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Self-reported hand eczema among dental workers in Japan - a cross-sectional study.
Contact Dermatitis 2016; 75(4):230-9CD

Abstract

BACKGROUND

Dental workers are considered to have a high risk of developing occupational hand eczema.

OBJECTIVES

To estimate the prevalence of work-related hand eczema and associated risk factors in dental workers in Japan.

METHODS

A self-administered questionnaire was sent by mail to all dental clinics of Kumamoto City, Japan. In addition, patch testing with 24 dentistry-related allergens was offered.

RESULTS

In total, 46.4% of dental workers (n = 528: response 31.4%, based on 97 clinics) reported a lifetime history of chronic hand eczema. The 1-year prevalence was 36.2%. According to logistic regression analysis, the most important risk factors for the 1-year prevalence were a personal history of atopic dermatitis [odds ratio (OR) 4.7, 95% confidence interval (CI): 2.2-8.8], asthma and/or allergic rhinitis (OR 2.0, 95%CI: 1.3-3.0), dry skin (OR 1.7, 95%CI: 1.1-2.7), shorter duration of work (OR 2.0, 95%CI: 1.2-3.5 for up to 10 years versus >20 years), and washing hands >10 times per day (OR 1.6, 95%CI: 1.0-2.5). Fifty-four workers were patch tested. Rubber chemicals and acrylates were the most frequent occupationally relevant contact allergens.

CONCLUSIONS

Dental workers in Japan have a high prevalence of hand eczema. Health education to prevent hand eczema and more frequent patch testing are needed.

Authors+Show Affiliations

Department of Public Health, Faculty of Life Sciences, Graduate School of Kumamoto University, Kumamoto 860-8556, Japan. may20@kumamoto-u.ac.jp, may20@384.jp.Watanabe Dental Clinic, Kumamoto 860-8556, Japan.Department of Social Medicine, Occupational & Environmental Dermatology, University of Heidelberg, 69115 Heidelberg, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27523777

Citation

Minamoto, Keiko, et al. "Self-reported Hand Eczema Among Dental Workers in Japan - a Cross-sectional Study." Contact Dermatitis, vol. 75, no. 4, 2016, pp. 230-9.
Minamoto K, Watanabe T, Diepgen TL. Self-reported hand eczema among dental workers in Japan - a cross-sectional study. Contact Derm. 2016;75(4):230-9.
Minamoto, K., Watanabe, T., & Diepgen, T. L. (2016). Self-reported hand eczema among dental workers in Japan - a cross-sectional study. Contact Dermatitis, 75(4), pp. 230-9. doi:10.1111/cod.12656.
Minamoto K, Watanabe T, Diepgen TL. Self-reported Hand Eczema Among Dental Workers in Japan - a Cross-sectional Study. Contact Derm. 2016;75(4):230-9. PubMed PMID: 27523777.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-reported hand eczema among dental workers in Japan - a cross-sectional study. AU - Minamoto,Keiko, AU - Watanabe,Takeshi, AU - Diepgen,Thomas L, Y1 - 2016/08/15/ PY - 2016/04/08/received PY - 2016/06/10/revised PY - 2016/06/10/accepted PY - 2016/8/16/entrez PY - 2016/8/16/pubmed PY - 2017/4/26/medline KW - alcohol-based hand rub disinfectant KW - atopic dermatitis KW - dental workers KW - epidemiology KW - hand eczema KW - hand washing KW - occupational contact dermatitis KW - wet work SP - 230 EP - 9 JF - Contact dermatitis JO - Contact Derm. VL - 75 IS - 4 N2 - BACKGROUND: Dental workers are considered to have a high risk of developing occupational hand eczema. OBJECTIVES: To estimate the prevalence of work-related hand eczema and associated risk factors in dental workers in Japan. METHODS: A self-administered questionnaire was sent by mail to all dental clinics of Kumamoto City, Japan. In addition, patch testing with 24 dentistry-related allergens was offered. RESULTS: In total, 46.4% of dental workers (n = 528: response 31.4%, based on 97 clinics) reported a lifetime history of chronic hand eczema. The 1-year prevalence was 36.2%. According to logistic regression analysis, the most important risk factors for the 1-year prevalence were a personal history of atopic dermatitis [odds ratio (OR) 4.7, 95% confidence interval (CI): 2.2-8.8], asthma and/or allergic rhinitis (OR 2.0, 95%CI: 1.3-3.0), dry skin (OR 1.7, 95%CI: 1.1-2.7), shorter duration of work (OR 2.0, 95%CI: 1.2-3.5 for up to 10 years versus >20 years), and washing hands >10 times per day (OR 1.6, 95%CI: 1.0-2.5). Fifty-four workers were patch tested. Rubber chemicals and acrylates were the most frequent occupationally relevant contact allergens. CONCLUSIONS: Dental workers in Japan have a high prevalence of hand eczema. Health education to prevent hand eczema and more frequent patch testing are needed. SN - 1600-0536 UR - https://www.unboundmedicine.com/medline/citation/27523777/Self_reported_hand_eczema_among_dental_workers_in_Japan___a_cross_sectional_study_ L2 - https://doi.org/10.1111/cod.12656 DB - PRIME DP - Unbound Medicine ER -