
ID: 360022000